关节假体国家集中采购对关节置换术费用的影响  

The impact of national centralized procurement of joint prostheses on the cost of joint arthroplasty

作　　者：孙瀚洋 周润泽 魏湛奇 翁习生[1] SUN Han-yang;ZHOU Run-ze;WEI Zhan-qi;WENG Xi-sheng(Department of Orthopedics,Peking Union Medical College Hospital,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院,北京协和医院骨科,北京100730

出　　处：《实用医院临床杂志》2024年第3期1-4,共4页Practical Journal of Clinical Medicine

摘　　要：目的:分析针对关节外科医疗器械的国家集中采购政策对于接受全膝关节置换术(TKA)和全髋关节置换术(THA)患者的住院费用的影响情况。 方法:收集自2021年1月至2023年9月在北京协和医院行TKA和THA的患者费用总清单,统计患者的住院总费用以及嘱托费、床位费、输血费、耗材费、药品费、护理费、手术费、检查费和治疗费等各项费用。按照入院时间是否早于2022年5月1日,将患者进行分组,比较分析行同一手术的两组之间上述各项指标的差异。 结果:集采政策实施后,接受TKA的患者住院总费用由66912.73元下降至31548.25元,接受THA的患者住院总费用由78931.39元下降至33817.89元,分别下降了52.85%和57.16%( P<0.05)。其中,TKA患者耗材费由49301.77元下降至13487.45元,手术费由5344.12元下降至4174.07元,分别下降了72.64%和21.89%( P<0.05)。THA患者的耗材费由62668.77元下降至16951.31元,手术费由5251.43元下降至3989.08元,分别下降了72.95%和24.04%( P<0.05)。而TKA患者的嘱托费、床位费、护理费、治疗费和检查费,以及THA患者的嘱托费、治疗费和检查费均在集采后小幅增加( P<0.05)。 结论:关节假体集采政策实施后,接受TKA和THA手术的患者住院总费用显著降低,总费用的下降主要由耗材费和手术费的下降所引起,而其他费用有小幅上涨。Objective To analyze the impact of the national centralized procurement policy for orthopedic medical devices on the hospitalization costs of patients undergoing total knee arthroplasty (TKA) and total hip arthroplasty (THA). Methods The total cost invoices of patients undergoing TKA and THA in our hospital from January 2021 to September 2023 were collected. The patient's total hospitalization expenses and various expenses such as fees of consultation, bed, blood transfusion, consumables, medication, nursing, surgery, examination and treatment were counted. Patients were grouped based on whether they were admitted before or after May 1, 2022. The differences in the above indicators between the two groups undergoing the same surgery were compared and analyzed. Results After the implementation of the centralized procurement policy, the total hospitalization costs of patients who underwent TKA were decreased from 66912.73 yuan to 31548.25 yuan. The total hospitalization costs of patients who underwent THA were decreased from 78931.39 yuan to 33817.89 yuan. The costs were decreased by 52.85% and 57.16%, respectively ( P<0.05). Among the total costs, the consumables costs for TKA patients were decreased from 49301.77 yuan to 13487.45 yuan, and the surgical fees were decreased from 5344.12 yuan to 4174.07 yuan. These costs were decreased by 72.64% and 21.89%, respectively ( P<0.05). For THA patients, the consumables costs were decreased from 62668.77 yuan to 16951.31 yuan, and the surgical fees were decreased from 5251.43 yuan to 3989.08 yuan. These costs were decreased by 72.95% and 24.04%, respectively ( P<0.05). However, the consultation fees, bed fees, nursing fees, treatment fees and examination fees for TKA patients, and the consultation fees, treatment fees and examination fees for THA patients were slightly increased after the centralized procurement ( P<0.05). Conclusions Following the implementation of the joint prosthesis centralized procurement policy, the total hospitalization costs for patients who underw

关 键 词：关节置换术 集中采购 住院费用 

分 类 号：R684[医药卫生—骨科学]