中国医疗保险
中國醫療保險
중국의료보험
CHINA HEALTH INSURANCE
2015年
10期
32-35
,共4页
医疗保险%药品支付%支付标准%市场机制
醫療保險%藥品支付%支付標準%市場機製
의료보험%약품지부%지부표준%시장궤제
health insurance%drug reimbursement%reimbursement criteria%market mechanism
《推进药品价格改革的意见》指明了下一步药品价格改革"市场为主导"的原则和方向,但从当前社会各方反映和某些部门的实际做法来看,对"市场主导"的理解依然有偏差,个别地区医疗保险部门对开展支付标准的具体工作也较为茫然.本文通过阐述市场机制基本概念,分析医药终端市场情况,讨论医疗保险支付中如何体现市场主导和具体注意事项,希望能对大家研究分析药品医保支付标准有所启发.
《推進藥品價格改革的意見》指明瞭下一步藥品價格改革"市場為主導"的原則和方嚮,但從噹前社會各方反映和某些部門的實際做法來看,對"市場主導"的理解依然有偏差,箇彆地區醫療保險部門對開展支付標準的具體工作也較為茫然.本文通過闡述市場機製基本概唸,分析醫藥終耑市場情況,討論醫療保險支付中如何體現市場主導和具體註意事項,希望能對大傢研究分析藥品醫保支付標準有所啟髮.
《추진약품개격개혁적의견》지명료하일보약품개격개혁"시장위주도"적원칙화방향,단종당전사회각방반영화모사부문적실제주법래간,대"시장주도"적리해의연유편차,개별지구의료보험부문대개전지부표준적구체공작야교위망연.본문통과천술시장궤제기본개념,분석의약종단시장정황,토론의료보험지부중여하체현시장주도화구체주의사항,희망능대대가연구분석약품의보지부표준유소계발.
In Opinions on Promoting Drug Pricing Reform, it has stated clearly that drug pricing reform should adhere to principle of "market-orientation". However, from observation on the social reactions and the practice of relevant departments, there is deviation in understanding "market-orientation". The health insurance departments in some areas are still unsure about the reimbursement criteria. In this article, we will illustrate the basic concept of market mechanism, analyze the situation that medical service and end market have confronted; and discuss how to utilize market-orientation concept in health insurance reimbursement and some concerns in practice, with the expectation of bringing inspiration to study on health insurance drug reimbursement criteria.
