卫生材料收支简析暨加强管控措施探讨

Analysis of Income and Expenses of Hygiene Materials & Study on Enhancing the Control Measures

为进一步贯彻落实《关于印发控制公立医院医疗费用不合理增长的若干意见的通知》(国卫体改发〔2015〕89号)等有关文件精神,积极探索降低"百元医疗收入(不含药品收入)中消耗的卫生材料"和"卫生材料收入占医疗收入(不含药品收入)比重"的管控措施,该文通过分析某三级甲等综合性医院近年来卫生材料收支情况,发现存在问题,找出关键控制点,从提高卫生材料管理相关人员业务能力、医用材料基础信息采集录入审核管理、采购价格管理控制、物资管理系统信息化建设、卫生材料收费管理、不可单独收费卫生材料支出定额管理、可单独收费的卫生材料使用管理,卫生材料收支相关指标绩效考核管理等方面提出加强卫生材料收支管理、控制卫生材料成本的建议,为医院卫生材料管理部门提供一些实务操作参考。

In order to further implement the related documents of Notice about Several Opinions of Unreasonable Increase of Medical Cost Control in Public Hospitals [（2015） No.89 of Guowitigai issued] and positively explore the control measures of reducing the hygiene materials consumed by the “hundred yuan medical income” （without the drug income）, and ratio of hygiene material income in medical income （without the drug income）, the paper finds out the problems and key control points by analyzing the income and expense of hygiene materials in some upper first-class general hospitals in recent years, and puts forwards the suggestions of enhancing the management of income and expenses of hygiene materials and costs of controlling hygiene materials from the aspects of improving the business ability of hygiene material management related staff, medical material basic information collection entry and audit management, management and control of procurement price, information construction of material management system, hygiene material cost management, expenditure quota man-agement of hygiene materials failing to be feed separately, use management of hygiene materials that can be feed separately and hygiene material income and expenses related indicators performance examination management thus providing some op-erational references for the department of hygiene material management in the hospital.