探索合理的医用耗材管理方法

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL Journal of clinical medicine research Pub Date : 2023-10-24 DOI:10.32629/jcmr.v4i3.1309
Shu Liu
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摘要

目的:探讨合理管理医用耗材的方法,为今后的医用耗材管理提供参考。方法作者所在医院于2021年1月实施了分类编码耗材管理模式。对2020年和2021年全年医疗耗材使用数据进行统计分析。对分类编码耗材管理模型在工作场所的应用效果进行了评价。结果- 2021年第三季度和第四季度,每百元医用耗材使用率分别为24.6%和18.4%,均低于2020年的26.0%和26.3%,差异有统计学意义(P<0.05)。与2020年相比,2021年医疗耗材总量增长21.2%,高值耗材数量增长40.4%,高值耗材种类数量增长4.5%。对比各季度抽样300例医用耗材,2021年第二、第三、四季度不合理使用率分别为14.0%、12.7%、11.7%、7.0%,均低于2020年的18.7%,差异有统计学意义(P<0.05)。结论:通过分类编码对医用耗材进行管理,可以有效控制每百元医用耗材的使用比例,便于对各类耗材的控制,在降低不合理使用率的同时,增加医用耗材的总收入。
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Exploring Rational Management Methods for Medical Consumables
Purpose—The purpose of this article is to explore methods for the rational management of medical consumables, with the aim of providing reference for the future management of medical consumables. Methods—The hospital where the author is affiliated implemented a classification coding consumables management model in January 2021. Statistical analysis was conducted on the usage data of medical consumables for the full year of 2020 and 2021. The application effectiveness of the classification coding consumables management model in the workplace was evaluated. Results—In the third quarter and fourth quarter of 2021, the percentage of medical consumables usage per hundred yuan was 24.6% and 18.4%, respectively, both lower than 26.0% and 26.3% in 2020, with statistically significant differences (P<0.05). Compared to the year 2020, the total amount of medical consumables in 2021 increased by 21.2%, and the amount of high-value consumables increased by 40.4%, with an increase of 4.5% in the number of high-value consumable types. After comparing 300 cases of medical consumables sampled for each quarter, the rates of irrational usage in the second, third, and fourth quarters of 2021 were 14.0%, 12.7%, 11.7%, and 7.0%, respectively, all lower than 18.7% in 2020, with statistically significant differences (P<0.05). Conclusion—The management of medical consumables through classification coding can effectively control the percentage of medical consumables usage per hundred yuan, facilitate the control of various types of consumables, and increase the total revenue of medical consumables while reducing the rate of irrational usage.
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