CCTV News:Cardiac stent implantation is an important measure to treat acute myocardial infarction. Before centralized procurement, the average price of cardiac stents was as high as 13,000 yuan, and the price of imported stents was close to 20,000 yuan. The masses strongly reflected the high price. In January, 2021, cardiac stents were collected, and the average price dropped to 700 to 800 yuan. In the past three years, more than 3.7 million patients have been implanted with the selected cardiac stent, accounting for more than 95% of the cardiac stent usage.
Mr. Xianglin, who is over 80 years old this year, is the first patient in Hunan Province to use the national centralized coronary stent. In the early morning of January 1, 2021, Xianglin suffered an acute myocardial infarction and was rushed to the First People’s Hospital of Xiangtan City by her family. Then the doctor performed a cardiac coronary stent implantation for her, each stent was 798 yuan. More than three years later, when the reporter saw Xianglin again, the living conditions of the elderly were still good.
At present, the First People’s Hospital of Xiangtan City carries out more than 400 cardiac and coronary stent implantation operations every year. More and more patients have used the price-reduced stents, and the burden of myocardial infarction treatment has been significantly reduced.
Lu Bangfu, chief physician of the first ward of Cardiology Department of Xiangtan First People’s Hospital, Hunan Province, said that the average cost for a patient to have a stent (implantation operation) before the collection is at least 30,000 to 40,000. At present, the total cost, including radiography, only costs more than 13 thousand, and the patient only pays about 6 thousand to 7 thousand yuan after medical insurance reimbursement.
According to the provisions of the National Medical Insurance Bureau, all localities can retain the medical insurance funds saved by the centralized procurement of cardiac stents by medical institutions according to a certain proportion, so that medical institutions and medical personnel can share the reform dividend.
Wu Yongjun, vice president of the First People’s Hospital of Xiangtan City, Hunan Province, said,After the expenses (surplus funds) are returned to the hospital through the method of surplus retention, we return them to the clinical medical team through the examination, which reflects the labor value of medical staff. After turning into income under the sun, the enthusiasm of the whole medical service team to serve the people is also obviously enhanced.
Improve the interventional operation ability of primary medical institutions
Cardiac stent implantation is an important measure to treat acute myocardial infarction. Coronary artery is the blood vessel that supplies blood to the heart. Once stenosis occurs, myocardial blood supply is insufficient, which will seriously lead to myocardial necrosis, affect cardiac function and even endanger life. For patients, time is life. With the collection of cardiac stents and the reduction of consumables prices, more and more primary medical institutions can carry out such operations more conveniently.
At Shuangfeng County People’s Hospital in Loudi City, Hunan Province, He Weidong, 54, comes for a follow-up visit every three months. In January, 2022, He Weidong was rushed to hospital by his family for persistent chest pain. After being diagnosed with acute myocardial infarction, the doctor immediately performed heart stent implantation. However, in the past, medical institutions in Shuangfeng County were unable to carry out such operations because of insufficient hardware and expensive cardiac stents, and patients with acute myocardial infarction could only be transferred to higher-level hospitals.
Wang Gang, executive vice president of Shuangfeng County People’s Hospital, said that when patients with acute myocardial infarction could not undergo interventional surgery on our side, they had to go to places like Loudi (city) and Changsha (city), and the journey might take one or two hours. The risks on the road and the recovery of the final patients were very unfavorable.
In August 2021, the Interventional Medical Center of Shuangfeng County People’s Hospital was established, which was also the first medical institution in the county to carry out such first aid.
Wang Gang, executive vice president of Shuangfeng County People’s Hospital, said that due to the centralized mining policy (landing), the stent is so cheap, and the pressure on the hospital is also very small, and the pressure on the people is also very small. We are now able to carry out stent surgery 24 hours a day. For patients with acute myocardial infarction, our rescue success rate, patient recovery and recovery have been greatly improved.
The reporter learned from the National Medical Insurance Bureau that nationwide, after the centralized procurement, the number of medical institutions carrying out cardiac stent implantation increased from more than 2,400 in 2020 to more than 3,600 in 2023, among which the number of secondary medical institutions increased from 1,200 to nearly 1,700, which is inseparable from the efforts of health departments to strengthen the capacity building of county-level chest pain centers in recent years. Patients with acute myocardial infarction can have stent implantation in more county hospitals, and get back more precious rescue time in the race to save lives.
Image Source: Wanda Films
