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医用耗材供应链服务改革赋能精细化管理实践与思考OA

Practice and Thinking on the Application of SPD Reform in the Refined Management of Medical Consumables

中文摘要英文摘要

目的 探索医院医用供应-加工-配送(Supply-Processing-Distribution,SPD)供应链服务改革,助力医用耗材精细化管理,通过数据整合,加强医用耗材各流通环节的精细化管理实践.方法 打通数据接口,连通医院信息系统(Hospital Information System,HIS)、医院资源规划(Hospital Resource Planning,HRP)系统、电子病历(Electronic Medical Record,EMR)系统等信息系统,构建医用耗材供应管理系统,系统涵盖耗材编码、库存管理、临床追溯、智能补货、结算对接等功能,通过对各使用环节的物流数据监控分析,实现医用耗材供应全生命周期数据追溯管理.结果 SPD模式上线后,2024年支持手术13万余台次、配送耗材98万余件;与传统模式相比,SPD模式的术前准备、耗材取用、结算计费时间分别缩短84.96%、24.00%、62.50%(P均<0.001);在成本与管理优化方面,实现耗材零库存管理,1101个耗材品规中有178个完成调价,年节约成本330万元,2024年手术耗材成本较2023年显著降低(P<0.001).结论 SPD改革满足耗材精细化管理需求,首次实现"临床-后勤-财务"全链条闭环管理,具应用集成性与临床适应性,可提升管理效率,对医疗机构高质量发展有现实意义与推广价值.

Objective To explore the reform of supply-processing-distribution(SPD)supply chain services for medical consumables in hospitals,facilitate the refined management of medical consumables,and strengthen the refined management practice in all circulation links of medical consumables through data integration.Methods Data interfaces were connected to link information systems such as the hospital information system(HIS),hospital resource planning(HRP),and electronic medical record(EMR).A medical consumable supply management system was constructed,covering functions including consumable coding,inventory management,clinical traceability,intelligent replenishment,and settlement connection.Through the monitoring and analysis of logistics data in various usage links,the whole-life-cycle data traceability management of medical consumable supply was realized.Results After the launch of the SPD model,more than 130000 surgical procedures were supported and over 980000 pieces of consumables were distributed in 2024.Compared with the traditional model,the SPD model shortened the preoperative preparation time,consumable retrieval time,and settlement&billing time by 84.96%,24.00%,and 62.50%respectively(P all<0.001).In terms of cost and management optimization,zero-inventory management of consumables was achieved;178 out of 1101 consumable specifications completed price adjustments,resulting in an annual cost saving of 3.3 million yuan.The cost of surgical consumables in 2024 was significantly lower than that in 2023(P<0.001).Conclusion The SPD reform meets the needs of refined management of medical consumables,and realizes the full-chain closed-loop management of"clinical-logistics-finance"for the first time.It has application integration and clinical adaptability,can improve management efficiency,and holds practical significance and promotion value for the high-quality development of medical institutions.

季智勇;黄健;姜瑞瑶;李斌

上海市第六人民医院 医学装备处,上海 200233||上海海洋大学 工程学院,上海 201306上海市第六人民医院 医学装备处,上海 200233||上海海洋大学 工程学院,上海 201306上海市第六人民医院 医学装备处,上海 200233上海市第六人民医院 医学装备处,上海 200233

医药卫生

医用耗材供应链大数据精细化管理信息化管理系统集成

medical consumablesupply processing distributionbig datarefined managementinformation managementsystem integration

《中国医疗设备》 2025 (10)

11-16,57,7

上海市卫生健康委卫生行业临床研究专项"基于大数据循证标准的医用高值耗材合理化应用监管研究"(202040031).

10.3969/j.issn.1674-1633.20250158

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