摘要
目的 评价结构-过程-结果模型在医院医用耗材准入管理中的应用与效果.方法 基于结构-过程-效果模型构建医院医用耗材准入管理体系,选取北京大学第一医院 2020 年 7 月—2022 年 12 月准入的医用耗材作为研究对象,从组织结构、过程管理、结果评价三个维度对耗材准入通过率、耗占比、不良事件发生率、医疗纠纷发生率进行结果评价.结果 医用耗材准入管理体系实施后,耗材准入通过率提高(p<0.05);部分科室耗占比明显下降(p<0.05);不良事件发生率下降、未发生因耗材引发的医疗纠纷.结论 结构-过程-效果模型在医用耗材准入管理中取得明显效果,初步实现了耗材准入管理的科学性、规范性、有效性.
Abstract
Objective To evaluate the application and effect of the structure-process-outcome model in hospital medical consumables access management.Methods Based on the structure-process-effect model,the hospital medical consumables access management system was constructed.The medical consumables accessed by Peking University First Hospital from July 2020 to December 2022 were selected as the research objects,and the results were evaluated in terms of three dimensions:organizational structure,process management,and outcome.The rate of consumables access pass rate,the consumption ratio,the incidence rate of adverse events,and the incidence rate of medical disputes were evaluated.Results After the implementation of the medical consumables access management system,the pass rate of consumables access has increased(p<0.05).The consumption ratio of some departments has decreased significantly(p<0.05).The incidence of adverse events has decreased,and there have been no medical disputes caused by consumables.Conclusion The structure-process-outcome model has achieved obvious effects in medical consumables access management,and initially realized a scientific,standardized and effective management of consumables access.
维普
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