Yang Chai, Gu Wei, Liu Tongzhu
School of Management, Hefei University of Technology, Hefei, 230009, PR China.
The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, 230031, China.
Iran J Public Health. 2019 Aug;48(8):1452-1460.
Supply, processing, and distribution (SPD) model is sparingly used in hospitals in China. We evaluated its effects on the management efficiency, quality control, and operating costs of medical consumables (MCs) in the clinical nursing surroundings in a single Chinese hospital-Anhui Provincial Hospital from 2014 to 2015.
Amount-based packages (ABP) and procedure-based packages (PBP) models were created. They were introduced the use of quick response (QR) code scanning for using in clinical nursing departments (CNDs). Questionnaires were prepared by referring to previous literature and using Delphi method repeatedly, further discussed and formalized. Partial results of the formal questionnaire were analyzed using SPSS.
Frequency of MCs claims reduced without any requirements of MCs in 70% of CNDs. Average time spent on the inventory per week decreased and the time required to procure MCs reduced. Moreover, the average satisfaction score with MCs management increased, reaching 100%. Average space occupied by MCs decreased significantly, reducing by 1.2444m3. Overall, 100% of the respondents concluded that the management of MCs improved effectively and the inventory turnover rate had accelerated. The cost of MCs decreased by 15% with more than 10% increase in in-hospital amount, and the average daily cost of MCs also showed decrease.
SPD can improve the efficiency of MCs management in CNDs, reducing medical risks and disputes, saving hospital operating costs, and decreasing capital occupation.
供应、加工与配送（SPD）模式在中国医院中使用较少。我们于2014年至2015年在安徽省立医院这一所中国医院的临床护理环境中评估了该模式对医用耗材管理效率、质量控制及运营成本的影响。
创建了基于数量的套餐（ABP）和基于流程的套餐（PBP）模式。引入了二维码扫描在临床护理科室（CNDs）中的使用。通过参考以往文献并反复运用德尔菲法编制问卷，进一步讨论并定稿。使用SPSS对正式问卷的部分结果进行分析。
70%的临床护理科室在无任何医用耗材需求的情况下，医用耗材申领频率降低。每周用于库存管理的平均时间减少，采购医用耗材所需时间缩短。此外，医用耗材管理的平均满意度得分提高，达到了100%。医用耗材占用的平均空间显著减少，减少了1.2444立方米。总体而言，100%的受访者认为医用耗材管理得到有效改善，库存周转率加快。医用耗材成本降低了15%，院内使用量增加了10%以上，医用耗材的日均成本也有所下降。
SPD可提高临床护理科室医用耗材的管理效率，降低医疗风险和纠纷，节省医院运营成本，减少资金占用。
