某三级医院麻醉科医用耗材使用情况分析

Consumption of Medical Consumables in Anesthesiology Department of A First-Class Hospital

目的利用基于HIS系统建立的OIS系统,对医院麻醉科手术病人医用耗材进行分析研究,探求有效控制麻醉科医用耗材占比的路径。方法选择2015年8-10月医院外科系统555例手术病人作为研究对象,将其在手术室使用的耗材按特殊耗材、高值耗材、麻醉耗材和手术基本耗材四类进行统计,采用SPSS 13.0进行描述性分析。结果该院各类耗材占比达61.82%,其中高值耗材占比为39.08%,各科手术病人在麻醉科发生的均次费用差异显著。结论麻醉科费用构成存在严重缺陷,业界和政府决策部门应高度重视;应重点管控骨科、胸外科、神经外科和眼科使用的高值耗材,进一步规范医师诊疗行为。

Objective To analyze the consumption of medical consumables of the operating patients in the anesthesi- ology department and find the effective way to control the consumption of medical consumables in the anesthesiology depart- ment. Methods 555 patients of the surgery from August to October 2015 were involved in the research. CISS system was used on the basis of HIS system to classify their medical consumables in operating room into four kinds of special consuma- bles, precious consumables, anesthesia consumables and basic operating consumables. SPSS 13.0 was used for the descrip- tive analysis. Results The consumption of medical consumables in this hospital reached 61.82% ： precious consumables taking up 39.08%. The expenses in the operating theatres varied significantly with different operations per time. Conclusion There are severe defects in the expense patterns in anesthesiology department, which deserves higher attention from the medical field and the decision - making departments of our government. The hospitals together with the government should take control of the precious consumables used in the orthopedics departments, thoracic surgery departments, neurosurgery de- partments and ophthalmology departments, and further regularize medical behaviors of doctors.