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中文摘要: 目的:探讨医用耗材零加成政策对冠心病PCI手术患者住院费用的影响。方法:采用回顾性方法,收集某三甲医院2019年12月10日取消耗材加成前后各1年行冠心病PCI手术的6 167份病历资料,比较分析政策实施前后患者住院费用负担及费用结构变化。结果:取消耗材加成后,冠心病PCI手术患者住院次均总费用略有上涨,治疗费、综合医疗服务费明显提高,耗占比显著下降。结论:取消耗材加成政策总体上优化了患者住院费用结构,下一步要规范介入手术临床路径管理,加强医用耗材成本管控,优化调整医疗服务价格,以降低患者费用负担。
中文关键词: 医用耗材加成 经皮冠状动脉介入治疗 住院费用
Abstract:Objective:To investigate the effect of the zero-markup policy for medical consumables on the hospitalization expenses of patients undergoing PCI for coronary heart disease patients. Methods:Collecting the medical records of 6,167 patients with coronary heart disease who underwent PCI forone year before and after the abolition of consumables addition on December 10,2019 by a retrospective method,comparing and analyzing the changes in hospitalization expenses and composition of patients before and after the implementation of the policy. Results:After abolished the addition of consumables,the total cost of hospitalization for patients with coronary heart disease PCI surgery has increased slightly,treatment costs and comprehensive medical service costs have increased significantly,and the proportion of consumption has decreased significantly. Conclusion:The consumables bonus abolished policy has generally optimized the structure of patient hospitalization expenses. The next step is to standardize the clinical path management of interventional surgery,strengthen the cost control of medical consumables,and optimize and adjust the price of medical services to reduce the burden on patients.
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基金项目:中国卫生经济学会第十九批招标课题(CHEA 1819040401);山东省卫生健康委员会卫生健康政策研究重点课题(WZY201970) 中国卫生经济学会第十九批招标课题(CHEA 1819040401);山东省卫生健康委员会卫生健康政策研究重点课题(WZY201970)
引用文本:
李洪坤,王新生,王岩青*,李江峰.取消医用耗材加成对冠心病PCI手术患者住院费用影响分析△[J].江苏卫生事业管理,2022,33(1):77-80.
LI Hongkun,WANG Xinsheng,WANG Yanqing*,LI Jiangfeng.Analysis on the Influence of Canceling the Medical Consumables Bonus on the Hospitalization Expenses of Patients undergoing PCI for Coronary Heart Disease△[J].Jiangsu Health System Management,2022,33(1):77-80.
李洪坤,王新生,王岩青*,李江峰.取消医用耗材加成对冠心病PCI手术患者住院费用影响分析△[J].江苏卫生事业管理,2022,33(1):77-80.
LI Hongkun,WANG Xinsheng,WANG Yanqing*,LI Jiangfeng.Analysis on the Influence of Canceling the Medical Consumables Bonus on the Hospitalization Expenses of Patients undergoing PCI for Coronary Heart Disease△[J].Jiangsu Health System Management,2022,33(1):77-80.