SPD模式下三级医院医用物资成本管理应用研究

Application Research on Cost Management of Medical Materials in Grade Ⅲ Hospitals Under SPD Mode

目的分析和研究SPD管理模式对三级医院医用物资成本管理的效果。方法采用专家调查法、层次分析法、模糊综合分析法对SPD模式下三级医院医用物资成本管理的效果进行定性定量分析,并对比某三级医院应用SPD模式前后医用物资成本管理的变化。结果构建了以管理成本、采购成本、信息成本和财务成本为基础的SPD模式下医用物资成本管理效果的评价指标体系,体系包括1个目标、4个准则层指标、13个方案层指标。通过某三级医院的SPD模式应用前后医用物资成本管理的效果对比,得出SPD模式应用下手术室月均管理耗时减少64.33%,医用耗材耗损率下降73.11%,医用耗材成本核算精准率上涨12.26%,医用耗材月均库存金额下降85.83%,月均管理耗材数量下降98.77%,该院SPD模式下医用物资管理成本控制水平评分在良好以上。结论SPD模式显著提高了医院医用物资成本管理效果,本研究构建的SPD模式下的医用物资成本管理效果评价指标体系具有一定的推广价值。

Objective To analyze and research on the effect of SPD management mode on the cost management of medical materials in grade Ⅲ hospital.Methods The qualitative and quantitative analysis of the effect of medical materials cost management in grade Ⅲ hospital under the SPD mode was carried out by using the methods of expert investigation,AHP and fuzzy comprehensive analysis.And the changes of medical materials cost management before and after the application of SPD mode in a grade Ⅲ hospital were compared.Results An evaluation index system of medical materials cost management effect under SPD model based on management cost,procurement cost,information cost and financial cost was constructed,including 1 objective,4 criterion-level indicators and 13 scheme-level indicators.By comparing the effect of medical materials cost management before and after the application of SPD mode in a grade Ⅲ hospital,the average monthly management time of operating room under the application of SPD mode was reduced by 64.33%,the consumption rate of medical consumables was reduced by 73.11%,the accuracy rate of medical consumables cost accounting was increased by 12.26%,and the average monthly inventory amount of medical consumables was decreased by 85.83%.The average monthly management consumables decreased by 98.77%,and the cost control level of medical materials management under SPD mode was above good.Conclusion SPD model significantly improves the cost management effect of hospital medical materials.The evaluation index system of cost management effect of medical materials under SPD model established in this study has certain popularization value.