基于循证医学的医用耗材精细化管理实践与探讨

Practice and Discussion on Evidence-based Medical Consumables Management

取消医用耗材加成、推行以病种付费为主等医保改革方案的实施,使公立医院面临着医疗控费的压力。医用耗材作为影响医院成本的因素之一,对医疗费用亦有较大影响。本文从医院内医用耗材管理的实际出发,基于循证医学和真实世界数据分析的方法,在保证医疗安全和医疗质量的前提下,为科学合理地管控医用耗材并对其临床使用情况进行评价提供参考。

Public hospitals are under pressure from medical expenses control with the implementation of medical reform scheme,such as the cancellation of price addition for medical consumables and the implementation of fee for service payment.Medical consumables,as one of the factors that affect the cost of a hospital,have greater impact on medical expenses.This article started from the actual medical consumables management of the hospital,and adopted method based on evidence-based medicine and real-world data analysis,providing reference for scientifically and rationally managing medical consumables and evaluating the clinical use of medical consumables while ensuring medical safety and quality.