公立医院医用耗材监管实践与效果研究  

Research on the practices and effects of medical consumables supervision in public hospitals

作　　者：黄阿红 姜若 张鹏杰 陶思羽 罗莉[1,2] 狄建忠[1,2] HUANG Ahong;JIANG Ruo;ZHANG Pengjie;TAO Siyu;LUO Li;DI Jianzhong(Shanghai Sixth People's Hospital,Shanghai,200233,PRC)

机构地区：[1]上海市第六人民医院,上海市200233 [2]上海交通大学中国医院发展研究院医院运营研究所,上海市200233 [3]中国福利会国际和平妇幼保健院,上海市200030 [4]上海交通大学医学院,上海市200025

出　　处：《中国医院》2024年第12期88-91,共4页Chinese Hospitals

基　　金：国家自然科学基金(72204162);上海申康医院发展中心临床科技创新项目(SHDC12021605);上海申康医院发展中心管理项目(2021SKMR-08);2022年度上海交通大学智库引导性研究项目(ZKYJ-2022009)。

摘　　要：目的:分析某三甲医院耗材监管模式及具体实践效果,为其他医院耗材精细化管理提供参考。方法:系统性分析该医院基于麦肯锡7S模型构建的全流程立体化耗材监管模式,并以2020-2023年甲状腺恶性肿瘤术后患者为例,采用单组中断时间序列法比较分析监管模式实施前后相关费用指标变动情况,以评价监管成效。结果:该监管模式实施后,均次费用平均每月下降72.74元(P<0.05),耗材费用平均每月下降141.32元(P<0.05),且经过干预后均次耗材费5281.23元低于全市平均费用水平5690.27元(P<0.05)。结论:该模式取得一定监管效果;多部门高效协作、完善信息监测手段、打好综合监管“组合拳”等措施有效提升了耗材科学管理水平,有一定参考价值。Objective:To analyze the consumables supervision model and practical outcomes in a Grade III Level A hospital and provide references for other hospitals aiming to improve refined management of consumables.Methods:A systematic analysis of the hospital’s comprehensive,full-process consumables supervision model based on the McKinsey 7S framework was conducted.Using a single-group interrupted time series method,changes in cost-related indicators before and after the implementation of the supervision model were compared,specifically focusing on post-thyroid cancer surgery patients from 2020 to 2023 to evaluate the effectiveness of the model.Results:After implementing the supervision model,the average monthly cost per case decreased by 72.74 CNY(P<0.05),and consumables expenses dropped by an average of 141.32 CNY per month(P<0.05).Following intervention,the average consumables cost per case was 5,281.23 CNY,lower than the citywide average of 5,690.27 CNY(P<0.05).Conclusion:This model demonstrated effective regulatory outcomes,with efficient cross-departmental collaboration,enhanced information monitoring methods,and comprehensive“combined measures”contributing to a higher level of scientific management for consumables,offering valuable insights for similar applications.

关 键 词：公立医院 医用耗材 麦肯锡7S模型 中断时间序列 立体化监管 

分 类 号：R197.3[医药卫生—卫生事业管理]