Impact of the Policy of Centralized Purchase of Coronary Stents in Zhejiang Province on the Cost of Inpa-tients
- VernacularTitle: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
- Author:
Sijie BIAN
1
;
Feng XIA
;
Yan XIA
;
Min LIN
Author Information
1. 浙江大学医学院附属第二医院 浙江 杭州 310000
- Keywords:
coronary stent;
volume procuremen;
hospitalization expenses;
Zhejiang
- From:
Chinese Hospital Management
2024;44(1):36-38
- CountryChina
- Language:Chinese
-
Abstract:
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 1 403 and 1 698,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.
