Research On The Cost Control Of Medical Consumables In Large-Scale General Hospitals

Objective: This study is an empirical analysis of medical consumable cost control in a large-scale public hospital in Xinjiang,put forward to set up the whole process of medical consumables cost control system,strengthen the fine management of medical consumables,reduce the cost of medical consumables,reducing waste of medical resources;Reduce the patient’s medical expenses and reduce the burden of medical expenses.Methods: Descriptive statistical method of one large-scale general hospital in xinjiang in 2015-2017 medical consumables cost control situation and tendency of description,analysis for medical consumables cost one hundred yuan before and after the whole process control material proportion,spending on medical consumables,and so on and so forth;Factor analysis was used to analyze the hospitalization cost of 378 patients with inguinal hernia(K40.2,K40.9)in a large-scale public hospital in Xinjiang from 2015 to 2017.Results:(1)Medical consumable cost control basic situation: In 2015-2017,one hundred yuan(excluding medicines)of medical consumables income accounted in general is on the decline,down from 45.83%at the end of 2016 to 42.52%in late 2017,fell 3.31%year on year.(2)2015-2017 hospitalized patients with total medical expense per capita is on the rise(17,300 yuan,17,500 yuan and 17,300 yuan),medical consumables cost control medical consumables cost contribution to the total health expenses after a downward trend,fell to 27.71%from 27.71%in 2015.(3)Charge of medical consumables and there is no charge for medical consumables spending: can charge for medical consumables(including the operating room supplies,cardiovascular intervention,orthopedics,etc.)no significant change in overall spending,not charge consumables(including test reagents,disinfection supply room,etc.)year-on-year decline.(4)The establishment of the whole process of medical consumables cost control defines the upper,middle and lower control boundary and measures of medical consumables cost.(5)Inguinal hernia patients average hospitalization expenses of 22,000 yuan,and autonomous region for inguinal hernia(groin oblique inguinal hernia repair,without tension hernia repair)the highest price of 8,000 yuan of single diseases have larger gap.The constituents of the hospitalization cost,expenses for medicine(XiYaoFei,ZhongYaoFei)accounted for 23.40%of the total cost,examination(5.94%),tests(6.07%),materials(including special consumables),beds accounted for 1.11%,49.69%fees(0.68%),inspecting fee(0.33%),surgery and anesthesia fee(10.58%),treatment accounted for 2.02%,other 0.19%.Conclusion: The cost control of medical consumables is conducive to reducing the proportion of 100 yuan consumables,standardizing the scientific and rational use of medical consumables,controlling the unreasonable growth trend of medical expenses,and reducing the economic burden of patients.