某大型综合医院医保药品目录执行效果研究

The effect research of medical insurance drug list use in a large general hospital

文章通过对江苏省某大型综合医院进行统计分析,研究《江苏省基本医疗保险药品目录(2010版)》实施后,医院总体和特定科室的药品使用情况,以及医保与自费患者对医保目录内外药品的使用结构、种类、档次和费用控制的变化,关注参保患者的用药情况,为促进临床合理用药、降低医保基金运行风险以及控制药品费用的不合理增长提供理论依据。

To analyze a large general hospital in Jiangsu. This study explored the drug use of hospital overall and particular sections, as well as the types, structures and cost control changes of drug use on medicare and private patients after the implementation of the Basic Medical Insurance Drug List of Jiangsu （2010 Edition）. Moreover,this study pays attention to the insured patients＇ medication,and provides theoretical basis to promote rational clinical drug use,lower operation risk of health insurance funds and control unreasonable increase of medical expenses.