首页|人工关节类耗材集中采购对某三甲医院关节置换手术的影响

人工关节类耗材集中采购对某三甲医院关节置换手术的影响

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目的 评估人工关节类耗材集中采购对关节置换手术的影响。方法 通过回顾性研究,对上海市某三甲医院集中采购前后(2021 年7-12月、2022年7-12月)的医疗质量与效率、次均住院费用结构进行t检验。结果 集中采购后,膝关节置换手术量有所下降;髋关节置换手术时间有所增长,差异有统计学意义(P<0。05)。两类关节置换手术的总费用、耗材费、关节假体费下降明显,差异有统计学意义(P<0。05);此外,膝关节置换手术的其他耗材费增长,差异有统计学意义(P<0。05)。结论 集中采购后,关节置换手术费用大幅下降,医疗质量和患者效率未明显改变,医院应关注集中采购后耗材的合理性使用,并呼吁提高关节置换手术价格,体现医师服务价值。
Effect of Centralized Procurement of Artificial Joints Consumables on Total Arthroplasty in a Grade A Ter-tiary Hospital
Objective To evaluate the effect of centralized procurement of artificial joint consumables on total arthro-plasty placement surgery.Methods Through a retrospective study,t-test was conducted on the medical quality and effi-ciency,hospitalization cost per time structure through July-December,2021 to July-December,2022 centralized pro-curement of joint replacement surgery in a tertiary hospital in Shanghai.Results After centralized procurement,the amount of knee arthroplasty surgery decreased,and the time of hip replacement surgery was increased,and the difference was statistically significant(P<0.05).The total cost,cost of consumables,arthrotomy fee of the two types of arthroplasty surgery were significantly decreased,and the difference was statistically significant(P<0.05).In addition,the average cost of other consumables hospitalization of knee joint surgery patient increased,and the difference was statistically significant(P<0.05).Conclusion After centralized procurement of artificial joint consumables,the cost of total knee arthroplasty and total hip arthroplasty has decreased significantly,and the quality and efficiency of medical care have not changed significantly.At the same time,hospital managers should pay more attention to the rational use of consumables after centralized procurement.In addition,it calls for increasing the price of surgery to reflect the value of physician services.

artificial jointcentralized procurementtotal arthroplastymedical qualityhospitalization expenses

俞骏仁、姜若、罗莉、李志建

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上海市第六人民医院 上海 200233

人工关节 集中采购 关节置换 医疗质量 住院费用

上海申康医院发展中心临床科技创新医疗质量安全与医疗服务项目上海市医院协会医院管理研究基金青年课题

SHDC12021626Q2022045

2024

中国医院管理
中国医院管理杂志社

中国医院管理

CSTPCD北大核心
影响因子:2.15
ISSN:1001-5329
年,卷(期):2024.44(1)
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