医疗装备2024,Vol.37Issue(18) :47-50.DOI:10.3969/j.issn.1002-2376.2024.18.012

DRG/DIP支付方式改革形势下医院医用耗材的精细化管理对策

The Strategies for Refined Management of Medical Consumables in Hospitals with the Reform of DRG/DIP Payment Methods

李媛媛
医疗装备2024,Vol.37Issue(18) :47-50.DOI:10.3969/j.issn.1002-2376.2024.18.012

DRG/DIP支付方式改革形势下医院医用耗材的精细化管理对策

The Strategies for Refined Management of Medical Consumables in Hospitals with the Reform of DRG/DIP Payment Methods

李媛媛1
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作者信息

  • 1. 西安医学院第一附属医院 (陕西西安 710077)
  • 折叠

摘要

医用耗材在医学诊断和治疗中发挥着重要作用.随着医疗耗材行业的快速发展,医用耗材种类不断增多,更新换代速度快,管理难度随之不断增大.同时,DRG/DIP支付方式改革形势下,医用耗材作为单纯的成本项目不再给医院带来经济效益.因此,医用耗材的管理水平直接影响医疗服务质量和医院经济效益.该研究结合当前医改背景分析医院医用耗材管理中普遍存在的问题,并从多个角度介绍医院医用耗材精细化管理,包括提高对耗材管理工作的重视度,健全完善制度,统一耗材目录,加强二级库管理,降低院内耗材价格,耗材成本核算纳入绩效考核,提升耗材信息化管理水平等.医院自 2023 年实施医用耗材精细化管理后,医用耗材医保编码变更数据录入用时和正确率、全年耗材费用、当月使用量及金额查询时间均显著降低,医院整体住院次均医用耗材费用呈下降趋势.医用耗材精细化管理可有效降低医院运行成本,提高医院医用耗材的管理水平,促进医疗质量不断提升.

Abstract

Medical consumables play an indispensable role in medical diagnosis and treatment.With the rapid development of the medical consumables industry,the types of medical consumables are constantly increasing,and the speed of updates and replacements is fast,which increases the difficulty of management.With the reform of DRG/DIP payment method,medical consumables,as a simple cost item,no longer bring economic benefits to hospitals.Therefore,the management level of medical consumables directly affects the quality of medical services and hospital economic benefits.In this study,with the analysis of the common problems in hospital medical consumables management in the context of current healthcare reform,the refined management of hospital medical consumables was introduced from multiple perspectives,including increasing attention to consumables management,improving systems,unifying consumables catalogs,strengthening secondary warehouse management,reducing hospital consumables prices,incorporating consumables cost accounting into performance evaluations,and enhancing consumables information management level.Since the implementation of refined management of medical consumables in the hospital in 2023,the time and correct rate of data entry for changes in medical consumables medical insurance codes,annual consumables costs,monthly usage and amount query time had all significantly decreased,and the overall average medical consumables cost per hospitalization in the hospital had shown a downward trend.The refined manaqement of hospital medical consumables effectively reduced the operating costs of hospitals,improved the management level of medical consumables,and promoted the continuous improvement of medical quality.

关键词

DRG/DIP支付/医用耗材/精细化管理/成本核算/医疗质量

Key words

DRG/DIP payment/Medical consumables/Refined management/Cost accounting/Medical Quality

引用本文复制引用

出版年

2024
医疗装备
国家食品药品监督管理局北京医疗器械质量监督检验中心 北京市医疗器械检验所

医疗装备

影响因子:0.339
ISSN:1002-2376
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