终末期肾病的医疗保险补偿政策研究

Policy Research on Medical Insurance Reimbursement of End Stage Renal Syndrome

终末期肾病透析造成了一定的社会经济负担,根据研究结果提出按病种定额支付方式的措施,改变现有的医疗保险补偿模式,为推广社区腹膜透析治疗、促进早期透析治疗、提高患者生存质量而服务。通过模拟方法计算了病人、医院、医保单位及药厂各方的损益率。

The paper analyzes the social econmic burden of dialysis caused by end - stage renal syndrome. According to the research findings , the authors recommondate a messurement based on unit rate payment method so as to advocate the PD in community, promote dialysis in the early stage and improve the quality of life. A simulation of risk benefit analysis was calculated from the view of different stakeholders, such as patient, hospital, third party and pharmaceutical industry.