北京某医院实施医耗联动综合改革对卫生耗材收入影响的分析研究

Preliminary results and analysis of the impact of"medical consumption linkage comprehensive reform"on the income of medical consumables

深化医改是一项长期任务,医耗联动综合改革是在医药分开综合改革基础上,取消医用耗材加成。此次改革旨在破除医疗机构医用耗材加成机制,引导医疗机构向内涵质量效率型发展。案例医院是北京市创伤和烧伤抢救中心,卫生材料收入占医疗收入比重高,卫生材料费用与成本的控制是管理的重点与难点。笔者通过分析综合改革实施后6个月卫生材料费用的变化情况,说明医耗联动取消耗材加成后,通过精细化管理,医院卫生耗材费用的增长得到了有效控制,医耗联动综合改革取得了一定效果,对全市耗材费用的控制起到了积极的直接作用和一定的示范作用。

Deepening the medical reform is a long-term task.The comprehensive reform of medical consumption linkage is based on the comprehensive reform of the separation of medicines and cancels the addition of medical supplies.The purpose of this reform is to get rid of the medical consumables bonus mechanism for medical institutions,and to guide the development of medical institutions towards connotative quality and efficiency.Case Hospital is a trauma and burn rescue center in Beijing.The income of sanitary materials accounts for a high proportion of medical income.The control of the cost and cost of sanitary materials is the focus and difficulty of management.The author analyzes the changes in the cost of sanitary materials in the six months after the implementation of the comprehensive reform,and shows that after the medical consumption linkage is added to the consumables,through refined management,the growth of the hospital’s sanitary consumables costs has been effectively controlled,and the comprehensive reform of the medical consumption linkage has been achieved.A certain effect,can play a positive direct role and a certain demonstration role in the control of the city's consumable costs.