居民电子健康档案在社区慢性病药品预算管理中的应用

Application of Residents Electronic Health Records in Drug Budget Management of Community Chronic Disease

上海对社区卫生服务中心实施医保总量预付政策,糖尿病、高血压为主导的心脑血管疾病组相关的用药对总量控制的影响权重在50%以上。慢性病用药可分成治疗性和辅助性两大类,有限总量中,确保治疗性药物充分应用是慢性病控制结果改善的关键之一。利用居民健康档案相关的数据,对长期利用社区卫生服务中心的群体和与全科医生签约服务的亚群进行细分量化统计,并建立相关预算框架,对供应商、全科医生个体进行预算管理,配套建立机制,使供应方和全科医生个体有明确预期,从而保证用药的平稳有序,药品资源使用效率得到提升。

Shanghai implemented medical insurance amount prepaid policy in community health service center. The drug using effect weight of diabetes and hypertension as the leading group of cardiovascular and cerebrovascular diseases accounting total control of more than 50%. Chronic disease medication can be divided into two major categories of treatment and auxiliary two kinds, in the limited amount, to ensure the full application of therapeutic drugs is one of the key for improvement of chronic disease control. By using the related data of residents health records, to subdivided quantitative statistics for long-term using of community health service center groups and subgroups of＂ contracting services with GPs, and to establish the related budget framework, for conduct budget management of suppliers and GP individuals, and to establish the supporting mechanism, making the suppliers and GP individuals have clear expectations, in order to ensure the stable, orderly medication, the efficiency in the use of drug resources be improved.