基于卫生技术评估的新品医用耗材准入流程探索

Exploration on the Access Process of New Medical Consumables Based on Health Technology Assessment

目的为提高医用耗材精细化管理,探索一种基于卫生技术评估方法在医用耗材合理化应用的管理手段,为医用耗材精细化管理提供一种理论探讨依据。方法介绍了医用耗材管理和临床应用中存在的问题,引入了卫生技术评估基本理论,并详细介绍了卫生技术评估方法在医用耗材临床使用和管理中的实践应用,着重探讨了基于卫生技术评估的新增医用耗材准入管理和临床使用管理,开展多项有关医疗耗材准入、临床使用管理等方面的研究,制定了一系列的管理办法和规章制度。结果使用循证医学证据对新增医用耗材进行分级评估,评级结果为“充分”和“较充分”的项目申购成功率为98.1%,“不充分”和“未提供”的项目,仅占成功申购项目的1.9%;因否决低评分等级项目,可避免诊疗增加累计费用2295.1万元,可减少单次诊疗费用114.54元。结论卫生技术评估方法在一定程度上能降低耗占比,规范医用耗材的准入和使用管理,值得进一步研究和推广。

Objective To improve the refined management of medical consumables,explore a management method based on the application of sanitary technology evaluation methods for the rationalization of medical consumables,and provide a theoretical basis for the refined management of medical consumables.Methods The problems in the management and clinical application of medical consumables were introduced,the basic theory of health technology evaluation was introduced,and the practical application of health technology evaluation methods in the clinical use and management of medical consumables was introduced in detail.Added medical consumables access management and clinical use management,carried out a number of studies on medical consumables access,clinical use management and other aspects,and formulated a series of management methods and rules and regulations.Results Evidence-based medical evidence was used to grade the newly added medical consumables.The success rate of the projects with ratings of“sufficient”and“more adequate”was 98.1%.“Inadequate”and“not provided”projects accounted for only successful purchases 1.9%of the project.Due to the rejection of the low-scoring level project,the cumulative cost of diagnosis and treatment can be avoided by RMB 22.951 million,and the cost of a single diagnosis and treatment can be reduced by RMB 114.54.Conclusion The health technology assessment method can reduce the consumption ratio to a certain extent and regulate the access and use management of medical consumables,which deserves further research and promotion.