摘要
采用回顾性横断面研究,归纳分析四川大学华西医院医用耗材零加成政策实施前后全髋关节置换术患者的住院费用及明细变化,总结出住院总费用基本持平,材料费下降,手术费、诊疗费增加,验证国家耗材零加成政策的实施未增加患者额外负担,费用结构更优化,医疗服务价格更合理。尚需进一步加强医患沟通、耗材管理和科学使用。
Through using retrospective cross-sectional study,the hospitalization expenses and detail changes of To tal Hip Arthroplasty(THA)patients in West China Hospital of Sichuan University before and after the implementation of the new policy of“Zero Consumables Markup”are analyzed.It is showed that the overall cost for hospitalization remains no significant difference.Meanwhile,the material fee has decreased,and the operation and consultation costs have in creased.The result demonstrates that the new policy doesn’t increase the financial burden of patients and the items of hospitalization fee are more acceptable,and the price of medical service is more reasonable.Furthermore,it is neces sary to strengthen doctor-patient communication,and the management and scientific use of medical consumables.
作者
王一臣
陶崎峰
周宗科
裴福兴
杨静
康鹏德
沈彬
WANG Yi-chen;TAO Qifeng;ZHOU Zong-ke(West China Hospital of Sichuan University,Chengdu,Sichuan,610041,China)
出处
《中国医院管理》
北大核心
2019年第9期7-8,共2页
Chinese Hospital Management
基金
四川省科技厅重点研发专项项目(2018SZ0135)
关键词
医用耗材取消加成
住院费用
手术费
诊疗费
cancelling medical consumbles markup
hospitalization expenses
operation costs
diagnosis and treat ment costs
