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按病种付费下公立医院医用耗材管理高质量发展的探索

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目的:研究探索公立医院在按病种付费(DRGs)下实现医用耗材高质量管理的实践方法.方法:成立医用耗材专项点评小组,以耗材占比持续居高的胸外科为例,选取用量最大的三种高值耗材,通过科室、医生、耗材三个层面作原因分析、点评、跟踪管理,形成耗材的全周期闭环管理,多维度多层面降低耗材占比,促进耗材合理规范使用.结果:胸外科耗材占比较上月降低22.88%,吻合器比上月降低44.83%,比2022年5月~2023年3月平均吻合器用量降低55.07%;止血材料比上月降低41.69%,比2022年5月~2023年3月平均止血材料用量降低45.71%;引流材料4月暂不明显,下面作进一步监测管控.同时,其他相关科室用量也随之下降,全院吻合器使用总量比上月降低35.31%,止血材料总量比上月降低30.53%.结论:通过公立医院多维度多层面的医用耗材全流程管理可以切实有效地提高医用耗材管理水平,实现公立医院DRGs下医用耗材管理的高质量发展.
Exploration of High-Quality Development of Medical Consumables Management in Public Hospitals Under Diagnosis Related Groups
Objectives:The purpose of this paper is to study and explore practical methods that aims to achieve high-quality management of medical consumables under Diagnosis Related Groups(DRGs)in public hospitals.Methods:A special evaluation team for medical consumables will be established.Taking the thoracic surgery department with a high proportion of consumables as an example,selecting three high-value consumables with the largest consumption helps us analyze,comment and track management through the three levels of departments,doctors,and consumables to form a full-cycle closed-loop management of consumables,reduce the proportion of consumables in multiple dimensions and levels,and promote rational and standardized use of consumables.Results:The proportion of thoracic surgery materials decreased by 22.88%from the previous month,and the stapler decreased by 44.83%from the previous month,which was 55.07%lower than the average stapler consumption from May 2022 to March 2023;From May 2022 to March 2023,the average consumption of hemostatic materials will be reduced by 45.71%;drainage materials will not be obvious in April,thus further monitoring and control will be required latter.At the same time,the materials consumption of other related departments has also shown a declining trend.The consumption of staplers in the whole hospital has decreased by 35.31%compared with the previous month,and the consumption of hemostatic materials has decreased by 30.53%compared with the previous month.Conclusion:Through the multi-dimensional and multi-level whole-process management of medical consumables in public hospitals,the management level of medical consumables can be effectively improved,and the high-quality development of medical consumables management under DRGs in public hospitals can be realized.

public hospitalsmedical consumablesthe proportion of consumableshigh quality development

孙玲、徐婷、李龙飞、刘锦、张舒、陆遥、刘烨斌

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常州市第一人民医院(江苏 常州 213000)

公立医院 医用耗材 耗材占比 高质量发展

江苏省卫生经济学会项目

JSWSJJ202306

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(5)
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