公立医院医用耗材使用管理模式探讨

A probe into the management mode of medical consumables use efficiency in public hospitals

目的通过对医用耗材使用环节实施运营管控,建立起科学有效的医用耗材使用管理模式,以降低公立医院医用耗材运行成本。方法选取成都市新都区中医医院医用耗材为研究对象。根据耗材属性把医用耗材分为可收费医用耗材和不可收费医用耗材。运用管理会计工具建立相关指标对科室医用耗材使用情况进行统计。从2020年7月开始,借助医院信息系统,开展医用耗材使用效率管理模式管控。比较管控前后(管控前:2019年1月1日—2020年6月30日;管控后:2020年7月—2022年6月)可收费耗材月平均周转率和不可收费耗材占比。结果管控前,可收费耗材月平均周转率和不可收费耗材占比分别为1.11和12.88%。管控后,可收费耗材月平均周转率和不可收费耗材占比分别为3.71和8.84%。结论在财务管理工具的基础上,结合不同医疗业务具体内容,不断创新与完善,建立起科学规范的管理模式,可提高医疗业务内涵经济效率,实现运营管理价值,从而促进公立医院可持续、高质量发展。

Objective This study aims to establish a scientific and effective management mode for and reduce operation costs on medical consumables use by implementing operation management and control in public hospitals.Methods The medical consumables of the Xindu Hospital of traditional Chinese medicine were selected as the research subject.According to the at-tributes of consumables,medical consumables are classified into medical consumables that can be charged and medical con-sumables that cannot be charged.Management accounting tools were employed to establish relevant indicators to take ac-count of the use of medical consumables in departments.From July 2020,with the help of the hospital information system,the management and control mode for the use efficiency of medical consumables was carried out.The monthly average turn-over rate and proportion of non-chargeable consumables were compared before and after management and control(before management and control:January 1,2019 June 30,2022;after management and control:July 2020 June 2022).Results Before management and control,the average monthly turnover rate of chargeable consumables and the proportion of non-chargeable consumables were 1.11%and 12.88%,respectively.After management and control,the monthly average turn-over rate of chargeable consumables and the proportion of non-chargeable consumables were 3.71 and 8.84%,respectively.Conclusion On the basis of financial management tools,combined with different specific contents of medical business,con-tinuous innovation and improvement,the establishment of scientific and standardized management means can improve the connotation and economic efficiency of medical business,realize the value of operation and management,and thus promote the sustainable and high-quality development of public hospitals.