The Impact of Centralized Volume-Based Procurement Policy on the Use of Liver Function Biochemical Test Reagents——Taking Five Hospitals of Jiangxi Province as Examples
Objective:The paper analyzes the impact of the centralized volume-based procurement policy on the use of liver function biochemical test reagents in hospitals of Jiangxi Province,and provides a reference for improving procurement policies for in vitro diagnostic reagents. Methods:Monthly data on the use of six types of liver function biochemical test reagents in five hospitals of Jiangxi Province were collected from July 2022 to June 2024. An interrupted time-series analysis was conducted to evaluate changes in the number of patients,reagent usage volume,and per capita usage before and after the implementation of the centralized procurement policy. Results:After the implementation of the centralized procurement policy,there was a significant decrease in the number of patients using the six types of liver function biochemical test reagents (β3=-5678.00,P=0.022) and in the total reagent usage volume (β3=-12556.26,P=0.014). Although the per capita usage showed a downward trend,the difference was not statistically significant (β3=-0.0140,P=0.207). Additionally,the policy led to a significant reduction in the number of patients and reagent usage for each type of reagent,while its impact on per capita usage was not significant. Conclusion:The centralized volume-based procurement policy had a significant impact on the use of liver function biochemical test reagents,helping to reduce the economic burden on patients and meeting their clinical testing needs.
liver function biochemical test reagentscentralized volume-based procurementreagent useinterrupted time series analysis
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