我國(guó)醫(yī)保藥品支付標(biāo)準(zhǔn)建設(shè)的理論與現(xiàn)實(shí)分析
發(fā)布時(shí)間:2018-04-22 14:18
本文選題:藥品 + 醫(yī)保藥品支付標(biāo)準(zhǔn)。 參考:《中國(guó)衛(wèi)生政策研究》2017年11期
【摘要】:建立針對(duì)藥品的醫(yī)療保險(xiǎn)支付標(biāo)準(zhǔn)(參考價(jià))是多國(guó)控制藥品費(fèi)用不合理增長(zhǎng)的重要措施。醫(yī)保藥品支付標(biāo)準(zhǔn)通過藥品價(jià)格競(jìng)爭(zhēng)刺激患者需求和增強(qiáng)患者選擇的權(quán)利來影響醫(yī)生行為和藥品企業(yè)定價(jià)。我國(guó)放開藥品政府定價(jià)后也亟需建立適應(yīng)藥品市場(chǎng)發(fā)展的價(jià)格形成機(jī)制,建立醫(yī)保藥品支付標(biāo)準(zhǔn)需要從我國(guó)藥品管理政策轉(zhuǎn)變和現(xiàn)狀出發(fā),厘清控費(fèi)的具體機(jī)制,根據(jù)當(dāng)前我國(guó)實(shí)踐中存在的問題,從藥物經(jīng)濟(jì)學(xué)評(píng)價(jià)、藥品分級(jí)分類管理、完善醫(yī)保藥品支付方式和補(bǔ)償機(jī)制、合理分配補(bǔ)償結(jié)余等方面入手,提升藥品的可及性、費(fèi)用的可控性和政策的激勵(lì)性。
[Abstract]:Establishing the standard of medical insurance payment for drugs (reference price) is an important measure to control the unreasonable increase of drug cost in many countries. The standard of health care drug payment affects the behavior of doctors and the pricing of drug companies by stimulating patients' demand and enhancing patients' right to choose by means of drug price competition. After our country liberalizes the drug government pricing, it is urgent to establish the price forming mechanism that adapts to the development of the drug market. To establish the medical insurance drug payment standard, we need to clarify the specific mechanism of the control fee from the transformation and the present situation of the drug management policy in our country. According to the problems existing in the practice of our country at present, starting with the aspects of the evaluation of pharmacoeconomics, the classification and management of drugs, the improvement of the payment mode and compensation mechanism of medical insurance drugs, the rational distribution of compensation balance, and so on, the availability of drugs can be improved. Cost control and policy incentives.
【作者單位】: 湖北經(jīng)濟(jì)學(xué)院財(cái)政與公共管理學(xué)院;
【基金】:湖北省教育廳人文社會(huì)科學(xué)研究項(xiàng)目(17Q142)
【分類號(hào)】:R95
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1 劉桂圓;藥品價(jià)格改革形勢(shì)下醫(yī)保藥品支付標(biāo)準(zhǔn)的研究[D];東南大學(xué);2017年
,本文編號(hào):1787598
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