目的: 分析集中带量采购政策对人工关节置换术手术人次、次均总费用、次均患者负担费用、次均医保报销比例等的影响,评价政策实施效果。方法: 基于安阳市29家二级以上医疗机构人工关节置换术费用数据,采用Excel对比分析集采前后人工关节置换效果及费用数据变化情况等。结果: 集采后,人工髋关节、人工膝关节置换术手术患者数量增幅分别为50%、79.41%,次均总费用降幅分别为42.66%、40.85%,次均患者负担费用降幅分别为59.99%、46.23%,次均医保实际报销比例增幅分别为16.76%、4.16%。结论: 国家集中带量采购政策在降低患者医疗费用方面效果显著,大大减轻了患者的医疗负担,应积极发挥公立医院内部管理作用,促进政策可持续发展。

Objective: The paper analyzes the impact of the centralized procurement policy on the number of patients undergoing artificial joint replacement surgery, the total cost per time, the cost of patients per time, and the proportion of medical insurance reimbursement per time, and evaluates the implementation effect of the policy. Methods: Based on the cost data of artificial joint replacement in 29 hospitals above Level II in Anyang City, the paper applies Excel to compare and analyze the effect of artificial joint replacement and the change of cost data before and after centralized purchase. Results: After the centralized procurement policy, the number of patients with artificial hip and knee replacement increased by 50% and 79.41%, respectively, the patient cost decreased by 59.99% and 46.23%, respectively, and the actual reimbursement ratio of both cases increased by 16.76% and 4.16%, respectively. Conclusion: The national centralized procurement policy has a remarkable effect in reducing the medical cost of patients and greatly reduces the medical burden of patients. Public hospitals should play an active role in internal management and promote the sustainable development of the policy.