老年人在基层医疗机构免费使用基本药物可行性研究——以广西为例

Studying on the feasibility of free-using essential medicines for the elderly in grass-roots medical institutions sampled with Guangxi

目的:从医保可负担性来探讨政策的可行性,为政策的开展和实施提供建议与参考。方法:运用描述性统计分析方法对医保基金使用、结余等数据进行统计分析。结果:65岁以上老年人占总人口比例高,大部分老年人患有慢性疾病;三类基本医保基本覆盖了广西全部人口,医保基金结余率较高;基本医保资金可以承担基层65岁以上老年人免费提供基本药物的费用。结论:65岁(含65岁)以上老年人,可限定免费供应基本药物品种数;乡镇卫生院、村卫生室、社区卫生服务中心、社区卫生服务站等可作为提供该服务的基层医疗卫生服务机构;建议采取医保全部报销、财政适当补助的筹资方式,确保政策实行的可持续性。

Objective To study the feasibility of free-using essential medicines for the elderly in grass-roots medical institutions,and provide references for improving it. Methods Data of the use and surplus of medical insurance fund was studied with descriptive statistics analysis method. Results Most of the elderly aged over 65 years had suffered with chronic diseases. Three kinds of basic medical insurance had almost covered the entire population of Guangxi,with higher surplus of medical insurance fund. The basic medical insurance funds can bear the cost of free-using essential medicines for the elderly. Conclusion The policy of free-using essential medicines should be defined in the elderly aged over 65 years,special kinds of essential medicines and appointed grass-roots medical institutions. It was suggested to implement the financing method of reimbursement from medical insurance,with financial subsidies to ensure its sustainability.