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本研究利用某一线城市医疗保险中心数据库2010—2013年的参保人员支付信息,对10 960例经皮冠状动脉介入治疗(PCI)患者的住院信息进行分析。结果显示,PCI平均植入1.8个支架,单次直接医疗费用6.9万元~8.6万元;对费用结构分项分析发现,支架及手术相关耗材费用高达2.6万元~12.5万元,占总费用比例的48.1%~77.0%;对PCI总费用进行多元回归分析显示,支架数量、死亡、出血、医院级别等均会对住院费用造成影响;对除去介入器材后的费用进行多元回归显示,剩余费用与支架数量无明显相关;国内PCI难度未反映相应的服务费用,而支架相关器材所占费用较高,且因手术抗凝造成出血治疗费用较高,增加了PCI的整体费用。
This study analyzed the hospitalization information of 10 960 patients undergoing percutaneous coronary intervention (PCI) using the information of insured persons paid in 2010-2013 in a city-based medical insurance center database. The results showed that, PCI average implantation of 1.8 stents, a single direct medical costs 69,000 yuan to 86,000 yuan; component structure of the fee analysis found that stents and surgical supplies costs as high as 26,000 yuan to 125,000 yuan, the total cost 48.1% ~ 77.0% of the total; PCI multiple cost regression analysis showed that the number of stent, death, bleeding, hospital level and so on will have an impact on the cost of hospitalization; Remove the cost of intervention after multiple regression shows that the remaining costs And the number of scaffolds is not significantly related to the domestic PCI difficulty does not reflect the corresponding service costs, and the cost of stent-related equipment is higher, and due to surgical bleeding caused by anticoagulation treatment costs are higher, increasing the overall cost of PCI.