在按病种分值付费（DIP）模式深化实施的背景下，医用耗材管理作为医院成本控制与医疗质量保障的核心环节，其监督效能直接影响医院运营效益。本文基于供应链溢出视角，以某医院医用耗材信息化管理实践为案例，从技术溢出、管理溢出、风险溢出三个维度，探讨信息技术对医院内部医用耗材监督管理的优化路径。研究表明，通过构建医疗器械唯一标识（UDI）系统、收拾耗占比动态监控、专项议价管控等措施，可实现监督技术跨环节渗透、管理标准全链条协同、风险防控全周期覆盖。实践表明，该模式有效控制了医院耗材的整体运营成本，并显著提升了高值耗材的用后结算管理水平，为公立医院构建精准、高效的内部监管机制提供了有价值的实践路径。

Under the deepening implementation of the diagnosis-intervention packet（DIP） payment model，the management of medical consumables serves as a core aspect of hospital cost control and medical quality assurance，with its supervision efficiency directly impacting hospital operational benefits．Based on the perspective of supply chain spillover，this paper takes the informatization management practices of medical consumables in a hospital as a case study，exploring the optimization paths of information technology in the internal supervision and management of medical consumables from three dimensions：technological spillover，managerial spillover，and risk spillover．The research shows that by establishing a unique device identification（UDI） system，implementing dynamic monitoring of the consumption ratio of medical consumables，and conducting special negotiation controls，cross-process penetration of supervision technology，full-chain coordination of management standards，and comprehensive risk prevention and control throughout the entire cycle can be achieved．Practice demonstrates that this model has reduced the hospital’s overall cost of medical consumables by 2.75%，increased the post-use settlement rate of high-value consumables to 80%，and provided practical references for public hospitals to establish a precise and efficient internal supervision system．

       目的 了解《医疗保障基金使用监督管理条例》（以下简称《条例》）在广东省实施的情况,分析其存在的问题与挑战, 提出改进建议。方法 依据《条例》设计调查问卷,采用便利抽样方法 , 针对广东省医保基金相关监管人员和医院工作人员展开问卷调查, 并进一步围绕相关主题展开深度访谈, 以便更全面地了解《条例》的实施情况。结果 回收有效问卷1 473份, 数据分析显示《条例》的实施有效遏制了违规行为、提高了监管效率、落实了信用管理制度、促进了服务规范性与费用合理化, 但同时也存在着部分违规行为仍难以监管、政策培训效果欠佳、技术支撑能力薄弱等问题。结论 在持续推进现有各项监管举措的基础上, 需进一步细化《条例》的具体内容, 加大政策培训与宣传力度, 持续完善技术支撑手段, 以提升基金监管效能。

        Objective To understand the specific implementation of the “Regulation on the Supervision and Administration of the Use of Healthcare Security Funds”（hereinafter referred to as the “Regulations”）in Guangdong Province, analyze its existing problems and challenges, and propose improvement suggestions．Methods A questionnaire was designed based on the “Regulations”, and a convenience survey method was adopted to conduct questionnaire surveys among regulatory personnel related to medical insurance funds and hospital staff．Further in-depth interviews were conducted around relevant themes to gain a more comprehensive understanding of the implementation of the “Regulations．” Results The implementation of the “Regulations” has effectively curbed violations, improved regulatory efficiency, implemented a credit management system, and promoted service standardization and cost rationalization．However, challenges remain,such as difficulties in regulating certain violations, suboptimal policy training outcomes, and weak technical support capabilities．Conclusions On the basis of continuously advancing existing regulatory measures, it is necessary to further refine the specific content of the “Regulations” strengthen policy training and publicity efforts, and continuously improve information technology support methods to better enhance the effectiveness of fund supervision．

目的 研究低视力儿童“学校-社区-家庭”三位一体综合康复干预工作的具体效果。方法 2013年1月,选择广州市盲人学校新入学80名低视力儿童,随机分为两组,为期二年的跟踪研究。其中A组执行“学校-社区-家庭”三位一体综合康复干预,B组执行传统康复干预。就知识积累、心理健康、生活能力三个方面对两组儿童的具体数据收集,研究“学校-社区-家庭”三位一体综合康复干预与传统干预方式之间的区别。结果 A组低视力儿童较B组儿童的文化知识积累与生活能力训练成绩均有提高,两者差距在正常分布带内,A组低视力儿童的心理素质优于B组低视力儿童。A组低视力儿童的综合评价效果高于B组儿童。结论 低视力儿童“学校-社区-家庭”三位一体综合康复干预工作的具体效果优于传统康复干预方式。

负压病房是救治呼吸道传染病病人的重要医疗设置,如何在短时间内完成负压病房的相关配置是考验护理组快速反应能力和有效组织能力。我院2014年收治了第一例人感染性H7N9禽流感合并ARDS和多器官功能衰竭病人,呼吸内科护理组在2小时内完成了负压病房的相关配置,包括抢救隔离设施、人员调配、医护协调、心理辅导等一系列工作,探索出一套应对爆发性呼吸道传染病的护理模式。