[1]魏巍孙明徐茂云.DRG支付下IF55病种医用耗材应用现状与对策研究[J].中国卫生质量管理,2023,30(12):28-32.[doi:10.13912/j.cnki.chqm.2023.30.12.07 ]
　WEI Wei,SUN Ming,XU Maoyun.Application Status and Countermeasures of IF55 Medical Consumables under DRG Payment[J].Chinese Health Quality Management,2023,30(12):28-32.[doi:10.13912/j.cnki.chqm.2023.30.12.07 ]

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DRG支付下IF55病种医用耗材应用现状与对策研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第30卷期数: 2023年12期页码: 28-32 栏目: 医疗质量出版日期: 2023-12-15

Title:: Application Status and Countermeasures of IF55 Medical Consumables under DRG Payment

作者:: 魏巍孙明徐茂云; 中国人民解放军联勤保障部队第九六〇医院

Author(s):: WEI Wei; SUN Ming; XU Maoyun; 960th Hospital of PLA

关键词:: DRG; IF55病种; 医用耗材; 成本管理

Keywords:: Diagnostic Related Group; IF55 Diseases; Medical Consumables; Cost Management

分类号:: R197.323；R68

DOI:: 10.13912/j.cnki.chqm.2023.30.12.07

文献标志码:: B

摘要:: 目的统计某院IF55病种患者医用耗材应用情况，分析存在问题，提出改进建议。方法对2022年入组到IF55病种的137例住院患者的病历进行回顾性分析，应用SPSS 22.0软件统计分析医用耗材应用情况。结果IF55病种耗材费占总费用的48.75%，应用敷料、冲洗、缝合器/线未显著缩短患者住院天数（P均＞0.05），应用电极未有效减少术中出血量（P＞0.05），且骨质材料使用指征不明确，病历书写不规范。结论该院IF55病种患者医用耗材使用存在占比高、品类多、使用指征不严格、使用随意等问题。医院应规范耗材使用目录，完善临床管理制度，应用信息化手段提升管理效能。

Abstract:: ObjectiveTo analyze the application of medical consumables for IF55 patients in a hospital, the existing problems, and put forward suggestions for improvement.MethodsThe medical records of 137 hospitalized patients with IF55 diseases in 2022 were retrospectively analyzed, and the application of medical consumables was statistically analyzed by SPSS 22.0 software.ResultsThe cost of IF55 disease consumables accounted for 48.75% of the total cost. The application of dressing, irrigation, and suture consumables did not significantly shorten the length of hospital stay of patients (P>0.05), the application of electrodes did not effectively reduce the amount of intraoperative blood loss (P>0.05), and the indications for the use of bone materials were unclear, and the medical records were not standardized.Conclusion The use of medical consumables in IF55 patients in our hospital has some problems, such as high proportion, many categories, not strict indication and arbitrary use. Hospitals should standardize the use of consumables catalogue, improve the clinical management system, and apply information means to improve management efficiency.

参考文献/References:

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更新日期/Last Update: 2023-12-15