A Study on the Impact of National Volume-based Procurement on Inpatient Medical Costs
- VernacularTitle:国家药品集中带量采购政策对住院患者医疗费用的影响研究
- Author:
Shaoliang TANG
1
;
Lei CHEN
;
Yan CHENG
Author Information
1. 南京中医药大学卫生经济管理学院 南京 210046
- Keywords:
national volume-based procurement;
inpatients;
medical cost;
regression discontinuity design
- From:
Chinese Health Economics
2024;43(1):38-43
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the impact of the national volume-based procurement policy on inpatient medical costs.Methods:Firstly,a descriptive analysis on the completion of the procurement volume of drugs in the hospital was carried out,and furthermore,using the data on the medical costs of inpatients before and after the implementation of the policy,conducted statistics on changes in the structure of patients'medical expenses.Taking the time of the first day of using the volume-based procurement drugs as the breakpoint,a sharp regression discontinuity model was constructed to compare the changes in the different categories of costs.Re-sults:There is still room for improvement in the use of volume-based procurement drugs in the hospital.After the use of those drugs,in addition to the cost of comprehensive services and consumables rose by 1.01 and 3.07 percentage points respectively,the rest of the categories of costs were on a downward trend,the per capita total medical costs and drug costs of inpatients fell by 644.58 yuan and 300.19 yuan respectively.In addition,the average hospital stay of patients decreased significantly after the implementation of the poli-cy.Conclusion:The national volume-based procurement policy has achieved certain results,but there is a need to set more reason-able procurement volume targets and to adjust cost control measures in a comprehensive manner to further optimize the structure of medical costs.
