CAJ | 학술논문

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。
상해대사구위생복무중심실시의보총량예부정책，당뇨병、고혈압위주도적심뇌혈관질병조상관적용약대총량공제적영향권중재50%이상。만성병용약가분성치료성화보조성량대류，유한총량중，학보치료성약물충분응용시만성병공제결과개선적관건지일。이용거민건강당안상관적수거，대장기이용사구위생복무중심적군체화여전과의생첨약복무적아군진행세분양화통계，병건립상관예산광가，대공응상、전과의생개체진행예산관리，배투건립궤제，사공응방화전과의생개체유명학예기，종이보증용약적평은유서，약품자원사용효솔득도제승。
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.