Cost control and structural optimization of medical consumables in a public hospital:a case study on the management of drug-loaded embolic microspheres in transcatheter Hepatic Artery Embolization
10.3969/j.issn.1671-332X.2024.11.017
- VernacularTitle:公立医院医用耗材成本管控与结构优化实践
- Author:
Jiawen TAN
1
;
Zhilun YANG
;
Jiaqing MIAO
;
Xiaohui LV
;
Lihua WU
;
Donglan YU
Author Information
1. 中山大学附属第一医院 广东 广州 510080
- Keywords:
Public hospitals;
High-quality development;
Medical consumables;
Control of costs;
Transcatheter hepatic artery embolization
- From:
Modern Hospital
2024;24(11):1694-1698,1701
- CountryChina
- Language:Chinese
-
Abstract:
Effective cost control and structure optimization of medical consumables in public hospitals can facilitate a shift from extensive cost control to scientific and refine management.On the premise of ensuring medical quality,reducing the burden of patients'diagnosis and treatment and meeting the actual needs of hospital management,this approach aims to realize valuable healthcare outcomes.This study was conducted in a tertiary hospital,which balanced both the medical and economic val-ue of medical consumables.Using an integrated approach to specialty capacity building and disease structure optimization,the hospital restructured the use of medical consumables in Transcatheter Arterial Embolization(TAE)procedures.It developed standardized pathways and usage protocols tailored to specific diseases and surgical requirements.A targeted consumable usage policy framework was introduced,comprising"one department,one policy;one surgery type,one policy;and one consumable,one policy."This included initiatives such as validating the use of drug-loaded embolic microspheres,conducting multi-depart-mental review meetings,strictly regulating indications for these microspheres,limiting personnel involvement,and negotiating re-duced pricing on imported microspheres.Following implementation,the average case-mix index(CMI)for discharged patients undergoing TAE increased from 2.23 to 2.34(P＜0.001),while the average per-case cost of consumables decreased from 19 600 to 15 600(P＜0.001).These measures offer valuable decision-making and operational reference for hospitals nation-wide,supporting efficient,quality-focused consumables management.
