| 引用本文: |
陈冬垚,蔡滨,郭振歆,等.日间手术模式对腹腔镜胆囊切除术费用的影响*[J].中国卫生经济,2023,42(8):74-77.[点击复制] |
Chen Dong,Cai Bin,Guo Zhenxin,et al.The Effects of Day Surgery on the Expenses of Laparoscopic Cholecystectomy[J].CHINESE HEALTH ECONOMICS,2023,42(8):74-77.[点击复制] |
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| 摘要: |
| 目的：探究日间手术模式下腹腔镜胆囊切除术费用变化情况，分析此模式对费用的影响。方法：对2017年1月 —2022年5月样本三甲综合医院日间手术模式推行前后的3组患者 （日间组、推行前与推行后的非日间组） 的费用结构、费用明细进行统计检验与推断，同时利用间断时间序列分析日间手术模式对费用带来的净影响。结果：推行前与推行后的非日间组患者的次均医疗费用差异无统计学意义 （P＞0.05），而日间组患者的费用显著低于推行前与推行后的非日间组患者，相比之下分别降低了 3 946.89 元、4 161.70元。间断时间序列结果显示，开展日间手术后带来的净效应为次均医疗费用每月降低 48.63元，其中药品费下降幅度最大，对诊断费、治疗费无显著影响。结论：日间手术模式发挥了积极作用，与住院天数相关的费用显示出较大降幅，与诊疗流程相关的费用则不具有明显优势。 |
| 关键词: 日间手术 腹腔镜胆囊切除术 医疗费用 |
| DOI： |
| 投稿时间：2023-04-15 |
| 基金项目:江苏省社科基金青年项目 （18GLC005） |
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| The Effects of Day Surgery on the Expenses of Laparoscopic Cholecystectomy |
| Chen Dong,Cai Bin,Guo Zhenxin,Xu Guirong,Wu Wenjing,Song Hui,Wang Jingcheng |
| (Institute for Hospital Management, Tsinghua University, Shenzhen, Guangzhou, 518055 , China) |
| Abstract: |
| Objective: To study the changes of the expenses of laparoscopic cholecystectomy under the day surgery, and to analyze the effect of this mode on the expenses. Methods: Statistical test and inference is made on the expense structure and expense details of three groups of LC patients (day surgery group, over-night group pre-implementation and post-implementation of day surgery) in a sample Grade 3A general hospital from January 2017 to May 2022. Meanwhile, interrupted time series is used to analyze the net im- pact of day surgery on the expenses. Results: There is no statistical significant difference in the average expenses between these two over-night group before and after the implementation(P＞0.05), and the expenses of the day surgery group are significantly lower than that of these two over-night group before and after the implementation, which decrease by 3 946.89 yuan and 4 161.70 yuan, respec- tively. ITS also shows that the net effect of day surgery is to reduce the average total expenses by 48.63 yuan per month, among which the drug expenses decrease the most, and has no significant influence on the diagnosis expenses and treatment expenses. Conclu- sions: The day surgery plays a positive role, and the expenses related to the length of stay show a large decrease, but the expenses re- lated to the treatment process do not have a significant change. |
| Key words: day surgery laparoscopic cholecystectomy medical expense |
