Management model for surgical consumables based on DIP combined with clinical pathways
10.3969/j.issn.1009-0754.2025.09.013
- VernacularTitle:基于按病种分值付费与临床路径联动的手术耗材使用管理模式
- Author:
Liqiu JIANG
1
;
Jingjing GUO
;
Song ZHOU
;
Ling TAO
;
Ge SHI
Author Information
1. 200431 上海,上海市宝山区仁和医院
- Keywords:
DIP clinical groups;
Clinical pathway;
Surgical consumables;
Cost control
- From:
Journal of Navy Medicine
2025;46(9):928-933
- CountryChina
- Language:Chinese
-
Abstract:
Objective To achieve the goal of standardized use of surgical consumables and reasonable cost control by the diagnosis-intervention packet(DIP)total control combined with clinical pathways.Methods Four DIP clinical groups implementing clinical pathways were selected as pilot disease groups.Cases from 2019 to 2020 served as control group,develop a diagnosis and treatment plan based on clinical pathways and pathway form combined with the actual situation of the hospital.Cases from 2021 to 2023 formed experimental groups:experimental group 1(added control measures of the inventory of surgical consumables on the basis of the control group),and experimental group 2(added total DIP control measures to the experimental group 1).The average hospitalization costs and average costs of disposable surgical consumables were compared to evaluate the practical outcomes.Results There were significant differences in the average hospitalization costs and average costs of disposable surgical consumables among the three groups(P<0.05).Further pairwise comparisons showed that the average hospitalization costs and average costs of disposable surgical consumables in experimental group 2 were significantly lower than those in experimental group 1 and the control group(P<0.05).The average hospitalization costs in all pilot disease groups except the group undergoing transurethral ureteroscopic laser lithotripsy in the experimental group 1 were significantly lower than those in the control group(P<0.05),and the average costs of disposable surgical consumables in all pilot disease groups in the experimental group 1 were significantly lower than those in the control group(P<0.05).Conclusion The management plan based on DIP combined with clinical pathways can improve the management effect of surgery-related consumables and effectively reduce the costs.
