医用耗材的循证管理及经济学评价

1、制度建设制度建设人才培养人才培养信息化信息化制度建设制度建设人才培养人才培养信息化信息化制度建设制度建设人才培养人才培养信息化信息化分类的细化程度分类的细化程度供应商供应商临床临床招标管理者招标管理者招标管理者招标管理者供应商供应商临床临床新耗材新耗材循循证证评评价价竞标定价竞标定价否否是是供应商讨论会供应商讨论会文献研究文献研究经经济济学学评评价价明确一个经竟标的传明确一个经竟标的传统产品作为基准品统产品作为基准品CEACEA结果结果+基准品价格基准品价格新耗材价格新耗材价格组别组别负压封闭组负压封闭组（n=46n=46）对照组（对照组（n=18n=18）P P值值二期缝合、植皮、皮瓣转移时

2、间（天）7.31.815.37.90.01创面缩小程度（cm2）4.81.32.00.30.01创面感染率526.50.01换药次数（次）1.40.38.02.50.01材料消耗（元）抗生素费用（元）2679.5376.73486.8435.10.05住院日（天）21.43.532.112.60.012424小时小时4848小时小时7272小时小时实验组实验组0.00%0.00%5.26%对照组对照组4.88%26.83%73.17%对照组需使用100（1-73.17%）=373张。实验组需使用100（1-5.26%）=106张。成本之比：373/106=3.52合理价格nAn Analysi

3、s of the Cost Effectiveness of the Implantable DefibrillatornTotally Implantable Venous Access Ports SystemsnA prospective randomized trial demonstrating valved implantable ports have fewer complications and lower overall cost than nonvalved implantable ports nTotally implantable venous access ports

4、 systems for patients receiving chemotherapy for solid tissue malignancies: A randomized controlled clinical trial examining the safety, efficacy, costs, and impact on quality of life nTotally implantable central venous access ports for long-term chemotherapy. A prospective study analyzing complications and costs of 333 devices with a minimum follow-up of 180 days nTotally Impl