摘要
目的:探讨医用耗材零差率和集中带量采购政策对白内障手术费用的影响。方法:通过统计分析,比较样本医院三个时期(基线期、零差率期和带量采购期)老年性白内障手术患者的医疗费用,并进行定性访谈。结果:三个时期老年性白内障手术患者的总医疗费用、医疗服务费、耗材费和药品费的差异有统计学意义(均为P<0.001);零差率和集中带量采购政策有效降低了老年性白内障患者的医疗费用,节约了医保资金支出,且集中带量采购政策的作用更显著。结论:未来配合DRG付费制度改革,要建立有效的监督评价体系,完善医疗机构绩效分配机制,使结余留用资金真正起到规范医疗行为的激励作用。
Objective To explore the effects of zero-markup rate of medical consumables and centralized volume-based procurement policy on cataract surgery costs. Methods Through statistical analysis, the medical costs of senile cataract surgery patients in the sample hospitals were compared in three periods(baseline period, zero-markup period and volume purchase period), and qualitative interviews were conducted. Results There were statistically significant differences in the total medical costs, medical service costs, consumables costs and drug costs of senile cataract patients in the three periods(all P<0.001). The zero-markup rate and centralized volume-based procuremen policy effectively reduced the medical costs of senile cataract patients, saved medical insurance expenditure, and the effect of centralized volume-based procuremen policy was more significant. Conclusion In the future, cooperating with DRG payment system reform, it is necessary to establish an effective supervision and evaluation system, improve the performance distribution mechanism of medical institutions, so that the remaining funds can truly play an incentive role in standardizing medical behavior.
作者
赵予涵
林燕铭
谭艳芬
ZHAO Yu-han;LIN Yan-ming;TAN Yan-fen(Peking University First Hospital,Beijing 100034,China;不详)
关键词
零差率
集中带量采购
老年性白内障
人工晶体置入术
高值医用耗材治理
zero-markup rate
centralized volume-based procuremen
senile cataract
intraocular lens implantation
high-value medical consumables governance
