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上海市老年人药品费用分布研究

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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

作者:: 金春林¹; 丁玲玲²; 王力男¹; 3; 朱碧帆¹; 李芬¹; 王常颖¹; 1.上海市卫生和健康发展研究中心(上海市医学科学技术情报研究所),上海 200040
2.中南大学湘雅公共卫生学院,湖南长沙 410008
3.上海财经大学公共经济与管理学院,上海 200433

Author(s):: JIN Chun-lin; DING Ling-ling; WANG Li-nan; ZHU Bi-fan; LI Fen; WANG Chang-ying; Shanghai Health and Wellness Development Research Center (Shanghai Institute of Medical Science and Technology Information)，Shanghai 200040，China

摘要:: 目的：对2015年上海市老年人药品费用消耗及分布情况进行分析。结果：上海市药品费用主要集中在老年人口组，循环系统疾病和肿瘤消耗了较多的药品费用；城镇医保患者药品费用占比最高；从医疗机构类型看，老年人药品费用主要集中在医院，基层占比较低。结论：上海市老年人药品费用配置不合理，应引导药品费用下沉基层，同时加强医保政策改革，对特定病种进行药品打包，引导老年人合理用药，优化药品资源配置。另外，加强对老年人的健康干预，避免或减少药品资源浪费。

Abstract:: Objective To analyze the consumption and distribution of elderly drug costs in Shanghai in 2015. Results Shanghai's drug costs were mainly concentrated in the elderly population. Among them，circulatory diseases and tumors consumed more drugs；urban medical insurance patients had the highest proportion of drug costs. From the types of medical institutions，the elderly drug costs were mainly concentrated in hospitals，while the grassroots accounted for a relatively low proportion. Conclusion It can be seen that the allocation of medicine costs for the elderly in Shanghai is unreasonable. To avoid or reduce waste of medicine resources，the cost of medicine should be guided to sink at grassroots level，and medical insurance policy should be strengthened as well as packaged medicines for specific diseases，guides for elderly to rationally use medicines，optimized medicine resources allocation，and health education for elderly.

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更新日期/Last Update: 2019-01-04