基于地理信息系统技术的医保定点药店增选方法的实证研究Δ

Empirical Study on Designated Drugstores Co-opted Method for Medical Insurance Based on the Geographic Information System Technology

目的:探讨课题组设计的医保定点药店增选方法的可行性。方法:以上海市为样本地区,收集、整理上海市的行政区划、道路交通、人口分布、药店分布等基础数据,运用地理信息系统软件及其功能模块,按照课题组设计的方法计算特定数量的医保定点药店增选要求下增选医保定点药店的分布,以及增选后的医保定点药店服务区域和服务人口变化效果。结果:采用课题组设计的医保定点药店增选方法,上海市共可增加343家医保定点药店,服务区域占比可提高19.2%,服务人口占比可提高15.8%;并明确了药店的增选批次,即第1类95家,第2类127家,第3类121家。结论:课题组设计的医保定点药店增选方法具有可行性,为建立规划目标与规划效果之间的联系提供了方法学基础,有助于相关决策者参考。

OBJECTIVE： To investigate the feasibility of the co-opted method of designated drugstores for medical insurance which is developed by research group. METHODS： The data which included the administrative divisions, road traffic, population and pharmacies＇ distribution were collected and summarized, taking Shanghai as sample. Using geographic information system soft-ware and module, the distribution of supplemented medical insurance drugstores and the changes of serviced area and service object were calculated by the method developed by research group under the quantitatively requirements of medical insurance drugstores. RESULTS： By using the co-opted method developed by research group, 343 drugstores should be co-opted; the service area of designated drugstores increased by 19.2% and the service population increased by 15.8%. The batch of co-opted designated drugstores were confirmed i.e. 95 type I designated drugstores, 127 type II and 121 type III designated drugstores. CONCLUSIONS： The co-opted method developed by research group is feasible, clear and intuitive. It provides methodology basis for the linkage establish- ment between planning effects and planning objectives, and contributes to decision-making for policy makers.