Investigation and analysis of the economic burden of disinfection supply and feasibility discussion on the regional centralized management mode of 263 medical institutions in Yibin City_West China Medical Journal

Authors：

 CHEN Liping ¹ , LEI Xibing ¹ , HUANG Bingqian ² , SUN Rui ¹ , TAN Muyang ¹ , TANG Yan ¹

1. Department of Hospital Infection Management, the First People’s Hospital of Yibin, Yibin, Sichuan 644000, P. R. China;
2. Disinfection Supply Center, the First People’s Hospital of Yibin, Yibin, Sichuan 644000, P. R. China;

Corresponding?author：

CHEN Liping, Email: 1837639492@qq.com

Keywords：

Disinfection supply; Economic burden; Investigation and analysis; Regional centralized management mode; Feasibility discussion

DOI：

10.7507/1002-0179.201901070

Video：

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Objective To understand the economic burden of disinfection supply to medical institutions in Yibin City, and explore the feasibility of establishing a regional centralized management model of disinfection supply center in Yibin City.Methods From April to May 2018, 263 medical institutions in the eight counties and two districts of Yibin City were investigated by means of mobile phone application-designed questionnaire, to obtain the information of cost accounting and economic burden of disinfection supply.Results There were 263 medical institutions involved in the survey, in which 61 (23.19%) had set up the central sterile supply department (CSSD), including 43 public hospitals and 18 private hospitals; 202 medical institutions were without CSSD, which were mainly secondary hospitals [195 (74.14%), including 120 public hospitals and 75 private hospitals]. The higher the hospital level was, the larger the average area of the CSSD was; the difference was statistically significant (χ²=40.009, P<0.001). The higher the hospital level was, the more full-time personnel were employed, and the difference was statistically significant (χ²=31.862, P<0.001), and the care staff were the majority (66.23%). The cost burden of CSSD was more than 1 million yuan in the tertiary hospitals, which was 100 000 yuan or above in 61.90% of the secondary hospitals, and was below 100 000 yuan in hospitals below secondary level. The higher the hospital level was, the higher the total cost burden became; the difference was statistically significant (χ²=37.995, P<0.001). Conclusion In view of the heavy economic burden of CSSD in medical institutions and the unbalanced setting up of medical institutions below secondary level, the establishment of a regional CSSD centralized management model is a new direction, new trend, and new model for future development, which is conducive to improving the quality of disinfection and sterilization, reducing medical care costs, making rational use of health resources, effectively preventing hospital infections, and ensuring the medical safety.

Citation： CHEN Liping, LEI Xibing, HUANG Bingqian, SUN Rui, TAN Muyang, TANG Yan. Investigation and analysis of the economic burden of disinfection supply and feasibility discussion on the regional centralized management mode of 263 medical institutions in Yibin City. West China Medical Journal, 2019, 34(3): 285-289. doi: 10.7507/1002-0179.201901070 Copy

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12.	官彩芳. 整合資源在區域化集中消毒供應中心的實施效果. 中西醫結合護理 (中英文), 2015, 3(1): 46-48.
13.	方運珍, 張潔, 金澤鳳, 等. 網格化集中式管理在區域化消毒供應中心的應用. 護理研究, 2016, 30(6C): 2245-2248.
14.	戴李中, 馬紅麗, 朱亞君. 區域消毒供應中心的建立和應用實踐. 護理與康復, 2015, 14(11): 1074-1076.
15.	王瑞瑛, 倪露漫, 張建萍, 等. 醫療集團區域化消毒供應中心的創建與管理. 護理管理雜志, 201, 15(7): 521-523.
16.	冷明素, 王元芳. 消毒供應中心集中管理對院感控制的效果觀察. 醫藥前沿, 2018, 8(1): 368-369.
17.	陶華. 消毒供應中心規范質量管理在預防醫院感染中的作用. 中華醫院感染學雜志, 2012, 22(14): 3116-3117.
18.	蔣文華, 孫曉平. 溧陽市建立區域化消毒供應中心的實踐. 中國護理管理, 2011, 11(11): 45-47.
19.	趙菊榮, 魏艷榮, 章欣. 集中供應模式下醫院消毒供應中心預防感染的效果評價. 職業衛生與病傷, 2018, 33(2): 99-101.

1. 中華人民共和國國家衛生和計劃生育委員會. 醫院消毒供應中心管理規范: WS 310.1—2016, 2016.
2. 徐麗萍. 基層衛生院消毒供應室管理現狀. 中國消毒學雜志, 2012, 29(8): 732-733.
3. 楊慧琴. 建立區域化消毒供應中心的思考. 醫藥前沿, 2016, 33(6): 333-334.
4. 顧志英. 二級醫院創建區域化集中供應的實踐性研究. 臨床醫藥文獻電子雜志, 2015, 2(24): 5150-5151.
5. 王文茜, 江明珠, 周玨榕, 等. 上海 25 家基層醫療機構消毒供應中心現狀及建設思考. 當代護士 (中旬刊), 2018, 25(5): 172-174.
6. 趙筠. 消毒供應中心成本核算現狀的調查與分析. 中華醫院感染學雜志, 2012, 22(2): 358-360.
7. 占敏. 現代化消毒供應中心質控管理. 中華醫院感染學雜志, 2005, 15(12): 1409-1410.
8. 林霞. 區域化消毒供應中心的建設與管理. 中國護理管理, 2011, 11(12): 74-76.
9. 劉婭萍, 曹岳蓉, 郭留萍. 基層醫療機構消毒供應中心 (CSSD) 現狀及區域化集中管理的可行性研究. 醫藥前沿, 2017, 24(7): 391-393.
10. 王曉玲, 李存艷, 李春香, 等. 二級醫院消毒供應室集中管理模式探索. 今日健康, 2016, 15(3): 370-371.
11. 陸燕玲, 戴麗華. 區域化消毒供應在醫療集團中的實施效果. 當代護士, 2017(8): 97-99.
12. 官彩芳. 整合資源在區域化集中消毒供應中心的實施效果. 中西醫結合護理 (中英文), 2015, 3(1): 46-48.
13. 方運珍, 張潔, 金澤鳳, 等. 網格化集中式管理在區域化消毒供應中心的應用. 護理研究, 2016, 30(6C): 2245-2248.
14. 戴李中, 馬紅麗, 朱亞君. 區域消毒供應中心的建立和應用實踐. 護理與康復, 2015, 14(11): 1074-1076.
15. 王瑞瑛, 倪露漫, 張建萍, 等. 醫療集團區域化消毒供應中心的創建與管理. 護理管理雜志, 201, 15(7): 521-523.
16. 冷明素, 王元芳. 消毒供應中心集中管理對院感控制的效果觀察. 醫藥前沿, 2018, 8(1): 368-369.
17. 陶華. 消毒供應中心規范質量管理在預防醫院感染中的作用. 中華醫院感染學雜志, 2012, 22(14): 3116-3117.
18. 蔣文華, 孫曉平. 溧陽市建立區域化消毒供應中心的實踐. 中國護理管理, 2011, 11(11): 45-47.
19. 趙菊榮, 魏艷榮, 章欣. 集中供應模式下醫院消毒供應中心預防感染的效果評價. 職業衛生與病傷, 2018, 33(2): 99-101.

West China Medical Journal

Investigation and analysis of the economic burden of disinfection supply and feasibility discussion on the regional centralized management mode of 263 medical institutions in Yibin City

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