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基于HRP系统的医用耗材精细化管理模式实践探索

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目的 在医用耗材零加成、疾病诊断相关分组付费改革的实施背景下,探索医用耗材精细化管理模式,为公立医院高质量发展提供保障.方法 以北京市某公立三级综合医院为研究对象,基于医院资源规划(Hospital Resource Planning,HRP)系统物资管理模块信息联通形成的数据,以规范临床用耗行为为导向,探索在医院运营管理委员会、医用耗材管理委员会领导下,以物资管理部门为主导,与医务、护理、医保、绩效等管理部门协同联动,以"精细管理、控制成本、优化结构"的理念为主线,对医用耗材目录、医用耗材申领、医用耗材消耗以及医用耗材监测进行精细化管理的模式.比较2023年2-7月与2021年同期的耗材成本、收入结构,来检验基于HRP系统的精细化管理模式的实践成效.结果 经实践,该院医用耗材管理相关人员的精细化管理意识提升;2023年2-7月百元医疗收入消耗卫生材料(不含药品收入)相较2021年同期明显降低,差异有统计学意义(P<0.001),耗材成本控制初见成效;2023年2-7月医院耗占比相较2021年同期明显降低,医疗服务收入占比相较2021年同期明显升高,差异均有统计学意义(均P<0.001),收入结构有所改善.结论 基于HRP系统的医用耗材精细化管理模式,可有效控制成本,促进收入结构优化,降低管理风险,可为公立医院耗材控制提供参考.
Exploration of Medical Consumables Refined Management Mode Based on HRP System
Objective To explore the refined management mode of medical consumables and to provide guarantee for the high-quality development of public hospitals under the background of the implementation of removing medical consumables markup and diagnosis related groups payment reform.Methods Taking a grade Ⅲ general public hospital in Beijing as the research object,based on the data formed by the information interchange of the material management module of the hospital resource planning(HRP)system,and guided by the standardization of medical consumables behavior,this paper explored the possibility of improving the quality of medical consumables under the leadership of the Hospital Operation Management Committee and the Medical Consumables Management Committee.Led by the material management department,in collaboration with the medical,nursing,medical insurance,performance and other management departments,with the concept of"fine management,cost control,optimization structure"as the main line,the medical consumables catalog,medical consumables application,medical consumables consumption and medical consumables monitoring were carried out fine management.The consumables cost and income structure from February to July 2023 and the same period in 2021 were compared to test the practical effect of the refined management mode based on HRP system.Results Through the practice,the refined management consciousness of the medical consumables management staff was improved.From February to July 2023,the consumption of health materials(excluding drug income)with 100 yuan of medical income decreased significantly compared with the same period in 2021,and the difference was statistically significant(P<0.001),and the cost control of consumables achieved initial results.From February to July 2023,the proportion of hospital consumption decreased significantly compared with the same period in 2021,and the proportion of medical service income increased significantly compared with the same period in 2021,with statistical significance(both P<0.001),and the income structure improved.Conclusion The refined management mode of medical consumables based on HRP system can effectively control the cost,promote the optimization of income structure,reduce the management risk,and provide reference for the consumables control of public hospitals.

public hospitalmedical consumablesrefined management modeHRPcost controlstructure optimization

张娜、蔚娟、张新庆

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北京市垂杨柳医院 医院办公室,北京 100022

北京市垂杨柳医院 物资管理部,北京 100022

公立医院 医用耗材 精细化管理模式 HRP 控制成本 优化结构

北京市卫健委住培项目

2021073

2024

中国医疗设备
中国整形美容协会

中国医疗设备

CSTPCD
影响因子:0.825
ISSN:1674-1633
年,卷(期):2024.39(5)
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