鞍山市立山区各级医疗机构国产医疗器械配置利用政策现况分析

Analysis on the Current Situation of Domestic Medical Device Allocation and Utilization Policy in All Levels of Medical Institutions in Lishan District of Anshan City

目的了解鞍山市立山示范区现有医疗卫生政策、医保政策对国产创新型医疗器械配置和利用的影响,为"十三五"重点研发计划"辽宁省创新诊疗装备区域应用示范项目"在立山示范区实施过程中国产医疗器械配置数量和利用率提升政策创新提供科学依据。方法2018年6~7月采用面对面访谈形式,访谈对象为示范区所在市/区卫计部门主管医疗器械配置的主要领导、示范区各级医疗机构主管医疗器械配置院长/科长、示范区所在市/区卫计部门和社保部门主要领导/科长、示范区所在市卫计部门负责信息的科长、示范区会诊中心主任、示范区二、三级医院主管信息的科长等共计29人。主要访谈内容为医疗机构器械配置、医保政策、会诊中心建设等。结果立山示范区还没有专门针对促进国产医疗器械利用、配置的卫生政策、医保政策;现有城镇居民职工医保政策,如:对于肿瘤、冠心病、心功不全等特病,门诊免门槛费,住院每年只收取一次门槛费,提高基层医疗机构治疗各种慢性病的报销比例;扩大城镇职工医保个人账户支付范围,如:职工医保个人账户可以用于体检、疫苗接种。结论目前鞍山市立山区尚无相关卫生政策促进国产医疗器械在立山区利用和配置,医保政策能够在一定程度上促进国产器械配置和利用,需要探索新的,适合立山区情况的政策来促进国产器械的配置和利用。

Objective To understand the existing medical and health policy which impact on domestic innovative medical equipment configuration and using in area of LiShan,Anshan and provide a scientific basis for policy innovation of"Liaoning province innovative diagnosis and treatment equipment regional application demonstration project"13 th five-year the key research and development plan.Methods From June to July 2018,face-to-face interviews were performed on the 29 people,who were the main leader of the medical equipment allocation department of the municipal/district health care department of the demonstration area,the dean/chief of the medical equipment allocation department of the medical institutions at all levels of the demonstration area,the main leader/chief of the municipal health care department and the social security department of the demonstration area,the municipal health care department of the demonstration area,the chief of the section,the director of the center of the demonstration area,and the chief of the information of the hospitals at the second and third levels of the demonstration area.The main interview contents were the equipment configuration of medical institutions,the construction of remote consultation platforms,and the medical insurance policies.Results There was no specifically targeted health policies and medical insurance policies that promote the use and deployment of domestic medical devices in Lishan demonstration area.The existing medical insurance policies for urban residents,such as tumors,coronary heart disease,heart failure and other special diseases,outpatient clinics were exempt from threshold fees,and hospitalization was only charged once a year to increase the reimbursement rate for treatment of various chronic diseases in grassroots medical institutions.Expand the scope of payment of personal accounts for urban workers’health insurance,such as personal accounts for employees’health insurance could be used for medical examinations and vaccinations.Conclusion At present,there are no relevant health policies to promote the use and deployment of domestic medical devices in the mountainous areas of Anshan city.Medical insurance policies can promote the deployment and utilization of domestic devices to a certain extent.It is necessary to explore new policies that are suitable for the conditions of the mountainous areas to promote the deployment and utilization of domestic devices.