| 引用本文：徐伟, 江欣禅, 杨爽.香港地区药物安全网对大病医疗保障的启示[J].中国卫生政策研究,2017,10(4):18-23 |
|
| 香港地区药物安全网对大病医疗保障的启示 |
| 投稿时间：2016-10-19 修订日期：2017-01-09 PDF全文浏览 HTML全文浏览 |
| 徐伟, 江欣禅, 杨爽 |
| 中国药科大学国际医药商学院 江苏南京 211198 |
| 摘要:补偿患者高值药品费用是大病医疗保障的重要途径。我国香港地区建立了药物安全网，在提高高值药品可及性、减轻患者疾病负担等方面取得了显著成效。本文系统梳理了香港地区药物安全网的历史沿革、药品纳入流程、药品及患者申请条件、发展现状以及特点。指出我国内地虽已逐步通过药品谈判建立保障大病的高值药品目录，但机制尚不成熟。应借鉴香港地区药物安全网，建立高值药品目录的准入与退出机制，实现高值药品目录与基本医疗保险目录、新农合基本用药目录的衔接。同时建立多渠道、社会化的筹资机制，扩大高值药品保障范围。最后坚持买赠结合的谈判原则，改革单一的定比例补偿方式，以进一步加强大病医疗保障。 |
| 关键词:香港药物安全网 大病医疗保障 药品谈判 高值药品目录 |
| 基金项目:国家自然科学基金面上项目（71273278）；2014年度高校“青蓝工程”项目 |
|
| The implications of drug safety network on catastrophic disease medical insurance in Hong Kong |
| XU Wei, JIANG Xin-chan, YANG Shuang |
| School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing Jiangsu 211198, China |
| Abstract:The reimbursement on high-value drug expenses for patients is an important approach of catastrophic disease medical insurance. Hong Kong has established in a drug safety network, that has achieved remarkable results in improving the accessibility to high-value drugs and the burden of disease and effectively alleviated patients' financial burden. This paper systematically analyzes the history, process of adding drugs to directory, application conditions for drugs and patients, development status, and characteristics of drug safety network in Hong Kong. This study points out that although Mainland China has gradually established the high-value drug directory for catastrophic disease through the method of drug negotiation, the mechanism of high-value drug directory is not mature yet. To achieve the convergence between high-value drug directory, basic medical insurance drug directory, and new rural cooperative medical scheme drug directory, Mainland China needs to:1) First, learn from the drug safety network in Hong Kong and establish access and exist mechanism for high-value drug directory; 2) Then, expand insurance coverage of high-value drugs by establishing a multi-channel and socialized financing mechanism; 3) Finally, strengthen the major disease medical insurance by adhering to the principles of buying drugs and getting drugs for free and reforming the fixed-ratio-reimbursement model. |
| Key words:Drug safety network in Hong Kong Catastrophic disease medical insurance Drug negotiation High-value drug directory |
| 摘要点击次数: 2022 全文下载次数: 12 |
|
|
|
|
|
