Analysis on the Refused Payment in Medical Insurance Drugs in One Hospital in 2016 / 中国药师
China Pharmacist
;
(12): 128-132, 2018.
Article
in Chinese
| WPRIM
| ID: wpr-705469
ABSTRACT
Objective:
To analyze the refused payment in medical insurance drugs in our hospital in 2016 to promote the rational drug use.Methods:
The refused payment in medical insurance drugs was analyzed , the reasons were summarized and the medication rationality was analyzed as well .Results:
There were 372 cases of refused payment in medical insurance drugs in 2016 , and among them, 281 cases were with excessive medication accounting for 75.54%.There were 46 cases of off-label drug use, which accounted for 54.33%in the whole refused sum.The other reasons for the refused payment in medical insurance drugs included contraindication use of medication and violation of ladder medication etc .Conclusion:
In the diagnosis and treatment process , doctors should be famil-iar with and follow the medical insurance payment system .The current health insurance payment system also requires a combination of medical technology , pharmacy economics and Chinese patient data .Medicare payment system needs to be improved by information technology.At the same time, pharmacists should play active role , and medical institutions should be encouraged to take effective measures to promote clinical rational drug use , which can promote the maximum normative treatment for each patient .
Full text:
Available
Index:
WPRIM (Western Pacific)
Language:
Chinese
Journal:
China Pharmacist
Year:
2018
Type:
Article
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