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基于医保结算的耗材精细化管理策略OACSTPCD

Refined Management of Medical Consumables Based on Medical Insurance Settlement

中文摘要英文摘要

目的 探讨高效的医用耗材精细化管理模式和方法,助力公立医院高质量发展.方法 从科室人均卫材费用、病组人均费用、医保结回率入手,对各科室疾病诊断相关分组病种消耗、耗材采购价格及院内流通等进行管控;以住院患者人均总费用、人均卫材费用为指标进行效果比对.结果 住院患者人均总费用和人均卫材费用分别下降8.55%和5.85%.结论 在基础建设、医护人员、床位数相对恒定的状态下,通过医用耗材的精细化管理,可有效降低患者就医负担,提高医保支付率,提升医院核心竞争力.

Objective To explore the efficient and refined management mode and method of medical consumables to help the high-quality development of public hospitals.Methods Starting from the per capita cost of medical materials in the department,the per capita cost of the disease group,and the rate of medical insurance settlement,the disease consumption,consumables purchase price and hospital circulation in each department of diagnosis related groups were controlled;The effect was compared with the total cost per capita of hospitalized patients and the cost per capita of medical materials.Result The per capita total cost and per capita sanitation material cost of inpatients decreased by 8.55%and 5.85%,respectively.Conclusion Under the relatively constant state of infrastructure,medical personnel and beds,the refined management of medical consumables can effectively reduce the burden of patients'medical treatment,improve the payment rate of medical insurance,and enhance the core competitiveness of hospitals.

石维结;佘瑾;王守欣;王泉

三峡大学第一临床医学院/宜昌市中心人民医院 设备科,湖北 宜昌 443003

预防医学

耗材管理医保结算成本管控病种消耗

medical consumable managementmedical insurance settlementcost controldisease consumption

《中国医疗设备》 2024 (005)

92-98 / 7

湖北省科技创新基地条件平台专项(2022DCC014).

10.3969/j.issn.1674-1633.2024.05.016

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