中国医学工程2026，Vol.34Issue(5)：5-9,5.DOI:10.19338/j.issn.1672-2019.2026.05.002
基于SPO模型医用耗材国家医保编码的实践与探讨
Practice and exploration of national medical insurance coding for medical consumables based on SPO model
尹军刚 1张英红 2丛晓盈 1孙君正 1刘晓康1
作者信息
- 1. 威海市妇幼保健院 医疗设备科,山东 威海 264200
- 2. 威海市妇幼保健院 运营管理科,山东 威海 264200
- 折叠
摘要
Abstract
[Objective]To explore the implementation pathway and management effectiveness of applying the national medical insurance coding in hospitals based on the structure-process-outcome(SPO)model,providing references for achieving refined management of medical consumables in healthcare institutions.[Methods]Using the SPO model as the theoretical framework,a supportive structure encompassing policy,organization,and technology was systematically constructed.Three core processes—access and procurement,warehousing and consumption,and clinical use and settlement—were standardized.Outcomes were assessed across three dimensions:management efficiency,medical insurance compliance,and strategic decision-making.[Results]The implementation led to increased inventory turnover rates and enhanced management efficiency.Medical insurance compliance was strengthened,with the proportion of consumables cost decreasing by 5.0%.The strategic value of the medical consumables management department was significantly highlighted.[Conclusion]The model provides a systematic and continuously improving management paradigm for implementing the national medical insurance coding in hospitals.By strengthening the structural foundation and standardizing procedural operations,it effectively drives the transformation of consumables management from an extensive to a lean model,laying a solid foundation for addressing medical insurance payment reforms and promoting industry-wide collaborative development.关键词
医用耗材/结构－过程－结果模型/国家医保编码/医疗器械唯一标识Key words
medical consumables/structure-process-outcome model/national medical insurance coding/unique device identification分类
医药卫生引用本文复制引用
尹军刚,张英红,丛晓盈,孙君正,刘晓康..基于SPO模型医用耗材国家医保编码的实践与探讨[J].中国医学工程,2026,34(5):5-9,5.
