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新臺北護理期刊

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篇名 降低供應室包盤類成本之方案
卷期 6:1
並列篇名 A Project for Decreasing the Cost of Instrument Packages in Central Supply Service
作者 呂桂雲呂明蕙
頁次 91-104
關鍵字 包盤成本供應室固定數instrument packcostcentral supply servicestationary
出刊日期 200402

中文摘要

問源與節流是健保制度下醫院整體營運政策中的兩大方針,有效的資源管理來控制醫院營運成本之重要性乃與日俱增。本專案主要配合醫院節流政策,透過分析供應室包盤種類、配件、因定數、使用情形及要因圖分析的方法,發現供應室包盤種類多但內部配件雷同性高、包盤國定數偏高及包盤使用率低等三大問題。經比對各種包盤的共通項及差異項,透過各護理長重新了解臨床需求,統計分析實際使用量及與各單位協商後,重新組合包盤,將使用率低的內部配件刪除或游離出來改單一包裝,運用安全庫量計算式重新設定供應室包盤固定數,使包盤類成本每月減少10076元(約降低2.2%之成本),包盤種類由18種減少至13種,供應室包盤因定數由1487包減少為1247包,每包平均月使用率由2.2次提昇為3.3次,包盤使用更加靈活、效率更高。

英文摘要

Since the establishment of health insurance systems in Taiwan, all hospital institutions have been broadening sources of income and reducing expenditure in an effort to balance finances. Consequently, effective and economical management of medical equipment and supplies to control budget is of primary importance. This project was intended to decrease the cost of instrument packages in central supply services (CSS) in cooperation with hospital policy. This project was implemented by researching various types of instrument packages: The inner fittings; the amount of stationary included in instrument packages; requirements; and Cause and Effect Diagram. The results of this research were as follows: Interior fittings are similar; the amount of stationary is too high; the utility rate is too low. A cross- examination of package types was done in order to design a new equipment package and redesign stationary that would meet hospital requirements while decreasing cost by consolidating supplies and services—providing quality without surplus. The benefits of this research were: A decrease in the cost of instrument packages of $10,076 NT per month; reduction in types of packages from 18 to 13; reduction in the number of CSS stationary instrument packages from 1487 to 1247; increase in utility rate from 2.2 times per month to 3.3 times per month.

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