医改新政对冠脉支架置入患者住院费用的影响研究被引量：13

Research on Impact of Medical Reform Policy on Hospitalization Expenses of Patients with Coronary Stent Implantation

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摘要目的分析冠脉支架带量采购与取消医用耗材加成政策对冠状动脉支架置入患者住院费用的影响,根据冠脉支架带量采购拟中选结果价格预测患者住院费用变化情况。方法采取回顾性研究,收集改革政策实施前后患者病案首页数据,分析患者住院费用。结果取消医用耗材加成政策实施前后患者住院总费用基本持平,一次性材料费、药品费、化验费略有降低,介入治疗费有所升高,与本次改革"取消医用耗材加成,提高医疗服务项目价格,优化调整医疗服务比价"的原则相一致。实施冠脉支架带量采购后,一次性材料费和支架费用降幅明显。结论带量采购政策的实施,能有效降低患者治疗费用中一次性材料费用,但需要采取综合措施降低此类手术的整体成本,以达到减轻患者医疗负担的目的。 Objective To analyze the impact of volume-based procurement and cancellation of the medical consumables makeups policy on the hospitalization expenses of patients with intracoronary stent implantation. To predict the changes in the hospitalization expenses of patients based on the price of the selected results of volume-based procurement. Methods A retrospective study was adopted to collect data on home page of medical records before and after the implementation of the reform policy, and analyze the hospitalization expenses of patients. Results The total hospitalization costs of patients before and after the implementation of the cancellation of the medical consumables makeups policy were basically the same. The one-time material costs, drug costs, and laboratory fees were slightly reduced, and the interventional treatment costs were increased. It was consistent with the principle of "canceling medical consumables makeups, optimizing and adjusting the price of medical services." After the implementation of volume-based procurement of coronary stents, the one-time material costs and stent costs dropped significantly. Conclusion The implementation of volume-based procurement policy can effectively reduce the cost of one-time materials in the treatment costs of patients, but comprehensive measures need to be taken to reduce the overall cost of this type of surgery in order to achieve the purpose of reducing the medical burden of patients.

作者徐超楠薛昕昀栾笑笑许锋 XU Chao-nan;XUE Xin-yun;LUAN Xiao-xiao;XU Feng(Peking University Third Hospital)

机构地区北京大学第三医院

出处《医院管理论坛》 2021年第4期5-8,共4页 Hospital Management Forum

关键词医用耗材带量采购经皮冠状动脉支架置入术住院费用 Medical consumables Volume-based procurement Percutaneous intracoronary stent implantation Hospitalization expenses

分类号 R197.3 [医药卫生—卫生事业管理]