| 引用本文：张天天, 李健梅, 白鸽, 李健, 熊雪晨, 周帅, 吕大伟, 霍兆桦, 罗永兴, 周良, 周奕男, 罗力.公平和效率导向的医保定点药店布局规划方法[J].中国卫生政策研究,2018,11(2):59-63 |
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| 公平和效率导向的医保定点药店布局规划方法 |
| 投稿时间：2017-05-16 修订日期：2017-08-10 PDF全文浏览 HTML全文浏览 |
| 张天天1, 李健梅2, 白鸽1, 李健2, 熊雪晨1, 周帅1, 吕大伟2, 霍兆桦1, 罗永兴2, 周良1, 周奕男3, 罗力1 |
1. 复旦大学公共卫生学院 上海 200032;
2. 上海市医保办公室 上海 200125;
3. 上海健康信息协同研究中心 上海 200041 |
| 摘要:目的：探讨稳步有序扩增医保定点药店的方法。方法：借助网格化管理思想，基于人口分布、药店分布等基础数据，运用地理信息系统软件及其功能模块，以公平和效率为导向，对医保定点药店进行补选和增选，并按照提出方法、数据模拟、反复论证、完善方法的思路确定医保定点药店的增补方法。结果：解决零售药店基层药事服务圈的界定与划分、定点药店需补选和增选区域的核定、零售药店定点规划的分年度实施办法以及增补备选药店的筛选原则确定等关键问题，以此明确医保定点药店的增补步骤。结论：公平和效率为导向的医保定点药店布局规划方法具有实践性和可操作性，可为区域内稳步有序发展医保定点药店提供参考依据。 |
| 关键词:地理信息系统 医保定点药店 布局规划 |
| 基金项目:国家自然科学基金面上项目（71473045）；教育部哲学社会科学研究重大课题攻关项目（15JZD029） |
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| A layout planning methodology of increasing the designated medical insurance drugstores guided by fairness and efficiency |
| ZHANG Tian-tian1, LI Jian-mei2, BAI Ge1, LI Jian2, XIONG Xue-chen1, ZHOU Shuai1, LV Da-wei2, HUO Zhao-hua1, LUO Yong-xing2, ZHOU Liang1, ZHOU Yi-nan3, LUO Li1 |
1. School of Public Health, Fudan University, Shanghai 200032, China;
2. Shanghai Medical Insurance Bureau, Shanghai 200125, China;
3. Shanghai Health Information Center, Shanghai 200041, China |
| Abstract:Objective:This paper develops a methodology for steady and orderly expansion of the designated medical insurance drugstores. Methods:With the help of grid management ideology, the paper uses ArcGIS and its function modules to define and visualize the scope of the medical insurance drugs service with the guidance of fairness and efficiency through analyzing the basic data including population distribution, the physical distribution of drugstores and soon. Results:In order to figure out the procedure of the methodology, the key problems were all solved, including defining and visualizing the scope of the medical insurance drugs service area,, checking and ratifying the scope that need to supplement or increase the medical insurance drugstores, making measures for the annual implementation and confirming a selection principle for designated medical insurance drugstores. Conclusion:The Methodology guided by fairness and efficiency of the medicare designated pharmacy layout planning is practical and feasible, which can probably provide a reference for increasing the designated medical insurance drugstores steadily and orderly. |
| Key words:Geographic Information System(GIS) Medical insurance designated drugstores Allocation plan |
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