Thursday, July 26, 2012

The new medical insurance medicines catalogue of Jiangsu will be issued Class-A medicines submit an expense account fully

The new medical insurance medicines catalogue of Jiangsu will be issued Class-A medicines submit an expense account fully
The new medical insurance medicines catalogue of Jiangsu will be issued Class-A medicines submit an expense account fully
The reporter concerned more than 30 million persons who effected an insurance of the whole province of Jiangsu (worker's medical insurance is 17 million people, 13,300,000 people of urban residents), The new medical insurance medicines catalogue adjustment that the administration chose, will finish at the end of this month, it is estimated that carries out formally in July. At present, the medical insurance department in the province is stepping up than to the catalogue of using medicine. According to the scheme, class-A medicines are not adjusted, class-B medicines are adjusted according to the regulation, adjust the total number (including calling in, accessing and adjusting and limiting and paying the medicines assortment of the range) specifically Totally 243, limit and pay the range and does not adjust. It is reported, it was still 2005 that Jiangsu adjusted the medicines catalogue of the medical insurance last time. Class-A medicines of big advantage submit an expense account at the end of last year fully, human resources and social security department have been announced the 2009 version " national basic medical insurance, industrial injury insurance and birth insurance medicines catalogue ", the new catalogue has increased by 260 medicines. Antibiotic medicine used for treating pneumonia, bronchitis " The furan of very beginning spore is hard " , " A is very mould and plain " Class-B medicine that waited in the past, all " rank among " Class-A ranks of submitting an expense account fully. In addition, " national basic medicine catalogue " The therapeutic medicines in China have been all received into Class A too. To class-A medicines, this time Jiangsu Province does not adjust. But relevant person remind say class-A medical insurance wipe out medicines fully, say that a patient needn't pay first fen to effect an insurance, mean the patient needn't bear some at one's own expense in proportion. But to class-B medicines, individual should pay some expenses first to pay for itself scale, the one left is and then shared and submitted an expense account according to the policy. Check on expensive medicine of tonic and refuse to call in the variety that Jiangsu Province has adjusted class-B medicines especially this time severely, will monitor medicines, medicines which is not fit for the regional disease administration habit, medicines with inaccurate curative effect and costing an arm and a leg with serious bad reaction and access the catalogue, what is worth mentioning is for limit and pay the range and does not adjust ing, clear medicines that will not be called in of Jiangsu Province this time, for instance: Classifications such as medicine, solving yeast for brewing rice wine, sex function to strengthen medicines, treat sterility,etc. of nourishing medicines, improving looks to reduce weight in nutrition; Oral bubbles rise dosage forms such as slice, a mouthful of Buccal tablet, wash various lotion of the body,etc.; Serious bad reaction, security are worse, the medicines apt to abuse; Contain the Chinese medicines of the rare animals and plants; Compared with original catalogue, has had like products already, and the price is relatively expensive, non- clinical and essential medicines. Prevent from, abuse antibiotic, want hierarchical human resources and social security portion go on the investigation of using medicine to 150,000 people once, found finally " Three plain soup " Use the most extraordinarily - -" three is plain " Mean antibiotic, vitamin and hormone are abused, " a soup " Refer to the situation that many medical organizations see people infuse. This is not only increase the patient's medical expenses but also apt to bring the harmful effects to the patient's health. To this one " Chronic illness " ,Clear in the new edition " national basic medical insurance, industrial injury insurance and birth insurance medicines catalogue " " The hierarchical principle of antibiotic " . Yesterday, the relevant persons in charge of medical insurance department of province explained, the hierarchical principle of antibiotic, define that stipulates what antibiotic could be used when other antibiotic are invalid, what antibiotic to use when being bacteriology is supportedded, what antibiotic worried serious disease or use under the guidance of doctors of higher authorities or hospital. This new principle will be embodied in the medicines catalogue adjustment of this medical insurance in Jiangsu Province. Spend less money, encourage doctor " the intersection of medical insurance and the intersection of medicines and catalogue involve, effect an insurance administration of personnel choose with cheap medicine more. " This person in charge says, all parts of Jiangsu will strengthen the fixed medical organization and retail the pharmacy and use the management of " medicines catalogue ", minimum to classify similar medicines under, superpose, use in principle as to every. " we will take measures, encourage doctor according to Class B under Class A first, inject preparation, clear up after the dosage form slow often first behind the oral preparation first(accuse of) Clear up principles such as dosage forms,etc. and choose medicines, encourage the pharmacist to choose cheap medicines in the same assortment dosage form while allocating medicines at first. " This personage says, there is an agreement between fixed medical organization and medical insurance department, how many medical insurance catalogues are used medicines hit every year, it is an important index examined in management of medical organization, the medicine that the doctor prescribed can all be found through the network. If medicines outside the catalogue of medical organization are used too much, exceed certain proportion, will examine and exert an influence on it. (modern bulletin Xiang FengHua)


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