基于人工智能物联网联合医疗器械唯一标识编码技术的医院医用耗材成本管控效果分析OA
Effect analysis of cost control for medical consumables of hospital on the basis of artificial intelligence internet of things combined with coding technique for unique identification of medical device
目的:构建基于人工智能物联网(AIoT)+医疗器械唯一标识(UDI)编码技术的医院医用耗材成本管控模式,探讨其在医院医用耗材成本管控中的应用效果,为医院实现医用耗材精细化管理与降本增效提供参考.方法:采用AIoT+UDI技术,从UDI编码体系构建与标准化、AIoT感知终端部署与调试、系统集成与数据中台建设、场景化应用功能开发与实现、系统试运行与流程优化构建医用耗材成本管控模式进行耗材成本管控.选取2023年3月至2025年3月解放军总医院使用的4 311件医用耗材,将2023年3月至2024年2月期间使用的2 066件医用耗材行常规医用耗材成本管控(常规管控模式),2024年3月至2025年3月期间使用的2 245件医用耗材行基于AIoT+UDI编码技术的医院医用耗材成本管控模式(编码管控模式),比较两种管控模式的医用耗材管理质量、管理效率和成本管控效果.结果:采用编码管控模式的医用耗材库存周转频次、平均高值耗材使用合规率和平均采购计划准确率分别为(7.22±1.23)次/月、(92.22±4.07)%和(90.88±4.23)%,均高于常规管控模式的(5.03±0.89)次/月、(83.44±6.73)%和(73.67±8.22)%,差异均有统计学意义(t=66.482、52.291、87.418,P<0.05),而平均耗材成本占医疗收入比例低于常规管控模式,差异有统计学意义(t=34.948,P<0.05);医用耗材采购时长、盘点时长、验收上架时长、每日临床科室耗材管理时长和耗材管理维度数据分析时长均显著短于常规管控模式,差异均有统计学意义(t=307.882、136.706、226.863、263.365、175.768,P<0.05);医用耗材月度中心库占用资金、季度应付耗材资金显著低于常规管控模式,差异均有统计学意义(t=268.482、244.849,P<0.05).结论:基于AIoT+UDI 编码技术的医院医用耗材成本管控模式能够提高医院医用耗材管理质量,缩短耗材管理时间,降低医用耗材成本.
Objective:To construct a cost control mode for medical consumables of hospital on the basis of artificial intelligence internet of things(AIoT)plus coding technique for unique device identification(UDI),and explore the application effect of that in cost control for medical consumables of hospital,so as to provide references for realizing refined management,cost reduction and efficiency improvement of medical consumables of hospitals.Methods:The AIoT+UDI technique was adopted,and the cost control mode for medical consumables was constructed to manage and control cost of consumables from construction and standardization of UDI coding system,deployment and debugging of AIoT sensing terminal,construction of system integration and data middle platform,development and implementation of scenario-based application functions,pilot run of system,and process optimization.A total of 4 311 medical consumables that were used at Chinese PLA General Hospital during March 2023 and March 2025 were selected.The 2 066 medical consumables,which were used during March 2023 and February 2024,were managed by conventional cost control for medical consumables(conventional control mode),and the 2 245 medical consumables,which were used during March 2024 and March 2025,were managed by the cost control mode for medical consumables of hospital on the basis of AIoT+UDI coding technique(coding control mode).The management quality,management efficiency,and effect of cost control of medical consumables of the two control modes were compared.Results:The turnover frequency of inventory,the compliance rate of using average high-value consumables,and the average accuracy rate of procurement plans of medical consumables under the coding control mode were respectively(7.22±1.23)times per month,(92.22±4.07)%and(90.88±4.23)%,all of which were higher than(5.03±0.89)times per month,(83.44±6.73)%and(73.67±8.22)%under the conventional control mode,and the differences were statistically significant(t=66.482,52.291,87.418,P<0.05).The ratio of average consumables cost to medical revenue under the coding control mode was lower than that under the conventional control mode,and the difference was statistically significant(t=34.948,P<0.05).The procurement duration,stocktaking duration,duration of acceptance and shelving,daily management duration of clinical department for consumables,and the duration of data analysis of management dimension of consumables under the coding control mode were shorter than those under the conventional control mode,and the differences were significant(t=307.882,136.706,226.863,263.365,175.768,P<0.05).The monthly occupied funds of central warehouse for medical consumables,and the quarterly payable funds of consumables under the coding control mode were lower than those under the conventional control mode,and the differences were significant(t=268.482,244.849,P<0.05).Conclusion:The cost control mode for medical consumables of hospital on the basis of AIoT+UDI coding technique can improve management quality for medical consumables of hospitals,and shorten management time of consumables,and reduce the cost of medical consumables.
邓钤予;裴嵩楠;张蒙;张丽;朱俊;李开元
解放军总医院医疗保障中心医学工程科 北京 100853解放军总医院医疗保障中心医学工程科 北京 100853解放军总医院医疗保障中心医学工程科 北京 100853解放军总医院医疗保障中心医学工程科 北京 100853解放军总医院医疗保障中心医学工程科 北京 100853解放军总医院医疗保障中心医学工程科 北京 100853
医药卫生
医用耗材人工智能物联网(AIoT)医疗器械唯一标识(UDI)编码技术精细化管理成本管控
Medical consumablesArtificial intelligence internet of things(AIoT)Encoding technique for unique device identification(UDI)Refined managementCost management
《中国医学装备》 2026 (8)
107-112,6
评论