集采对冠脉支架置入患者住院费用的影响研究  

Research on Impact of Centralized Procurement on Hospitalization Expenses of Patients with Coronary Stent Implantation

作　　者：郝新梅 王亚楠 贾春梅 孔伟[2] 刘晶[2] 

机构地区：[1]中国中医科学院西苑医院医疗保险处,北京100091 [2]中国中医科学院西苑医院,北京100091

出　　处：《中国医疗保险》2022年第8期103-105,共3页China Health Insurance

摘　　要：目的:分析冠脉支架带量采购对冠脉支架置入患者住院费用的影响,为医院及科室成本管控提供参考。方法:采取回顾性研究方法,收集冠脉支架带量采购政策实施前后患者病案首页数据,分析患者住院费用。结果:患者住院总费用、耗材费用下降幅度明显(主要为冠脉支架费用),而诊疗服务费用上升,P<0.05。结论:冠脉支架带量采购政策对冠脉支架置入患者费用调控效果显著,有助于医院成本管控、合理配置医疗资源、优化临床路径和精细化管理。Objective:The effect of coronary stent centralized procurement on patients with coronary stent implantation was analyzed,so as to provide reference for the cost control in hospitals and departments.Methods:A retrospective study was adopted to collect data on first page of medical records before and after the implementation of coronary stent volume procurement policy,and analyze the hospitalization expenses of patients.Results:The total hospitalization cost and consumables cost(mainly coronary stent cost)of patients before and after coronary stent volume procurement decreased significantly,and the medical service fee increased(P﹤0.05).Conclusion:The centralized procurement policy of coronary stent has remarkable effect on the cost control of patients with coronary stent implantation,which can help the hospital to carry out the cost control,rationally allocate medical resources,optimize clinical pathways,and develop refined management.

关 键 词：冠脉支架 集中带量采购 高值医用耗材 住院费用 

分 类 号：F840.684[经济管理—保险] C913.7[社会学]