摘要
目的疾病诊断相关分组(Diagnosis Related Groups,DRGs)支付方式下,医院耗材成本控制面临极大压力,亟待探究有效的耗材管控分析程序。方法通过引入名义亏损指标,建立耗材管控标准化分析流程。结果使用标准化分析流程考察某期医保模拟盈亏数据,在其他条件不变的情况下,每增加1元耗材成本预期将增加名义亏损0.37元(P<0.001),而对于该期名义亏损金额排名首位的KE19病组,使用国产吻合器及钉仓预期可降低名义亏损28.19%(P=0.007)。结论标准化分析流程有助于为医院耗材管控提供明确、量化的决策依据。
Objective Under the diagnosis related groups(DRGs) payment method, the cost control of hospital consumables is under great pressure, and it is urgent to explore an effective analysis procedure of consumables management and control.Methods Through the introduction of nominal loss indicators, the standardized analysis process of consumable control is established. Results The standardized analysis process was used to investigate the simulated profit and loss data of medical insurance in a certain period. Under other conditions unchanged, each additional yuan of consumables cost is expected to increase the nominal loss by 0.37 yuan(P<0.001), and for the KE19 disease group with the largest nominal loss in this period, the use of domestic cutters and reloads is expected to reduce the nominal loss by 28.19%(P=0.007). Conclusion The standardized analysis process helps to provide a clear and quantitative decision basis for the management and control of hospital consumables.
作者
张少博
姚洪生
彭志涛
ZHANG Shaobo;YAO Hongsheng;PENG Zhitao(Department of Equipment,Zhongnan Hospital of Wuhan University,Wuhan Hubei 430071,China)
出处
《中国医疗设备》
2022年第1期151-154,共4页
China Medical Devices
关键词
疾病诊断相关分组
耗材管控
名义亏损
标准化分析流程
diagnosis related groups
consumables management and control
nominal loss
standardized analysis process
