| 引用本文：张天天, 罗永兴, 周奕男, 李健梅, 熊雪晨, 马振凯, 戴瑞明, 金超, 白鸽, 罗力.药店医保定点规划方法的实证研究:思路、步骤和效果预测[J].中国卫生政策研究,2018,11(2):64-68 |
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| 药店医保定点规划方法的实证研究:思路、步骤和效果预测 |
| 投稿时间：2017-05-18 修订日期：2017-08-05 PDF全文浏览 HTML全文浏览 |
| 张天天1, 罗永兴2, 周奕男3, 李健梅2, 熊雪晨3, 马振凯3, 戴瑞明1, 金超3, 白鸽1, 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:以华东某地区为例，收集、整理当地的人口分布、道路交通、行政区划、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，进行规划和定点，测算增补前后医保定点药店的数量及分布。方案一以15分钟步行距离为标准对零售药店基层药事服务圈进行划分，该地区需要增加医保定点药店548家，服务区域占比可提高12.36%，服务人口占比可提高10.82%，定点药店良性竞争率提高8.36%。方案二以10分钟步行距离为标准对零售药店基层药事服务圈进行划分，显示该地区需要增加医保定点药店1 197家；服务区域占比可提高15.23%，服务人口占比可提高20.49%，定点药店良性竞争率提高19%。 |
| 关键词:地理信息系统 医保定点药店 |
| 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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| The empirical study on the methodology of increasing the designated medical insurance drugstores: Ideas, steps and effect forecasts |
| ZHANG Tian-tian1, LUO Yong-xing2, ZHOU Yi-nan3, LI Jian-mei2, XIONG Xue-chen3, MA Zhen-kai3, DAI Rui-ming1, JIN Chao3, BAI Ge1, 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:Using an area in east of China as a case, the paper exploit the methodology to define and visualize the scope of the medical insurance pharmacy service through using ArcGIS and its function modules to analyzing the basic data including this area's population distribution, address of drugstores, administrative districts, road network and soon.Plan A based on the 15-minute walk distance norm for defining the scopes, shows that this area need to increase 548 medical insurances designated drugstore, the effect of which was service area can be increased by 12.36%, service population can be increased by 10.82%, designated drugstore healthy competition rate can be increased by 8.36%; Plan B based on the 10-minute walk distance norm for defining the scopes, displays that this area need to increase 1197 medical insurance designated drugstore, the effect of which was service area can be increased by 15.23%, service population can be increased by 20.49%, designated drugstore healthy competition rate can be increased by 19%. |
| Key words:Geographic Information System(GIS) Medical insurance designated drugstores |
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