摘要
目的:研究某三级甲等综合性医院的医院感染耗材成本投入和效益情况,为医院资源合理配置提供数据支持。方法:采用直接成本法,收集、核算全院感控耗材成本数据,并回顾性调查该段时间内医院有关效益和医院感染发生情况,分析感控耗材投入成本及消耗与医院效益的关系。结果:2015年—2017年医院感染防控耗材总成本分别为503.96万元,596.87万元和670.20万元,每出院人次感控耗材成本分别为66.94元、75.06元和78.48元。医院感染防控耗材成本构成中,消毒剂及相关用品占比最高,2015年～2016年分别为34.08%、36.18%,在2016年后对投入成本结构进行调整,2017年降至32.57%;2017年,手卫生耗材成本构成比从2016年的14.18%增至15.10%。全院业务工作量方面,出院人次从2015年的75 288人次增至2017年的85 403人次,增幅13.4%,而卫生消毒耗材占全部耗材成本的比例没有增加,2015年～2017年分别为1.73%、1.69%和1.71%,全院住院患者人均药物费用和平均住院天数分别从2015年的5 914.13元和8.83日降至2017年的4 762.04元和8.22日。随着手卫生耗材消耗量和手卫生依从性的上升,医院感染率呈下降趋势,2017年医院感染率为2.32%,与2015年的2.49%相比差异显著(P<0.05)。结论:随着医院感染防控耗材成本投入及消耗的规范管理,患者负担降低,医院效益得到改善。
Objective:To understand the cost of consumables of healthcare-associated infection(HAI)prevention and control and analyze the hospital’s benefits in a tertiary hospital,providing data support for improving the rational allocation of hospital resources.Methods:with the application of the direct cost method,the paper collected and arranged the data of consumption of the consumables of HAI prevention and control in the hospital,and retrospectively investigated the relevant hospital benefits and hospital infections during this period,and analyzed the relationship between the cost of consumables of HAI prevention and control and hospital benefits.Results:The total cost of consumables of HAI prevention and control from 2015 to 2017 was 5,039,600 RMB,5,968,700 RMB and 6,702,000 RMB respectively.The cost of consumables per discharge was 66.94 RMB,75.06 RMB and 78.48 RMB respectively.Among the cost components of healthcare-associated infection consumables,disinfectants and related products accounted for the highest proportion and increased continuously.From 2015 to 2016,the percentage of the cost of disinfectants and related products were 34.08%and 36.18%.The input cost structure was adjusted after 2016 and fell to 32.57%in 2017.The cost of hand hygiene consumables also increased from 14.18%in 2016 to 15.10%in 2017.In terms of the workload of the entire hospital,the number of discharges increased from 75,288 in 2015 to 85,403 in 2017,the increase amplitude is 13.4%.But the proportion of the cost of sanitation and disinfection consumables of the total cost of consumables has not been increased,stayed at 1.73%,1.69%and 1.71%from 2015 to 2017 respectively.The per capita drug cost and average hospitalization days of inpatients in the hospital decreased from 5,914.13 RMB and 8.83 days in 2015 to 4,762.04 RMB and 8.22 days in 2017 respectively.Moreover,with the increase in consumption of hand hygiene consumables and hand hygiene compliance,the hospital infection rate in 2017 was 2.32%,which was significantly different from 2.
作者
许琴芬
汪秋实
吴兵
陈卫平
Xu Qinfen;Wang Qiushi;Wu Bing;Chen Weiping(Department of Infection Control,Wuxi People's Hospital Affiliated to Nanjing Medical University,Jiangsu,214000;Administration Office,Wuxi People's Hospital Affiliated to Nanjing Medical University,Wuxi,Jiangsu,214000)
出处
《江苏卫生事业管理》
2019年第4期465-468,共4页
Jiangsu Health System Management
基金
无锡市科技局社会发展科技示范工程(WX18IVJN001)
