太原市医保定点医院药品及检查项目情况的调查分析

Analysis on Prescription Medicines and Examination Items in Healthcare Insurance Assigned Hospitals of Taiyuan City

为了深入了解太原市医疗保险运行情况和基本医疗制度改革实施情况,我们就医保药品和检查项目的临床操作问题对太原市三家医保定点医院的医生和参保患者进行了随机抽样问卷调查,并对调查结果进行了统计分析。结果显示:医患双方都认为用药时应首先考虑甲类药品,并基本上肯定了甲类药品的疗效;对于自费药品的疗效,医生和患者的态度不一致,多数患者认为自费药品疗效并不好,而医生的调查结果则相反;医生和患者对于药品和检查项目的态度基本上表现为决定治疗措施以病情需要为准,患者基本上按医生的要求买药和做检查,但由于患者处于不完全知情的状态,医患之间存在许多观点差异。结果提示:医患之间由于服务和利益关系,患者常处于“弱势群体”地位,故存在有一定程度的诱导消费现象,解决医患之间矛盾尚需医患保三方做进一步的努力。

To further master the condition of the basic medical insurance operation and reform. Methods We selected three medical insurance prescribed hospital at random for the clinical operation of medicine and examination items. Doctors and patients taking medical insurance were surveyed in the form of sampling questionnaire. Statistic analysis was performed by SPSSll. 0. Results The results suggested that：①Both doctors and patients consider that A - class medicine which is defined as effective should be considered first.②As to the effect of at one＇s own expense medicine and items, patients＇ opinion diverged with their physicians, most of them think that these medicines are not effective. ③The attitude of doctors and patients shows that the need of illness is the criteria of choice. Most of the patients buy medicines and do the examination as the doctors＇ ordered. Conclusion There are some different ideas between doctors and patients because patients can＇t know all details about the disease. Some patients are induced to consume. Doctors and patients and the department of medical insurance must make an effort to solve the problem of infliction between doctors and patients.