摘 要：
目的：提高医用耗材精细化管理水平，控制医用耗材费用不合理增长。方法：综合考虑医用耗材的用途、价值、属性、顺应性等因素，对医用耗材开展360度评估，并以此为基础进行耗材编码，采取分类分级管理。结果：患者耗占比降幅1.67%、平均耗材费用下降144.49元、重点监控高值耗材占比降幅5.15%。收集耗占比、平均耗材费用、重点监控高值耗材占比等数据，采用SPSS 21.0软件进行t检验和χ2检验，P＜0.05为差异有统计学意义。结论：基于360度评估的医用耗材精细化管理，建立了医用耗材分类分级管理机制，促进了医用耗材临床使用的合法、合规、合理性，控制了医疗费用不合理增长，维护人民群众健康权益。
关键词：医用耗材；精细化管理；360度评估；耗占比；平均耗材费
Abstract:
Objective: To improve the fine management level of medical consumables and control unreasonable growth in medical consumable costs. Methods: A comprehensive 360-degree assessment was conducted on medical consumables, considering factors such as their purpose, value, attributes, and compliance. Based on this assessment, consumable coding was implemented, and a classification and grading management system was adopted. Results: The proportion of consumables used by patients decreased by 1.67%, the average consumable cost decreased by 144.49 yuan, and the proportion of high-value consumables under key monitoring decreased by 5.15%. Data such as consumable usage proportions, average costs, and high-value consumable proportions were collected. SPSS 21.0 software was used to perform t-tests and χ2 tests, with P<0.05 considered statistically significant. Conclusion: The fine management of medical consumables based on the 360-degree assessment established a classification and grading management mechanism, promoted the lawful, compliant, and reasonable use of medical consumables, controlled unreasonable growth in medical costs, and protected the health rights of the public.
Keywords: Medical consumables; Fine management; 360-Degree assessment; Usage proportion; Average consumable cost
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