| 引用本文: |
谢月英,欧晏辰,苏奕成,等.广西重特大疾病医疗保障效果分析*[J].中国卫生经济,2022,41(11):37-41.[点击复制] |
XIE Yue-ying,OU Yan-chen,SU Yi-cheng,et al.Analysis on Medical Security Effect of Catastrophic Illness in Guangxi[J].CHINESE HEALTH ECONOMICS,2022,41(11):37-41.[点击复制] |
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| 广西重特大疾病医疗保障效果分析* |
| 谢月英,欧晏辰,苏奕成,吴彩媛,黄惠,容春梅,宁婷,左延莉 |
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| (1.广西医科大学 南宁 530021 2.广西壮族自治区疾病预防控制中心 南宁 530021 3.广西医科大学附属肿瘤医院 南宁 530021) |
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| 摘要: |
| 目的：分析广西重特大疾病的医疗保障效果。方法：采用描述性统计分析方法，从不同地区和不同病种的医疗保障情况分析广西重特大疾病医疗保障效果。结果：广西门诊特殊慢性病、大病专项救治的医疗总费用经基本医保、大病保险和医疗救助(以下统称“三重”制度)综合补偿后，报销比例分别为79.23%和79.10%。广西各地区的门诊特殊慢性病、大病专项救治的医疗总费用经“三重”制度报销后，比例范围分别在69%~87%和75%~83%。救治人数和救治次数较少，但自付比例较高的病种有先天性唇腭裂、神经母细胞瘤等疾病。结论：强化“三重”制度综合保障，提高重特大疾病保障水平； 广西各地区应加快提升统筹层次，提高信息化服务水平；同时完善药品目录动态调整机制，关注重点疾病保障工作。 |
| 关键词: 重特大疾病 医疗保障效果 广西 |
| DOI： |
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| 基金项目:广西自然科学基金项目(2018GXNSFAA138102)；国家自然科学基金项目(71864006)；广西医科大学特色新型智库调研课题项目(GXMUZK16)；广西高等教育本科教学改革工程项目(2022JGA155) |
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| Analysis on Medical Security Effect of Catastrophic Illness in Guangxi |
| XIE Yue-ying,OU Yan-chen,SU Yi-cheng,WU cai-yuan,HUANG hui,RONG chun-mei,NING ting,ZUO yan-li |
| (Guangxi Medical University, Nanning, 530021 , China) |
| Abstract: |
| Objective: To analyze the medical security effect of catastrophic illness in Guangxi. Methods: The descriptive statistics method was used to analyze the effects of medical security for catastrophic illness in Guangxi from different areas and different diseases. Results: After comprehensive compensation of basic medical insurance, serious diseases insurance and medical assistance, the reimbursement rates of total medical expenses for outpatient service for special chronic diseases and special treatment of serious diseases in Guangxi were 79.23 %and 79.10 %, respectively. The reimbursement rates of the triple system for outpatient service for special chronic diseases and special treatment of serious diseases in each region ranged from 69 %to 87 %and 75 %to 83 %, respectively. The diseases with less number and frequency of treatment but higher proportion of self-paid are congenital cleft lip and palate, neuroblastoma and other diseases. Conclusion: It is suggested to strengthen the comprehensive security of the triple system and improve the security level of catastrophic illness. All regions should speed up the pooling level, improve the level of information service, and improve the dynamic adjustment of drug catalogue to pay attention to the protection of catastrophic illness. |
| Key words: catastrophic illness medical security effect Guangxi |