浙江省冠脉支架集中带量采购政策对住院患者费用的影响研究  

Impact of the Policy of Centralized Purchase of Coronary Stents in Zhejiang Province on the Cost of Inpa⁃tients

作　　者：边斯洁 夏锋 夏燕[1] 林敏[1] Bian Sijie;Xia Feng;Xia Yan(The Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou,Zhejiang,310000,China)

机构地区：[1]浙江大学医学院附属第二医院,浙江杭州310000

出　　处：《中国医院管理》2024年第1期36-38,共3页Chinese Hospital Management

基　　金：浙江省卫生健康科技计划面上项目(2021KY408);浙江省医疗保障研究会课题(zjybkt-202106);浙江省康恩贝医院管理软科学研究项目(2022ZHA-KEB101)。

摘　　要：目的分析浙江省冠脉支架集中带量采购前后冠脉支架患者费用及结构的变化情况。方法选取浙江省某三级甲等医院2020年2—12月、2021年2—12月FM1组(经皮冠状动脉支架植入)患者医疗费用进行研究,病例数量分别为1403、1698例,对改革前后患者的住院费用进行非参数检验。结果集中带量采购前后医疗总费用、材料费、治疗费、手术费、药品费差异有统计学意义(P<0.01);集中带量采购后材料费下降明显,治疗费增长;同时冠脉支架置入越多,医疗总费用及材料费下降越大。结论冠脉支架集中带量采购能减轻患者医疗负担,改善医疗费用结构,提升医务人员的技术性劳务价值,促进DRG成本管控。Objective To analyze the changes of the cost and structure of coronary intervention patients before and after the centralized procurement of coronary stents in Zhejiang Province.Methods It was conducted on the medical expenses of patients in the FM1 group(percutaneous coronary stent implantation)of a Class A tertiary hospital in Zhejiang Province from February to December in each 2020 and 2021.The number of cases was 1403 and 1698,re⁃spectively.A nonparametric test was conducted on the patient expenses before and after the reform.Results There are significant differences in total medical expenses,material expenses,treatment expenses,operation expenses and drug expenses before and after centralized purchase(P<0.01);After the implementation of centralized procure⁃ment,material cost of patients decreased significantly,while the treatment cost increased;At the same time,the more coronary stents were placed,the greater the decrease in the total medical expenses and material expenses.Conclusion The centralized procurement of coronary stents can reduce the medical burden of patients,improve the structure of medical expenses,enhance the value of technical labor services of medical personnel,and promote DRG cost control.

关 键 词：冠脉支架 集中带量采购 住院费用 浙江 

分 类 号：R197.1[医药卫生—卫生事业管理]