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医院视角下头孢呋辛钠粉液双室袋用于围手术期患者的经济学研究
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| 篇名： | 医院视角下头孢呋辛钠粉液双室袋用于围手术期患者的经济学研究 |
| TITLE： | Economic evaluation of cefuroxime sodium powder-liquid dual-chamber bags for perioperative patients from the hospital perspective |
| 摘要： | 目的 从医院视角出发，评估医院在医保支付方式改革背景下，围手术期患者使用注射用头孢呋辛钠/氯化钠注射液（简称“头孢呋辛粉液双室袋”）或者注射用头孢呋辛钠（简称“头孢呋辛粉针”）对于医院成本可能造成的影响。方法假设围手术期患者使用头孢呋辛粉液双室袋（情境1）或头孢呋辛粉针（情境2）的有效性和安全性一致，通过计算两种情境下的药品成本、输液器成本和静脉用药调配中心人力成本来比较两种情境的经济性，并通过单因素敏感性分析和基于不同集采份额的情境分析探索结果的稳健性。结果情境1和情境2中患者使用头孢呋辛的人均疗程成本分别为314.54元和349.41元，即情境1比情境2人均节约34.87元。单因素敏感性分析和情境分析结果显示，本研究结果较为稳健。结论相比于使用头孢呋辛粉针，围手术期患者使用头孢呋辛粉液双室袋可以在保障医疗服务质量和效率的前提下，节约医疗成本。 |
| ABSTRACT： | OBJECTIVE To evaluate the possible effects of Cefuroxime sodium for injection/Sodium chloride injection （referred to as “Cefuroxime powder-liquid dual-chamber bag”） or Cefuroxime sodium for injection （referred to as “Cefuroxime powder injection”） used in perioperative patients on hospital costs under the background of medical insurance payment reform from the perspective of the hospital. METHODS Assuming that the effectiveness and safety of Cefuroxime powder-liquid dual-chamber bag （scenario 1） and Cefuroxime powder injection （scenario 2） were the same for perioperative patients， the cost-effectiveness of both scenarios was compared by calculating the costs of drug， infusion sets， and labor in the pharmacy intravenous admixture service. The robustness of the results was explored through univariate sensitivity analysis and different centralized procurement share scenarios analysis. RESULTS The base-case analysis showed that the average cost per treatment course for patients using cefuroxime in scenario 1 and scenario 2 were 314.54 yuan and 349.41 yuan， respectively， meaning scenario 1 saved 34.87 yuan per capita compared to scenario 2. The univariate sensitivity analysis and scenario analysis indicated that the research results were robust. CONCLUSIONS The application of Cefuroxime powder-liquid dual-chamber bag in perioperative patients can save medical costs while ensuring the quality and efficiency of medical services， compared to Cefuroxime powder injection. |
| 期刊： | 2025年第36卷第04期 |
| 作者： | 官海静；赵志刚；范长生 |
| AUTHORS： | GUAN Haijing，ZHAO Zhigang，FAN Changsheng |
| 关键字： | 头孢呋辛；粉液双室袋；粉针；围手术期；经济学；医保支付方式改革 |
| KEYWORDS： | cefuroxime； powder-liquid dual-chamber bag； powder injection； perioperative period； economics； medical |
| 阅读数： | 9 次 |
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