Study on the Effects of Centralized Volume-based Procurement Policy on Direct Medical Expenses Related to Cardiovascular Disease One Year after First Percutaneous Coronary Intervention among Patients with Acute Coronary Syndrome
- VernacularTitle:集中带量采购政策对急性冠脉综合征患者首次PCI术后1年内心血管疾病相关直接医疗费用影响研究
- Author:
Dongzhe LU
1
;
Wen CHEN
;
Zhenyi SHAO
;
Di XUE
Author Information
1. 上海交通大学医学院附属第九人民医院 上海 200011
- Publication Type:Journal Article
- Keywords:
centralized volume-based procurement;
acute coronary syndrome;
percutaneous coronary intervention;
medical expense
- From:
Chinese Health Economics
2025;44(8):36-41
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the effects of centralized volume-based procurement policy for coronary stents on direct medical expenses related to cardiovascular disease within one year after first Percutaneous Coronary Intervention(PCI)among patients with Acute Coronary Syndrome(ACS),based on real-world data of Shanghai medical institutions.Methods:ACS patients who underwent their first PCI in Shanghai between March 2019 and April 2022 were selected,and their data of cardiovascular-related medical care and direct medical expenses in outpatient visits and readmissions within one year after first PCI were collected.The policy effects on direct medical expenses related to cardiovascular disease within 1 month,3 months,6 months and 1 year after first PCI were analyzed,using Wilcoxon rank sum tests and a multilevel generalized linear mixed model.Results:After the implementation of coronary stent policy,the average total direct medical expense(including outpatient visits and readmissions)related to cardiovascular disease within 1 month,3 months,6 months and 1 year after first PCI in ACS patients significantly decreased in Shanghai;and the multivariate generalized linear mixed model also indicated that the policy implementation reduced the direct medical expenses related to cardiovascular disease for these patients within one year after first PCI.Conclusions:The implementation of coronary stent policy in Shanghai reduced direct medical expenses related to cardiovascular disease within one year after first PCI in ACS patients,alleviating patients' financial burden.It is recommended that medical expenses after first PCI among patients with ACS should be further reduced and that long-term follow-up assessment on social impacts of coronary stent policies should be conducted.
