上海市某三甲医院止血类医用耗材临床使用评价
Clinical Evaluation of Hemostatic Medical Consumables in Grade Ⅲ-A Hospital in Shanghai
黄阿红 1郑蕴欣 2隋海宇 3汪方杰 2罗莉 4俞骏仁3
作者信息
- 1. 上海市第六人民医院 医务处,上海 200233;上海交通大学中国医院发展研究院 医院运营研究所,上海 200233
- 2. 上海市第六人民医院 医学装备处,上海 200233;上海交通大学中国医院发展研究院 医院运营研究所,上海 200233
- 3. 上海市第六人民医院 医疗保险办公室,上海 200233;上海交通大学中国医院发展研究院 医院运营研究所,上海 200233
- 4. 上海市第六人民医院 党委办公室,上海 200233;上海交通大学中国医院发展研究院 医院运营研究所,上海 200233
- 折叠
摘要
目的 评价分析某院普外科恶性肿瘤手术中止血类耗材的使用情况,为医院耗材合理使用和监管提供政策建议.方法 选取2023年1-9月在该院普外科进行恶性肿瘤手术治疗的391例患者为研究对象,通过分层抽样确定研究样本,根据病例资料应用Stata 16.0对4种止血类耗材的有效性和经济性进行统计学分析,其中有效性指标为术中出血量和术后引流管放置天数,经济性指标为术后住院天数和止血治疗相关费用.结果 不同种类的止血类耗材在术中出血量和术后引流管放置天数差异具有统计学意义(P<0.05);而在术后住院天数以及术后止血治疗相关费用消耗方面,4种止血类耗材之间差异无统计学意义(P>0.05).结论 本研究结果显示,不同种类的止血类耗材的有效性得以体现,有效性较好的耗材单价相对更高,但难以体现经济性价值.本研究为止血类耗材合理规范化使用和有效监管提供了参考借鉴.
Abstract
Objective To evaluate and analyze the use of hemostatic consumables in the surgical treatment of malignant tumors in the general surgery department of a certain hospital,and provide policy suggestions for the rational use and supervision of hospital consumables.Methods A total of 391 patients who underwent surgical treatment for malignant tumors in the general surgery department of the hospital from January to September 2023 were selected as the research objects.Stratified sampling was used to determine the research samples.Stata 16.0 was used to conduct statistical analysis on the effectiveness and cost-effectiveness of four types of hemostatic consumables based on case data.The effectiveness indexes included intraoperative blood loss and postoperative drainage tube placement days,while the cost-effectiveness indexes included postoperative hospital stay and hemostatic treatment-related costs.Results Different types of hemostatic consumables showed statistically significant differences in intraoperative blood loss and postoperative drainage tube placement days(P<0.05);there were no significant differences among the four types of hemostatic consumables in terms of postoperative hospital stay and postoperative hemostatic treatment-related costs(P>0.05).Conclusion The results of this study showed that the effectiveness of different types of hemostatic consumables was highlighted,with consumables that demonstrate better effectiveness having relatively higher unit prices,but it was difficult to reflect the economic value.This study provides a reference for the rational standardized use as well as effective supervision of hemostatic consumables.
关键词
止血类医用耗材/临床使用评价/有效性/经济性Key words
hemostatic medical consumables/clinical usage evaluation/effectiveness/economic efficiency引用本文复制引用
基金项目
国家重点研发计划(2022YFC2407005)
上海市医院协会2022年度青年项目(Q2022045)
上海市卫生法学研究课题(2021WF07)
2022年度上海交通大学智库引导性研究项目(ZKYJ-2022009)
出版年
2024
国家科技期刊平台
NSTL
万方数据