目的:为解决医院医用耗材采购、管理中存在的问题,在某大型儿童医院构建医用耗材供应链平台.方法:医院采用先进的现代物流理念,建立医用耗材供应链信息平台,引入第三方院内物流服务,创新性地在全院所有临床、医技科室耗材消耗终端设立智能二级库体系,打造医院、供应商、运营商集申请、采购、仓储、配送及追溯一体化的全智能物流服务模式.结果:医用耗材供应链平台上线后,全面实现了互联网智能化流程,减少了医院人员的投入成本,提升了医院医用耗材的物流管理水平.同时,先使用后结算的模式,减少资金占用;耗材消耗数据实时采集,使财务对账流程更优化.耗材全流程条码化配送,为全闭环的追溯管理提供了支撑.设立耗材字典库,解决过去同一耗材不同名称,不同注册证导致的系统检索、分类困难等问题.耗材字典编码与HIS系统、医保、物价编码建立一一对应的关系,确保收费信息准确采集.结论:医用耗材供应链平台实现内外物流一体化整合,B2B供应商云平台全面实现“互联网+采购”;SPD运营服务平台提升物流效率,降低物流成本,让医疗资源更好回归患者;第三方院内物流服务全面提升临床满意度;院内精细化管理深度打造全流程闭环管控,耗材运营数据分析为管理者提供决策支撑.

In view of total quality management and based on the theory of medical quality cost,total medical quality cost and its constituent ratio in one A level tertiary hospital in 2006-2008 was analyzed. The differences between actual constituent ratio and theory ratio were discussed. The structure of medical quality cost in the hospital was described. The ratio of control cost in total medical quality cost was much high. The approaches of improving quality cost such as creating dynamical quality cost concept,developing quality training and establishing standard diagnosis and treatment guideline were mentioned.