The officers of people's assuaring department analyze the new medical insurance medicines catalogue

The officers of people's assuaring department analyze the new medical insurance medicines catalogue
Staff reporter Kong LingMin On November 30, at the news briefing that human resources and social security department are held, the medical insurance Yao Hong, chiefs of department of this department say, former Ministry of Labour Security had successively released catalogue of two medical insurance of edition in 2000 and 2004, the insurance catalogue of the industrial injury is the first formulation of 2004. The looks, relatively in the old edition catalogue, the adjustment of the new catalogue has mainly reflected the spirit of new medical reform, focus on innovation and completion that use medicine on management and mechanism of management, devoted to doing 4 well to connect: Link up with national basic medicine system; Connect with the requirement for accelerating building the multi-level medical security system, give consideration to multi-form medical insurance system, administration of industrial injury insurance and birth insurance and manage the need; Connect with strengthening the medical care management of the medical insurance, promote and use medicine rationally; Connect with setting up the negotiations mechanism of medical insurance, give play to the role of restriction of the hospitalization cost of the medical insurance. " national basic medicine catalogue " medicines all include in Class A Yao Hong says, compared with 2004 medical insurance of edition catalogues, the new catalogues all include medicines of " national basic medicine catalogue " in the class-A part of the catalogue. According to the relevant regulation of the basic medical insurance, medicines of the class-A catalogue effect an insurance personnel do not have individuals to pay the proportion for itself, and all parts can't adjust. So, the ones that can guarantee the national basic medicine submit an expense account the proportion is higher than the non- basic medicine. For cooperate, run urban the intersection of community and the intersection of hygiene and service organization and county in 30% government this year ' Medical health organ in the basic unit) Implement the arrangement of the basic medicine system, all parts should begin to carry out the class-A catalogue in December. Meanwhile, consider the regional administration is used to the difference, the place adjusts the class-B catalogue within the range of 15% all right, but all parts should finish corresponding adjustment before next the end of March. Increase by 260 kinds of medicines "The catalogue has increased the new medicine variety appropriately. " Yao Hong says, compared with 2004 version catalogue, the new catalogue has increased by 260 kinds of medicines altogether, increasing degree is 13.7%. Among them, class-A medicines have increased by 53 kinds, increasing degree is 11.8%. Newly-increased medicines are listed in recent years, pass the curative effect of clinical verification precisely, security is high, have already increased using the medicine choice in order to effect an insurance at the time of patient's treatment of medical worker, also improved the guarantee level of the basic medical insurance. Meanwhile, the new catalogue can be substituted by better medicine to some in old edition catalogue still or the medicines which nobody used are accessed, enable the structure of the medicines catalogue more rationally. Administration person who limit it improves 12% Yao to be great to say new one great characteristic of catalogue lie in, strengthen to the intersection of medical organization and management of administration also. Stipulate clearly in the notice related to catalogue, doctors should accord with the principle of making a diagnosis while making Western medicine, make Chinese medicine, want, follow the intersection of diagnosis and principle of Chinese medicine and cut the intersection of French side and medicine, can't be superposed and used while being minimum to classify similar medicines under to every, also limited medicines partly apt to abuse in paying the range, in order to prevent medicines from abusing. For example, the new catalogue carries on differentiated control to antibiotic, define that has stipulated what antibiotic wants the restriction on use of could be usedding etc. under the urgent critical disease condition. The statistics show, the looks is relatively 2004 edition, the new catalogue has presumed 843 restriction on use together, the limiting rate has been improved by 12%. In addition, rescuing to the clinic outside the new catalogue promptly and special medicines essential in disease treatment, the department that protects people still requires all parts to set up the fixed reporting system of medical organization and define corresponding verification management, the patient's treatment needs in order to guarantee to effect an insurance. Meanwhile, will study and explore that sets up medicines negotiations mechanism, to that some clinical curative effect is precise, have great innovative value, but costing an arm and a leg may produce medicines of the risk to the medical insurance fund, make the method of the negotiation entry separately. Yao Hong emphasizes, though compared with old edition, the administration of the new catalogue ensures competence to obviously improve, but compared with patient's varied, various requirement, the guarantee level of the new catalogue is still very limited, still offer the most basic medical guarantee for joining sponsors.

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