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Objective:To evaluate the impact of the establishing universal basic medical insurance system(UMIS) on pharmaceutical industry in China.Methods:Based on the accumulated main business income data of China's pharmaceutical industry from 2002 to 2014,the influence change of UMIS on China's pharmaceutical industry before and after 2008 was analyzed by the segmented regression model.Results:Segmented regression model showed that the slope rate of development trend of main business income of China's pharmaceutical industry was 1.03×107 thousand yuan per quarter(P=0.000) before the implementation of UMIS in 2008.After the implementation of UMIS in 2008,the slope rate of development trend of main business income of China's pharmaceutical industry was 2.75× 107 thousand yuan per quarter (P=0.000) and trend increased 1.72× 107 thousand yuan per quarter(P=0.000).Conclusion:The UMIS had impact on the structure,sales volume of pharmaceutical products and sale costs of China's pharmaceutical industry.UMIS had a significant effect on the increase of China's pharmaceutical industry.
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Objective:To analyze the health service utilization and burden on medical expenses of outpatients with chronic kidney diseases in Wuhan,to understand the security effects of patients with chronic kidney diseases under the basic medical insurance system,put forward suggestions to the development strategies and optimizing suggestions on strengthening the comprehensive management of chronic kidney diseases.Methods:Questionnaires were used to investigate 267 CKD outpatients of 6 first-class hospitals in Wuhan.Expert consultation method was used to interview the kidney doctors.Descriptive analysis method was used to analyze the utilization of health services,disease economic risk,catastrophic expenditure phenomenon and medicare satisfaction.Results:CKD patients had more frequent utilization of outpatient services,average outpatient expenditures of Urban Employer Medical Insurance outpatients were higher than the others,drug expenditures of New Rural Cooperative Medical System(NCMS) patients were significantly higher than the others.Most patients believed that the current medical outpatient policy could not meet the demand.Conclusion:More attention needed to be paid for NCMS,to strengthen prevention education and early management,improve the management of chronic kidney disease outpatient insurance policy.
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Objective:Under the premise of the policy of everybody has medical insurance,it discussed the integration plan of the basic medical insurance system for urban and rural residents in Tibet about the problems and the countermeasures.Methods:Descriptive and contrastive methods were used to analyze the status of urban and rural medical system operation in Tibet.Results:The problem of unbalanced development of urban and rural medical and health services in Tibet and the management of post-merger were put forward.Conclusion:It was necessary to put forward policy recommendations from the aspects of horizontal co-ordination,multi-sectoral collaborative management,unified medical insurance information management system,hierarchical diagnosis and treatment mechanism,perfect Tibetan medicine reimbursement catalog,one system and multiple files and vertical co-ordination,and gradually realize the urban and rural medical insurance in Tibet System integration.
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By analyzing the operation characteristic of community cooperative medical system in Guangzhou and the existing problem of basic medical insurance system in China, it provides the important value of exploring the implement of medical insurance system in China. Under the background of the low security level of basic medical insurance system in China is relative low, the disease risk is uncertain, medical needs diversification, medical cost inflation and the aging tendency of population, it is revealed to encourage the cooperative medical treatment of community with economic strength and enterprise development with similar enterprise annuity, as the supplement of the basic medical security system would help to compensate the lack of basic medical insurance system and meet the demand of diversified medical treatment.
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Objective To understand the performance of the basic medical security system in Guangxi for decision-making support on the development planning of the system during the 12th FiveYear Plan in Guangxi.Methods Descriptive statistics were made to analyze the annual report data of Guangxi's basic medical security system during 2009 to 2011,regarding the basic medical security for urban workers and that for urban residents,as well as those of the new rural cooperative medical system.Results The survey found that the three basic medical security systems in Guangxi have almost achieved full coverage; the compensation ratio keeps rising as the inpatient expenses of urban residents was up to 62.21％,64.96％ and 66.96％ respectively from 2009 to 2011,and that for urban residents up to 34.26％,39.96％ and 49.68％ respectively; the ratio for those covered by the new rural cooperative medical system has been maintained at 45％ for the three years; the coverage of the systems keeps expanding.Conclusion Recommend to integrate pilots of the three security systems and carry out serious diseases pilot programs; encourage reform of the payment system at institutions at or above county level; reform the risk-pooling of disease management of at primary medical institutions; strengthen the information systems of basic medical insurance system,in an effort to ensure the sound development of the basic medical insurance system.
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OBJECTIVE: To provide reference for the implementation of Essential Drug System. METHODS: According to the contents of Essential Drug System and Basic Medical Insurance System in the New Medical Reform, the relationship between Essential Drug System and Basic Medical Insurance was analyzed. RESULTS: Essential Drug System and Basic Medical Insurance System were important aspects of New Medical Reform in China, which complemented each other. Basic Medical Insurance System improved the implementation of Essential Drug System, while Essential Drug System promoted the realization of policy targets of Basic Medical Insurance System. CONCLUSION: Basic Medical Insurance System should play a promotion role in the implementation of Essential Drug System.
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OBJECTIVE:To study the effect of basic medical insurance system(BMIS) on essential medicine system(EMS) . METHODS:By analyzing the relationship between BMIS and EMS,ideas on facilitating BMIS participate in every part of EMS were put forward. RESULTS&CONCLUSION:Basic medical insurance system ensure the accessibility of essential medicine system,supervise the implement and participate in every part of EMS,meet the demand of patients on essential drugs.