引用本文: 童禧辰,尚春晓,陈文,等.普惠型商业医疗保险的罕见病用药保障现状与趋势分析*[J].中国卫生经济,2023,42(9):36-38.[点击复制] Tong Xichen,Shang Chunxiao,Chen Wen,et al.Analysis on the Current Status and Trend of Rare-disease Drugs Security of Inclusive Commercial Medical Insurance[J].CHINESE HEALTH ECONOMICS,2023,42(9):36-38.[点击复制]
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普惠型商业医疗保险的罕见病用药保障现状与趋势分析*
童禧辰,尚春晓,陈文,张璐莹
0
(复旦大学公共卫生学院 上海 200032)
摘要:
目的:厘清我国普惠型商业医疗保险对罕见病用药保障的现状与发展趋势。方法:系统收集2021—2022年全国各省份实施的普惠型商保方案及其特定药品目录,进行定性描述与定量分析。结果:2021—2022年,保障罕见病用药的普惠型商保方案数量有所增加,普惠型商业医疗保险覆盖的罕见病特药数量也有所增加;2022年,更多普惠型商业医疗保险为罕见病特药单独设置了保障水平,该水平低于一般特药保障。结论:普惠型商业医疗保险对罕见病用药的保障不断优化,但罕见病用药保障水平的提高仍需多层次保障体系中各方共同努力。
关键词:  普惠型商业医疗保险  罕见病  用药保障
DOI:
投稿时间:2023-06-20
基金项目:国家社会科学基金重大项目 (20ZDA072)
Analysis on the Current Status and Trend of Rare-disease Drugs Security of Inclusive Commercial Medical Insurance
Tong Xichen,Shang Chunxiao,Chen Wen,Zhang Luying
(School of Public Health, Fudan University, Shanghai, 200032 , China)
Abstract:
Objective: To clarify the current status and development trend of the security of drugs for rare diseases by inclusive commercial medical insurance. Method: Quantitative and qualitative methods were conducted on the inclusive commercial medical in- surance programs and specific drug lists covering various cities all over the country during 2021-2022. Results: From 2021 to 2022, the number of GSP schemes covering medicines for rare diseases increases, and the number of rare disease specialty medicines cov- ered by GSP increases. 2022 sees more GSP schemes setting separate coverage levels for rare disease specialty medicines, which are lower than general specialty medicines coverage. Conclusion: Rare disease drug coverage under universal commercial insurance con- tinues to be optimized, but improving the level of rare disease drug coverage still requires the concerted efforts of all parties in the multi-level coverage system
Key words:  inclusive commercial insurance  rare disease  medication assurance

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