Research On The Refined Management Of Medical Consumables Costs In R Public Hospitals Under The SPD Mode

Medical consumables are an important guarantee for the development of medical activities.However,with the successive introduction of a series of control policies such as "zero addition" and "collection with quantity",the income of medical consumables of the hospital keeps shrinking,and the cost of consumables gradually becomes the cost burden of the hospital.In order to reduce the cost,the management mode of medical consumables in hospital must be changed from extensive management mode to fine management mode.It is of great significance for hospital medical consumables cost management to explore the effect and optimization measures of SPD model on medical consumables cost control.In this paper,a large comprehensive grade A hospital was selected as the case study object.The R hospital has a high degree of informatization,and the SPD management mode is introduced to manage medical consumables and scientific research reagents,which is of great research significance.This paper sorted out and summarized a large number of domestic and foreign relevant literature,and conducted a questionnaire survey on the relevant personnel of consumables management in R hospital.Combined with the data,the current situation of cost management of medical consumables in the SPD mode of R hospital was analyzed.The analysis found that R hospital mainly has the following problems: I.The system design is not conducive to cost control,and the refinement level needs to be improved.For example,in order to achieve "zero inventory" management,the consumables consumption system and procurement process are oversimplified,the replenishment strategy lacks scientific and quantitative basis,and the prior supervision function of the approval process fails.II.Information sharing is blocked.When realizing the goal of "informatization",R hospital has not broken through the barriers of various information demand subjects,the information circulation is not up to expectations,and the degree of system module customization needs to be improved.III.Cost shifting.While the inventory cost of medical consumables in R hospital decreases,the distribution cost surges.From the data performance,the original inventory cost is transferred to the distribution cost.Aiming at these problems,this paper puts forward a series of optimization measures.For example,the combined forecasting model is established using historical data to provide forecasting data support for SPD system procurement.Strengthen the pre-approval of consumables procurement;Strengthen the management of consumables in clinical departments,establish and improve the management system of three levels of department repositories;Pay attention to the application of barcode management and other technical means;By dividing the requisitioning area of ward consumables,clarifying the distribution team and route,intelligently predicting the distribution demand,etc.In the actual application process,the SPD model needs to be personalized adjusted according to the actual situation,so as to adapt to the degree of informatization of each hospital and the differentiation of consumables management scene,and give full play to the advantages of the SPD model in medical consumables cost management.The refined management and optimization measures of medical consumables cost under SPD mode proposed in this paper have certain reference significance for the SPD mode management of medical consumables in R hospital and other hospitals.