广州医药2025，Vol.56Issue(2)：203-210,8.DOI:10.20223/j.cnki.1000-8535.2025.02.010
人工晶状体集中带量采购效果分析
Effect of centralized volume-based procurement policy of intraocular lens
摘要
Abstract
Objective To evaluate the influence of intraocular lens(IOLs)purchasing policy in a centralized volume-based manner on patients'selection of cataract extraction surgery.Methods The patients who completed cataract phacoemulsification combined with IOLs implantation in the ophthalmology department of Guangzhou First People's Hospital from June 2020 to May 2022 were retrospectively analyzed.According to the time of centralized IOLs procurement policy implemented in our hospital(May 2021),the patients were divided into before centralized purchase group(from June 2020 to May 2021)and centralized purchase group(from June 2021 to May 2022).The demographics of study population,IOLs category,IOLs cost,operation cost and the proportion of Chinese-made IOLs were compared between the two groups.Results The total numbers of operations in the before centralized purchase group and centralized purchase group were 1 188 and 1 099 eyes(only one eye was included in the binocular surgery),respectively.There was no significant difference in the age and sex between the two groups(P＞0.05).The median cost of IOLs in the before centralized purchase group was 3 770(3 162,7 950),which was higher than that of centralized purchase group[1 613(1 079,4 994),P＜0.001].The proportion of aspherical IOLs was the highest in both groups.The number of multifocal and astigmatic IOLs in the centralized purchase group increased significantly compared with those of before centralized purchase group(multifocal IOLs:1.9%and 15.0%;astigmatic IOLs:0.2%and 1.3%,all P＜0.05).The number of spherical IOLs decreased significantly(7.7%and 0.6%,P＜0.05).The utilization rate of domestic IOLs increased from 0.5%to 3.5%(P＜0.001).The patients who chose multifocal IOLs in centralized purchase group were older than patients in before centralized purchase group[(62.3±12.4)vs(66.1±10.5),P=0.02].Conclusions The centralized volume-based procurement policy of IOLs reduces the economic burden of patients and increase the use of high-end IOLs.At the same time,it reduces the expenditure of national medical insurance and promotes the use of domestic medical consumables.关键词
集中带量采购/人工晶状体/白内障/医疗保险/医用耗材Key words
centralized volume-based procurement/intraocular lens/cataracts/medical insurance/medical consumables引用本文复制引用
许焱鑫,石峰,冷云霞,骆丽丝,高宗银..人工晶状体集中带量采购效果分析[J].广州医药,2025,56(2):203-210,8.基金项目
广州市2023年度基础与应用基础研究专项(SL2022A04J00464) （SL2022A04J00464）
