不计价手术医用耗材的成本控制方法探讨

Discussion on cost control method of surgical medical consumables without charge

医用耗材的精细化管理是医院成本控制的重要组成部分,通过研究某三甲医院2015年手术室不计价医用耗材的消耗数量和消耗结构,发现敷料类耗材占不计价手术医用耗材的比例达36.63%,妇产科不计价手术医用耗材占手术费用的比例最高,达20.08%。对此,应增强医护人员的成本节约意识,建立不计价手术医用耗材的动态监控机制,集中采购以及适当调整不合理的医疗服务价格,有效控制不计价手术医用耗材的过快增长。

The fine management of medical consumables is an important component of hospital cost control. After investigating consumption quantity and consumption structure of surgical medical consumables without charge in operation room of one three-level hospital in 2015,this paper found that the dressing medical consumables accounted for 36.63% of surgical medical consumables without charge. The proportion of surgical medical consumables without charge in operating expenses in the department of gynecology and obstetrics is highest,up to 20.08%. In this regard,the government should strengthen the sense of cost savings of medical staff,establish dynamic monitoring mechanism for surgical medical consumables without charge,centralized purchase and appropriately adjust the unreasonable price of medical services,and effectively control the excessive growth of surgical medical consumables without charge.