中国医学装备2026，Vol.23Issue(3)：102-107,6.DOI:10.3969/j.issn.1672-8270.2026.03.019
医用耗材全生命周期一体化智能供应链系统的构建研究
Construction of an integrated intelligent supply chain system for full lifecycle of medical consumables
摘要
Abstract
Objective:To construct an integrated intelligent supply chain system for full lifecycle of medical consumables,and to explore application value of digital technique in improving efficiency of management for supply chain of hospital.Methods:A hierarchical technical architecture consisting of data layer,network layer,consensus layer,smart contract layer and application layer was adopted.Three mainly functional modules,i.e.,intelligent procurement,dynamic inventory management and full process traceability,were configured to construct the integrated intelligent supply chain system for full life cycle of medical consumables.Data were collected from 3 comprehensive third-level grade-A hospitals of Chongqing,including data of 150 072 surgeries and related data of medical consumables that were used in surgery from January 2023 to December 2024.Among them,the data of 74 316 surgeries from January to December 2023 were assigned as the pre-implementation group,and 75 756 surgeries from January to December 2024 were assigned as the post-implementation group.The average time of consumables requisition,days of inventory turnover,cost of consumable consumption per operation,error rate of billing,and consistency rate between accounts and materials of 3 hospitals between before and after the system was applied were compared,and the change of intervention effects after the system was applied also was compared and analyzed.Results:After this system was implemented,the average time of consumables requisition,days of inventory turnover,cost of consumable consumption per operation and average error rate of billing of combined effect of 3 hospitals were respectively(2.7±0.8)h,(6.8±1.5)d,(10 980.2±1210.7)CNY and(0.8±0.3)％,all of which were significantly lower than those before it was implemented,and the differences were significant(t=35.62,43.75,17.93,40.81,P<0.05).The average consistency rate between accounts and materials was(99.1±0.5)％after it was implemented,which was significantly higher than that before it was implemented(t=29.47,P<0.05).The differences of the decreased degree of the average time of consumables requisition,average days of inventory turnover,average cost of consumable consumption per operation,average error rate of billing,and the increased degree of consistency rate between accounts and materials of intervention effect among 3 hospitals were significant(F=9.05,10.12,13.08,8.27,29.75,P<0.05),which had higher heterogeneity(I 2>50％).Conclusion:The application of the integrated intelligent supply chain system for full lifecycle of medical consumables can improve the efficiency of requisitioning medical consumables,and accelerate the inventory turnover of medical consumable,and control the cost of surgical consumables,and enhance the accuracy of billing consumable,and the level of consistency between account and materials.关键词
医用耗材/智能供应链管理/信息化/区块链/物联网Key words
Medical consumables/Intelligent supply chain management/Informatization/Blockchain/Internet of things分类
医药卫生引用本文复制引用
王小琳,罗玲,向峰儀,李宗利,申鹏,陈中秋,陶艳莉,袁顺琼..医用耗材全生命周期一体化智能供应链系统的构建研究[J].中国医学装备,2026,23(3):102-107,6.基金项目
2022年度重庆市技术创新与应用发展专项面上项目(CSTB2022TIAD-GPX0068) 2022 Chongqing Technological Innovation and Application Development Special General Project(CSTB2022TIAD-GPX0068) （CSTB2022TIAD-GPX0068）
