摘要
目的本文通过对内蒙古赤峰市某三甲医院心内科实施集中带量采购前后一般医疗费用、部分运行指标、费用构成情况以及医保基金支付情况进行分析,探讨医用耗材集中带量采购政策对医保支付方式改革发挥的作用效果及价值。方法采用一般描述性分析对心内科实施医用耗材集中带量采购前后患者的基本信息、部分运行指标、医疗费用构成情况进行分析,采用独立样本T检验对实施医用耗材集中带量采购前后住院患者医疗费用情况、医保基金使用情况进行比较。结果实施医用耗材集中带量采购政策后心内科住院患者医疗总费用、材料费均降低,其他费用有所提升,患者个人支付费用降低,医保基金支付率提高6.02%。结论实施医用耗材集中带量采购政策后,科室成本降低,控费效果显著,同时有效减轻了患者的医疗费用负担。实施医用耗材集中带量政策,能够优化医疗机构内部成本管理,提高医保基金使用效率,对医保支付方式改革发挥正向推动作用。
Objective This study analyzes the impact of implementing centralized procurement of medical consumables in the cardiology department of a tertiary hospital in Chifeng City,Inner Mongolia,on general medical expenses,selected operational indicators,cost composition,and the utilization of medical insurance funds before and after implementation.The aim is to explore the effectiveness and value of the role played by the policy of centralized procurement of medical consumables in the reform of medical insurance payment methods.Methods Descriptive analysis was employed to analyze the basic information of patients,selected operational indicators,and the composition of medical expenses before and after the implementation of centralized procurement of medical consumables in the cardiology department.Independent sample t-tests were used to compare the medical expenses and the utilization of medical insurance funds for inpatients before and after the implementation of centralized procurement of medical consumables.Results After the implementation of the policy of centralized procurement of medical consumables,the total medical expenses and material costs for inpatients in the cardiology department decreased,while other expenses increased slightly.The out-of-pocket expenses for patients decreased,and the medical insurance fund payment rate increased by 6.02%.Conclusion The implementation of centralized procurement of medical consumables has reduced departmental costs and significantly controlled expenses,effectively alleviating the financial burden of medical expenses on patients.This policy optimization in cost management within medical institutions enhances the efficiency of medical insurance fund utilization and positively contributes to the reform of medical insurance payment methods.
作者
徐东方
彭宏宇
代佳敏
XU Dongfang;PENG Hongyu;DAI Jiamin(Chifeng Municipal Hospital,Chifeng 024000,China)
出处
《现代医院》
2024年第4期553-556,560,共5页
Modern Hospitals
关键词
医用耗材
集中带量采购
医保基金
医保支付方式
Medical consumables
Centralized procurement
Medical insurance fund
Medical Insurance payment methods
