Study on the management of dynamic adjustment for supply catalogue of medical consumables based on DRG
10.3969/j.issn.1672-8270.2025.02.026
- VernacularTitle:基于疾病诊断相关分组的医用耗材供应目录动态调整管理研究
- Author:
Ting HUA
1
;
Yunming SHEN
1
;
Chang SU
1
;
Li BAO
1
;
Yufei MENG
1
;
Linling ZHANG
1
;
Kun ZHENG
1
Author Information
1. 国家儿童健康与疾病临床医学研究中心 浙江大学医学院附属儿童医院医疗设备部 杭州 310052
- Publication Type:Journal Article
- Keywords:
Diagnosis related groups(DRG);
Medical consumables;
Supply catalogue;
Dynamic adjustment;
Ratio of consumables
- From:
China Medical Equipment
2025;22(2):143-147
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the construction of management system of dynamic adjustment for supply catalogue of medical consumables based on diagnosis related groups(DRG),so as to realize the fine supervision and management of rational and compliant use for medical consumables.Methods:The management system of dynamic adjustment for supply catalogue of medical consumables was constructed from 6 dimensions(system establishment,hierarchical management,detailed classification,announcement management,strengthening trial and standardizing contract)through analyzed the existing problems.A total of 149 broad headings of using medical consumables in clinical work of Children's Hospital,Zhejiang University School of Medicine from January 2022 to December 2023 were selected.The changes of the ratio of hygienic material's income in medical income,and the ratio of hygienic material's cost in medically overall cost were compared between before adopted the management system of dynamic adjustment for supply catalogue of medical consumables(2022)and after adopted that(2023).Results:After dynamic adjustment,32 broad headings(21.48%)of 149 broad headings of medical consumables were adjusted according to trial process,and 14 broad headings(9.40%)of medical consumables were optimized in the secondary catalogue,and 85 broad headings(57.05%)of medical consumables reduced their product brand,and the use of 8(5.37%)broad headings of medical consumables were stopped.On the premise that both the person-time of outpatient and emergency,and the person-time of discharge increased,the ratio of the income of hygienic material in medical income decreased from 8.02%of 2022 to 7.29%of 2023,and the ratio of hygienic material cost in overall medical cost decreased from 15.38%of 2022 to 14.17%of 2023,and the accumulated cost of medical consumables was reduced by 7.37 million CNY,accounting for 4.1%of the expenditure of medical consumables.Online procurement rates of medical consumables were respectively 93.05%and 94.34%in 2022 and 2023,which showed an increasing trend year by year.Conclusion:The application of management system of dynamic adjustment for supply catalogue of medical consumables can reduce the ratio of consumables of hospital,and improve the management efficiency of medical consumables,and reduce the procurement cost of medical consumables.
