Abstract
Objective:To construct a cost control mode for medical consumables of hospital on the basis of artificial intelligence internet of things(AIoT)plus coding technique for unique device identification(UDI),and explore the application effect of that in cost control for medical consumables of hospital,so as to provide references for realizing refined management,cost reduction and efficiency improvement of medical consumables of hospitals.Methods:The AIoT+UDI technique was adopted,and the cost control mode for medical consumables was constructed to manage and control cost of consumables from construction and standardization of UDI coding system,deployment and debugging of AIoT sensing terminal,construction of system integration and data middle platform,development and implementation of scenario-based application functions,pilot run of system,and process optimization.A total of 4 311 medical consumables that were used at Chinese PLA General Hospital during March 2023 and March 2025 were selected.The 2 066 medical consumables,which were used during March 2023 and February 2024,were managed by conventional cost control for medical consumables(conventional control mode),and the 2 245 medical consumables,which were used during March 2024 and March 2025,were managed by the cost control mode for medical consumables of hospital on the basis of AIoT+UDI coding technique(coding control mode).The management quality,management efficiency,and effect of cost control of medical consumables of the two control modes were compared.Results:The turnover frequency of inventory,the compliance rate of using average high-value consumables,and the average accuracy rate of procurement plans of medical consumables under the coding control mode were respectively(7.22±1.23)times per month,(92.22±4.07)%and(90.88±4.23)%,all of which were higher than(5.03±0.89)times per month,(83.44±6.73)%and(73.67±8.22)%under the conventional control mode,and the differences were statistically significant(t=66.482,52.291,87.418,P<0.05).The ratio of average consumables cost to medical revenue under the coding control mode was lower than that under the conventional control mode,and the difference was statistically significant(t=34.948,P<0.05).The procurement duration,stocktaking duration,duration of acceptance and shelving,daily management duration of clinical department for consumables,and the duration of data analysis of management dimension of consumables under the coding control mode were shorter than those under the conventional control mode,and the differences were significant(t=307.882,136.706,226.863,263.365,175.768,P<0.05).The monthly occupied funds of central warehouse for medical consumables,and the quarterly payable funds of consumables under the coding control mode were lower than those under the conventional control mode,and the differences were significant(t=268.482,244.849,P<0.05).Conclusion:The cost control mode for medical consumables of hospital on the basis of AIoT+UDI coding technique can improve management quality for medical consumables of hospitals,and shorten management time of consumables,and reduce the cost of medical consumables.关键词
医用耗材/人工智能物联网(AIoT)/医疗器械唯一标识(UDI)编码技术/精细化管理/成本管控Key words
Medical consumables/Artificial intelligence internet of things(AIoT)/Encoding technique for unique device identification(UDI)/Refined management/Cost management分类
医药卫生