| 陆兴华,沈锦华,郭晶晶,毛全高,李亚南.医保药费精确化支付的路径探讨[J].中国药事,2018,32(7):863-869 |
| 医保药费精确化支付的路径探讨 |
| Discussion on the Accurate Payment of Medical Insurance Drug Expense |
| 投稿时间：2016-07-28 |
| DOI：10.16153/j.1002-7777.2018.07.003 |
| 中文关键词: 医保机构 药费支付 精确管理 |
| 英文关键词: medicare institution drug expense payment precise management |
| 基金项目: |
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| 中文摘要: |
| 目的：改善医保机构药费支付过快增长现象，提升医保基金使用效益。方法：利用精确化管理理论和药物经济学原理，对医保机构药费支付现状、流程、影响因素等进行分析。结果：目前，医保机构药费支付过快增长的原因，主要是目录下品规结算无压缩管理的结果。结论：融入药物经济学思想，通过可操作的精确管理，可有效降低医保药费，实现医保经费的有效控制，同时提升医疗质量。 |
| 英文摘要: |
| Objective:To improve the situation of excessive growth of medical insurance cost, so as to improve the efficiency of using the health insurance funds. Methods:The state of medical insurance cost, procedure and influencing factors were analyzed by using precise management theory and the principle of pharmacoeconomics. Results:The reason for excessive growth of medical insurance cost was the natural outcome of varieties and strength in the current directory. Conclusion:With the introduction of pharmacoeconomics and the operable precise management, the cost of medical insurance can be effectively reduced and controlled, meanwhile, the quality of medical treatment can be improved. |
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