Kuroda Nakabumi, Kobayashi Yoshio, Desai Kartik, Costantini Costantino, Kobayashi Mika, Komuro Issei
Department of Internal Medicine, Sawara Hospital, Chiba, Japan.
Circ J. 2003 Jul;67(7):576-8. doi: 10.1253/circj.67.576.
Percutaneous coronary intervention (PCI) devices are much more expensive in Japan than in the United States, but their prices were reduced in April 2002. This study evaluated the impact of that change in the price of PCI devices on medical expenses. In-hospital costs of 22 consecutive patients who underwent elective single-vessel PCI without a debulking procedure before April 2002 were collected and the in-hospital cost of each patient was recalculated by applying the current prices of the PCI devices and those in the USA. For patients treated with PCI before April 2002, the in-hospital cost was 1,456,375+/-358,781 yen, but when the current price is used, the in-hospital cost is estimated to be 1,355,812 +/-313,237 yen (7% reduction). If the prices of the devices were reduced to those in USA, there would be a 53% reduction (689,417 +/-99,139 yen). Although the change in the price of PCI devices in April 2002 has reduced in-hospital costs, the devices are still much more expensive in Japan than in the USA. Further reduction of the price is required to make PCI more cost-effective.
经皮冠状动脉介入治疗（PCI）设备在日本比在美国贵得多，但在2002年4月其价格有所降低。本研究评估了PCI设备价格的这一变化对医疗费用的影响。收集了2002年4月之前连续22例接受择期单支血管PCI且未进行减容手术患者的住院费用，并通过应用PCI设备的当前价格及美国价格重新计算了每位患者的住院费用。对于2002年4月之前接受PCI治疗的患者，住院费用为1,456,375±358,781日元，但使用当前价格时，住院费用估计为1,355,812±313,237日元（降低了7%）。如果设备价格降至美国的水平，将降低53%（689,417±99,139日元）。尽管2002年4月PCI设备价格的变化降低了住院费用，但该设备在日本仍比在美国贵得多。需要进一步降低价格以使PCI更具成本效益。
