摘要
目的:探究影响某院彩超设备经济净收入的根本原因,以改善现有管理措施,提高净收入水平。方法:调研某三甲医院超声医学科2017—2019年彩超设备的运营情况,运用SPSS 23统计分析软件对影响单台彩超设备净收入的因素进行相关性分析,找出关键影响因素。结合国家相关政策和医院实际情况,对关键影响因素进行线性回归分析并预测2020年度关键影响因素的管理目标值,制订详细可行的医用耗材管控行动方案,并将2020年目标完成情况与预测情况进行对比。结果:卫生材料费是关键影响因素。采用医用耗材管控行动方案后,2020年单台彩超设备卫生材料实际投入高于理论投入,即同等净收入水平下,投入的卫生材料费同比增多,未能实现预期目标管理。射频消融套件、引流导管套件和穿刺活检套件使用量的增加是卫生材料增加的主要原因。结论:公立医院公益性和临床诊疗需求的改变使得超声医学科卫生材料费的投入并非越低越好,医院应在现有行动方案的基础上加强对设备和重点监控医用耗材的管理,在合理范围内降低卫生材料支出,增加科室净收入。
Objective To explore the factors affecting the economic net income of the color ultrasound equipment in some hospital and then improve the existing management practices accordingly to increase the net income.Methods The operation of the color ultrasound equipment was investigated in the ultrasound medicine department of some tertiary grade A hospital from 2017 to 2019.SPSS 23 statistical analysis software was used to conduct correlation analysis on the factors affecting the net income of a single color ultrasound equipment and identify the key influencing factors.A linear regression analysis of the key influencing factors was conducted with considerations on relevant national policies and the actual situation of the hospital,and the management target values of the key influencing factors for the year 2020 were predicted.A detailed and feasible action plan for the control of medical consumables was formulated,and the achievement of target was compared with the prediction in 2020.Results The cost of medical materials was a key influencing factor for the net income.After the adoption of the medical consumables control scheme,the actual investment for medical materials of a single color ultrasound equipment was higher than the theoretical investment in 2020,that is,the year-on-year increase in the medical material costs at the same level of net income failed to achieve the expected target management.The raised consumption of the radiofrequency ablation kit,drainage catheter kit and needle biopsy kit was the main reason for the increase of medical materials cost.Conclusion The public welfare attributes of public hospitals and the changing needs of clinical diagnosis and treatment make the ultrasound medicine department do not pursue the lowest investment in medical material costs.Hospitals should strengthen the management of the equipment and key medical consumables to reduce the expenditure on medical materials reasonably and increase the net income of the department.[Chinese Medical Equipment Journal,2021,42(12):82-85,103]
作者
崔保林
孟令广
顾倩倩
CUI Bao-lin;MENG Ling-guang;GU Qian-qian(Medical Equipment Department,the Affiliated Cancer Hospital of Zhengzhou University,Zhengzhou 450008,China)
出处
《医疗卫生装备》
CAS
2021年第12期82-85,103,共5页
Chinese Medical Equipment Journal
关键词
彩超设备
净收入
卫生材料
精细化管理
color ultrasound equipment
net income
medical material
fine management
