引用本文: 高楠,徐伟.2017版国家医保药品目录限定支付情况分析[J].中国卫生经济,2018,(1):48-50.[点击复制] .Analysis on Reimbursement Limits of National Basic Medical Insurance Drug List 2017[J].CHINESE HEALTH ECONOMICS,2018,(1):48-50.[点击复制]
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2017版国家医保药品目录限定支付情况分析
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摘要:
目的:分析2017版医保药品目录限定支付情况。方法:通过归纳分析、对比分析等方法总结限定支付类型并分析所涉及的药品在数目、类别、适应症等方面的特征。结果:2017版医保药品目录对903个品种实行限定支付,包括险种限制、统筹基金使用范围限制、二线用药限制和适应症限制等,各限制具体情况体现2017版目录“宽进严管理”的调整思路。结论:2017版目录的限定较为规范,理论上保证了临床的合理用药和医保基金的高效使用。
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Analysis on Reimbursement Limits of National Basic Medical Insurance Drug List 2017
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Abstract:
Objective: Analyzing reimbursement limits of national basic medical insurance drug list 2017. Methods: The kinds of reimbursement limits and characters of relative drugs in quantities, categories and indications are concluded through methods of induction and correlation . Results: 903 drugs are limited in national basic medical insurance drug list 2017, the limits involve categories of insurance, serviceable range of pooling funds,second-line use and indications. Conclusion: the reimbursement limits are normative, ensuring rational drug use and efficiency of medical insurance funds.
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