CAJ | 학술논문

目的：调查专科临床使用高值医用耗材使用品规与数量，为探索建立规范使用与规范管理原则与方法提供基础数据。方法：采用基线调查法、专家咨询法、文献复习法，调查某三甲专科医院心内科2012年1月-12月高值医用耗材使用情况。结果：调查数据显示，该院心内科临床实际使用的造影导管、冠脉导引导管、电生理导管、血管缝合器、起搏器及电极等高值医用耗材共7大类种、99个品规，且主要集中于24家供应商。结论：高值医用耗材使用在年限与范围内相对稳定，建立规范使用与管理原则与方法具有可行性；临床路径与耗材全程集中规范管理，可促进临床合理规范使用；聚焦耗材管理的制度流程评估，可推进科学合理使用与确保医疗安全；建立制度加科技平台可较好破解目前高值医用耗材使用与管理难题。
목적：조사전과림상사용고치의용모재사용품규여수량，위탐색건립규범사용여규범관리원칙여방법제공기출수거。방법：채용기선조사법、전가자순법、문헌복습법，조사모삼갑전과의원심내과2012년1월-12월고치의용모재사용정황。결과：조사수거현시，해원심내과림상실제사용적조영도관、관맥도인도관、전생리도관、혈관봉합기、기박기급전겁등고치의용모재공7대류충、99개품규，차주요집중우24가공응상。결론：고치의용모재사용재년한여범위내상대은정，건립규범사용여관리원칙여방법구유가행성；림상로경여모재전정집중규범관리，가촉진림상합리규범사용；취초모재관리적제도류정평고，가추진과학합리사용여학보의료안전；건립제도가과기평태가교호파해목전고치의용모재사용여관리난제。
Objectives: By investigating the category, standard, usage amount of high cost medical consumables in a specialist hospital to get basic data for standardized use and management. Methods: Baseline survey, expert consultation and literature review were used to investigate the use of high cost medical consumables in department of cardiology in a top tertiary hospital from Jan. to Dec in 2012. Results: It showed that there 7 categories and 99 sub-categories high cost medical consumables including catheter, cardiography catheter, electrophysiological catheter, vascular closure device, pacemaker box and electrodes were used in the hospital and were purchased from 24 suppliers. Conclusions: It is feasible to standardized use and management for high cost medical consumables when they remain relatively stable durable years and usable range. With clinical pathway and whole process management for high cost consumables, it can promote to regulate the clinic use, and also can improve the fair use and medical safety when we focus in the process evaluation of consumables management. Regulation plus technology platform is one way to solve current problems in the use and management of the high cost medical consumables.