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;
CHEN Liping, Email: 1837639492@qq.com
Disinfection supply; Economic burden; Investigation and analysis; Regional centralized management mode; Feasibility discussion
10.7507/1002-0179.201901070
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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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