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耗材集中带量采购对创伤骨科髋部骨折绿色通道手术的影响
作者:乔媛慧1  刘晓培1  姚佳明1  王宝军2  白晓冬2 
单位:1. 首都医科大学附属北京友谊医院 采购中心, 北京 100050;
2. 首都医科大学附属北京友谊医院 骨科中心, 北京 100050
关键词:集中带量采购 髋部骨折 绿色通道 医疗费用 
分类号:R197.323
出版年·卷·期(页码):2024·52·第十期(1514-1519)
摘要:

目的: 分析耗材集中带量采购对创伤骨科髋部骨折绿色通道手术的影响。方法: 收集2022年1月至2024年2月于首都医科大学附属北京友谊医院骨科中心就诊并接受手术的髋部骨折绿色通道患者病例资料,以2023年4月实施耗材集中带量采购到位时间为分组切割点,带量采购前的患者纳入对照组(n=186),带量采购后的患者纳入研究组(n=172)。通过医院病案及信息管理系统收集患者的一般资料、围术期指标、围术期疼痛、住院期间相关费用、并发症和住院时间。结果: 两组患者的性别、患侧、年龄、体质量指数、基础疾病、医疗主要支付方式等一般资料具有可比性(P>0.05)。两组患者的手术时间、麻醉方式、术前视觉模拟评分法(VAS)评分、术前住院时间差异无统计学意义(P>0.05),与对照组比,研究组的出血量、输血病例、术后清醒VAS评分、术后12 h VAS评分、内植物费用、检验检查费用、药费、治疗及其他费用、总住院费用、术后并发症、总住院时间均明显减少或降低(P<0.05)。结论: 耗材集中带量采购对创伤骨科髋部骨折绿色通道手术产生积极影响,有效降低医疗费用,促进患者诊疗支出的结构优化,患者诊疗质量得到有效保障。

Objective: To evaluate the impact of centralized volume-based procument of surgical consumables on green channel surgery for hip fractures in the trauma orthopedics department. Methods: The medical data of patients with hip fractures who were treated and underwent surgery through the green channel in the trauma orthopedics department of Beijing Friendship Hospital, Capital Medical University, from January 2022 to February 2024 were analyzed. Based on the implementation of centralized volume-based procument of surgical consumables in our hospital in April 2023, patients who were enrolled into hospital before procurement were collected into the control group(n=186) and patients after procurement were collected into the study group(n=172). Through the hospital medical record and information management system, the general information, perioperative indicators, perioperative pain, hospitalization related expenses, concurrent symptoms and hospitalization time of 2 groups were collected and compared. Results: There was no significant difference in general information such as gender, affected side, age, body mass index, underlying disease and main medical payment methods between the two groups(P>0.05). There was no statistically significant difference in the surgical time, anesthesia method, preoperative visual analog scale(VAS) score and preoperative hospital stay between the two groups(P>0.05). Compared with the control group, the surgical bleeding, transfusion cases, postoperative conscious VAS, postoperative 12 h VAS, implant costs, test and examination costs, medication costs, treatment costs and others, total hospital expenses, postoperative complications and total hospital stay had reduced or decreased in the study group(P<0.05). Conclusion: The centralized volume-based procument of surgical consumables has a positive impact on the green channel surgery of hip fractures in the department of trauma orthopedics, effectively reducing medical expenses, promoting the structural optimization of patient diagnosis and treatment expenditures and effectively ensuring the quality of patient diagnosis and treatment.

参考文献:

[1] 石可凡,徐欣,刘俊刚,等.医用耗材集中带量采购模式创新研究—企业全产品带量采购方式[J].卫生经济研究,2023,40(9):26-28.
[2] 张倩倩,王颖,肖启强,等.公立医院开展高值医用耗材集中带量采购的实践探讨[J].卫生经济研究,2022,39(11):51-54.
[3] 李亚利,邹莹,张玲芝,等.术前控制营养状况评分及单核细胞/淋巴细胞值对老年髋部骨折患者预后的预测价值[J].东南大学学报(医学版),2022,41(3):379-385.
[4] 李儒雅,芮云峰.老年股骨转子间骨折围术期应用氨甲环酸的研究进展[J].东南大学学报(医学版),2021,40(2):261-265.
[5] 周玉弟,汤洋,季方兵,等.超声引导下颈神经根阻滞在锁骨骨折手术围手术期的应用[J].现代医学,2021,49(10):1191-1194.
[6] 荣惠英,史舒,高永莲,等.人工关节集中带量采购对DRG IC29组病例住院费用的影响分析[J].卫生软科学,2024,38(1):70-73.
[7] 张霁.医用耗材集中带量采购开展问题及对策研究[J].中国医疗器械信息,2023,29(5):158-161.
[8] 俞骏仁,姜若,罗莉,等.人工关节类耗材集中带量采购对某三甲医院关节置换手术的影响[J].中国医院管理,2024,44(1):39-41.
[9] 边斯洁,夏锋,夏燕,等.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[J].中国医院管理,2024,44(1):36-38.
[10] 刘思洋,曹佩.冠脉支架集中带量采购对冠心病PCI手术患者住院费用的影响[J].中国病案,2023,24(11):71-73.
[11] 彭勇华,姚卫光.人工晶体集中带量采购政策对老年性白内障手术患者次均住院费用影响分析[J].中国卫生质量管理,2023,30(8):25-29.
[12] 路云,谢博扬,唐璋淳,等.国家高值医用耗材集中带量采购的规则和趋势分析[J].中国医疗保险,2023(5):9-15.
[13] 朱子寒,张平,魏凌,等.多院区医院招标采购同质化管理现状与实现路径[J].卫生经济研究,2023,40(5):15-17.
[14] 吴文婷,苏玫霏.集中带量采购模式下骨科类医用耗材的信息化管理[J].医疗装备,2023,36(16):45-49.
[15] 吴佳男.耗材管理:新时代的积极应对与全新筹谋[J].中国医院院长,2022,18(20):34-40.
[16] 郑万会,张培林,彭琳,等.药品和耗材集中带量采购下的医疗服务项目补偿及卫生资源空间腾换研究[J].中国卫生经济,2022,41(7):16-19.
[17] 张秋玉,王芸,胡元霞,等.我国药品及医用耗材集中带量采购政策的实施现状及建议[J].中国药房,2022,33(2):136-141.
[18] 周明珍,杨雳,张兴强.2021年高值医用耗材集中带量采购情况分析与趋势展望[J].中国食品药品监管,2022(4):82-92.
[19] YU Z B,DONG S H,ZHANG J W,et al.Analysis of international competitiveness of the China's licorice industry from the perspective of global trade[J].J Ethnopharmacol,2022,298(11):115613.
[20] 杨朔,胡剑,袁鹏,等.高值医用耗材组套分组集中带量采购的实践与思考[J].中国医学装备,2020,17(8):162-165.
[21] YANG Y,TONG R,YIN S,et al.The impact of “4+7” volume-based drug procurement on the volume,expenditures,and daily costs of antihypertensive drugs in Shenzhen,China:an interrupted time series analysis[J].BMC Health Serv Res,2021,21(1):1275.
[22] WANG X,HE X,ZHANG P,et al.The impact of the national volume-based procurement policy on the use of policy-related drugs in Nanjing:an interrupted time-series analysis[J].Int J Equity Health,2023,22(1):200.
[23] FONG Z V,TRAEGER L N,CHANG D C.Volume-based centralization of complex cancer operations:we need more than an alternate centralization strategy[J].J Clin Oncol,2022,40(25):2997-2998.

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