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[1]颜芬芬王道雄韩宝江.医用耗材管控成效研究：基于每权重耗材费用考核指标[J].中国卫生质量管理,2025,32(03):54-58.[doi:10.13912/j.cnki.chqm.2025.32.3.11]
　YAN Fenfen,WANG Daoxiong,HAN Baojiang.Study on the Effectiveness of Medical Consumables Management and Control : Based on the Assessment Index of Consumables Cost per Weight[J].Chinese Health Quality Management,2025,32(03):54-58.[doi:10.13912/j.cnki.chqm.2025.32.3.11]

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医用耗材管控成效研究：基于每权重耗材费用考核指标

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年03期页码: 54-58 栏目: 绩效管理与医院高质量发展出版日期: 2025-03-15

Title:: Study on the Effectiveness of Medical Consumables Management and Control : Based on the Assessment Index of Consumables Cost per Weight

作者:: 颜芬芬王道雄韩宝江; 华中科技大学同济医学院附属同济医院

Author(s):: YAN Fenfen; WANG Daoxiong; HAN Baojiang; Tongji Hospital, Tongji Medical College of Huazhong University of Science & Technology

关键词:: 每权重耗材费用; DRG; 耗材管控; 医疗服务能力

Keywords:: Cost of Consumables per Weight; DRG; Consumables Management and Control; Medical Service Ability

分类号:: R197.323

DOI:: 10.13912/j.cnki.chqm.2025.32.3.11

文献标志码:: A

摘要:: 目的分析以每权重耗材费用为考核指标对医用耗材管控效果以及对医疗服务水平的影响。方法选取某三甲医院2022年以及2023年4月-2024年3月病历数据，采用SPSS 20.0软件对考核前后相关指标变化进行分析。采用CRITIC权重法及TOPSIS法评价科室医疗服务水平。采用斯皮尔曼相关系数法对每权重耗材费用与评价指标相关性进行检验。结果每权重耗材费用、DRG组数、平均耗材费用、平均住院费用的平均值均降低，数据较考核前差异有统计学意义（P＜0.05）；科室CMI值、DRG总权重、四级手术占比平均值均提升，数据较考核前差异有统计学意义（P＜0.05）。部分科室医疗服务水平排名上升。每权重耗材费用与平均耗材费用和四级手术占比相关性较强。结论基于每权重耗材费用的考核机制可有效促进科室医疗服务水平提升。

Abstract:: ObjectiveTo analyze the effect of consumables cost per weight as an assessment index on the control effect of medical consumables and its impact on medical service level. MethodsThe medical record data of a tertiary hospital in 2022 and from April 2023 to March 2024 were selected. SPSS 20.0 software was used to analyze the changes of relevant indicators before and after the assessment. The CRITIC weight method and TOPSIS method were used to evaluate the medical service level of the departments. The Spearman correlation coefficient method was used to test the correlation between the cost of consumables per weight and the evaluation index. ResultsThe cost of consumables per weight, DRG group number, average consumables cost and average hospitalization cost all decreased, and the differences in the data were statistically significant compared with those before the assessment (P<0.05). The CMI value, total DRG weight and the average proportion of four-level surgery in the department all improved, and the differences in the data were significantly different from those before the assessment (P<0.05). The ranking of medical service level of some departments increased. The cost of consumables per weight has a strong correlation with the average cost of consumables and the proportion of four-level surgery.Conclusion The assessment mechanism based on the cost of consumables per weight can effectively promote the improvement of medical service level.

参考文献/References:

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更新日期/Last Update: 2025-03-15