我国医保医用耗材管理机制变革及对医疗机构的影响分析

The Reform of Medical Consumables Management Mechanism of Medical Insurance and Its Influence on Medical Institutions in China

近年来,我国医用耗材管理机制改革不断深入。基于对我国医用耗材管理现况和新医保政策动向的分析,探讨了既往管理模式的弊端和医保部门在耗材目录、定价、采购、支付、监管等方面的政策进展。建议医疗机构和医务人员要正视耗材改革的推进,积极优化临床诊疗工作流程,追求医疗质量和成本控制之间的平衡,以适应新的政策环境,促进我国医疗卫生事业健康发展。

In recent years,the reform of medical consumables management mechanism in China has been deepening.Based on the analysis of the current situation of medical consumables management in China and the trend of new medical insurance policy,the disadvantages of the previous management mode and the policy progress of medical insurance department in the aspects of catalogue,pricing,procurement,payment and supervision of consumables were discussed.It was suggested that medical institutions and medical personnel should face up to the promotion of consumable material reform,actively improve the clinical diagnosis and treatment process,and pursue the balance between medical quality and cost control,so as to adapt to the new policy environment and promote the healthy development of medical and health undertakings in China.