中西医结合治疗白血病成本效果分析  

Cost Effectiveness Analysis on Integrated Traditional Chinese and Western Medicine in Treatment of Leukemia

作　　者：季聪华[1] 洪雪文[1] 邵琼[1] 刘姗[1] 张颖[1] 李秋爽[1] 

机构地区：[1]浙江省中医院临床评价分析中心,浙江杭州310006

出　　处：《中国中医药信息杂志》2017年第2期40-43,共4页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：国家中医药管理局中医临床研究基地业务建设专项(JDZX2012172);浙江省中医药优秀青年人才基金计划(2012ZQ012)

摘　　要：目的分析浙江省中医院白血病中西医结合治疗的卫生经济学特征,评价血液病学科临床诊治水平和管理水平的提升趋势。方法检索2010年1月-2015年12月浙江省中医院病案信息数据库及电子病历系统,按照纳入与排除标准筛选出符合条件的白血病患者资料,分别以住院总费用、西药费、中成药费、饮片费、输血费作为成本,以血常规白细胞计数(WBC)、血红蛋白浓度(HGB)、血小板计数(PLT)作为效果指标进行成本效果分析。结果 WBC偏低患者提升单位WBC、WBC偏高患者降低单位WBC、HGB偏低患者提升单位HGB及PLT偏低患者提升单位PLT所花费的住院总费用、西药费、中成药费、饮片费和输血费,大致上均有逐年下降的趋势。结论中西医结合治疗白血病化疗后三大血常规指标改善的卫生经济学优势逐年提高。Objective To analyze the features of health economics in the treatment of leukemia; To evaluate the improvement trend of levels of clinical diagnosis, treatment and management. Methods TCM medical information dtatabase and electronic medical system in Zhejing Province TCM Hospital from January 2010 to December 2015 were retrived. According to inclusion and exclusion criteria, leukemia patients＇ materials that met the critiria were screened. The total hospitalization fees, cost of Western medicine, the cost of Chinese patent medicine, cost of TCM decoction pieces, and cost of blood transfusion were set as costs, while white blood cell count, hemoglobin concentration, and platelet count were set as effectiveness indicators for cost effectiveness analysis. Results In patients with low white blood cell count increased unit white blood cell count, patients with high white blood cell count declined unit white blood cell count, patients with low hemoglobin increased unit hemoglobin count and patients with low platelet count increased unit platelet count, the total hospitalization fees, cost of Western medicine, the cost of Chinese patent medicine, cost of TCM decoction pieces, and blood transfusionfor the above increases showed a decreasing trend. Conclusion Health economics advantages in three blood routine indicators after treatment of integrated traditional Chinese and western medicine for leukemia is increasing year by year.

关 键 词：白血病 成本效果 卫生经济学 

分 类 号：R273.37[医药卫生—中西医结合]