成都大病保险保障体系下的重特大疾病医疗保险-临床药物治疗杂志.PDFVIP

1616 22 Vol.16,No.02Vol.16,No.02 第第 卷 第卷 第 期 期 临床药物治疗杂志 临床药物治疗杂志 2018 2 Clinical Medication Journal Feb,2018Feb,2018 2018 年 2 月 Clinical Medication Journal 年 月 药事管理 成都市大病保险保障体系下的重特大疾病医疗保险药品目录建立和管理 黄德斌，谢柯佳* （成都市医疗保险管理局，成都 610031） 【摘要】由于建立健全大病保险保障机制已成为全民医疗保障体系建设中的重要环节，因此，现阶段通过分析主要 干预药物的临床治疗效果评估和诊疗各项目在整体费用中的占比情况，关注高值药品的费用问题已成为重特大疾病保 障、化解重大疾病患者经济风险的研究重点。在此情况下，本文就成都市大病保险保障体系下的重特大疾病医疗保险 药品目录的建立和管理情况进行介绍，以期为相关管理部门提供参考。 【关键词】大病保险；重特大疾病；药品目录 【中图分类号】 F840.684; R197.1 【文献标志码】A 【文章编号】1672-3384(2018)02-0088-05 doi:10.3969/j.issn.1672-3384.2018.02.022 Establishment and management of serious disease medical insurance drug list in Chengdu serious disease insurance security system HUANG De-bin, XIE Ke-jia* Chengdu Medical Insurance Management Bureau, Chengdu 610031, China ） （ Abstract The establishment of a wholesome insurance mechanism for serious diseases has become a crucial link in the 【 】 construction of the universal medical security system. At present, research focuses on the evaluation of clinical therapeutic effect of the main drug intervention, the proportion of each project in the overall cost of diagnosis and treatment and the cost of high-value medicines, helping to construct the serious diseases medical insurance system, together with solutions for economic risks in the patients with serious diseases. This paper introduces the establishment of medical insurance medicine catalogue for serious diseases and the related mana