国家组织药品集中采购政策对脑梗死住院患者医疗费用支出的影响  

Influence of National Centralized Drug Procurement Policy on Medical Expenses of Inpatients with Cerebral Infarction

作　　者：乔高星 赵杰[1] 刘冲[1] 王淑娟[1] 刘克锋[1] 杜书章[1] QIAO Gaoxing;ZHAO Jie;LIU Chong;WANG Shujuan;LIU Kefeng;DU Shuzhang(The First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan,China 450052)

机构地区：[1]郑州大学第一附属医院,河南郑州450052

出　　处：《中国药业》2023年第9期10-13,共4页China Pharmaceuticals

基　　金：河南省医学科技攻关联合共建项目[LHGJ20220390]。

摘　　要：目的评价国家组织药品集中采购(以下简称集采)政策对脑梗死住院患者医疗费用和医疗保险支出的影响。方法回顾性分析河南省某三甲医院2017年12月至2022年1月收治的800例确诊为脑梗死患者的病历,对比集采政策实施前后患者住院总费用、住院费用结构、不同医疗保险种类报销情况和用药情况等。结果集采政策实施后,患者的平均费用、平均药费、平均西药费均明显下降(P<0.05)。新型农村合作医疗保险患者总费用和医保报销支付金额差异明显(P<0.05),因供应问题导致更换厂家发生情况明显升高(P<0.05)。集采政策实施前后患者的用药情况和治疗有效率无显著差异(P>0.05)。结论集采政策可促进脑梗死患者平均住院费用下降,但对各种医保报销影响不同。Objective To evaluate the influence of National Centralized Drug Procurement(NCDP)policy on medical expenses and medical insurance payment of inpatients with cerebral infarction.Methods The medical records of 800 patients diagnosed with cerebral infarction in a Grade 3A hospital in Henan Province from December 2017 to January 2022 were retrospectively analyzed.The total hospitalization expenses,hospitalization expense structure,reimbursement of different medical insurance types,and medication status of in patients with cerebral infarction before and after the NCDP policy were compared.Results After the implementation of the NCDP policy,the average out-of-pocket payment,average drug cost,and average Western medicine cost significantly decreased(P<0.05).There were significant differences in the total expenses and the expenditure of medical insurance in patients under the new rural cooperative medical insurance(P<0.05).The situation of patients changing manufacturers due to supply problems was significantly higher than that before the implementation NCDP policy.There was no significant difference in the medication status and treatment effectiveness rate of patients before and after the implementation of the NCDP policy(P>0.05).Conclusion NCDP policy has a significant promoting effect on the decrease of the average hospitalization cost of in patients with cerebral infarction,but the influence on different types of medical insurance is different.

关 键 词：脑梗死 国家组织药品集中采购 医疗保险 医疗费用 

分 类 号：R95[医药卫生—药学]