有关医保药品管理问题的研究..doc

本科毕业论文(设计) 有关医保药品管理问题的研究 二级学院 药科学院 专 业 药学 班 级 2005级（4） 有关医保药品管理问题的研究 摘要：近年来，医药费用尤其是药品费用的过快增长导致了居民看病难、看病贵，对居民的医疗保障水平产生了较多的消极影响。随着国家城镇居民基本医疗保险制度的推广，国家基本医疗保险药品管理制度（以下简称“医保药品管理制度”）也发挥着越来越重要的作用。本文通过对医保药品管理中存在的问题的研究，发现现行医保药品管理制度的缺陷和不足，通过对《国家基本医疗保险药品目录》（以下简称《医保目录》）和患者、医疗部门、医疗保险管理部门之间存在的问题的研究，提出对缺陷和不足的建议和解决办法，使医保药品管理制度更完善、更符合我国国情。 关键词：基本医疗保险药品目录；医疗保险制度；药品管理 注：本论文（设计）题目来源于教师的国家级（或省部级、厅级、市级、校级、企业）科研项目，项目编号为：____________。 Research of the Problems in the Administration of Drugs for Basic National Medical insurance Abstract: In resent years, medical expenses, especially drugs expenditure has been increased rapidly, which bring difficulties and high cost for residents seeing a doctor and influence medical security negatively. With the promotion of basic medical insurance system in urban residents, national basic medical insurance and drug management system plays a more and more important role. This paper brings forward advices and resolutions for the existing shortcomings in current medical insurance and drug management system, by studying problems existed in this system, finding its limitations and deficiencies, and analyzing problems of national basic medical insurance medicine catalogue with patients, medical institutions and medical insurance management departments, in order to perfect medical insurance and drug management system in China and tally with the national conditions. Keywords: Catalogue of Drugs for Basic National Medical Insurance medical insurance system drugs management. 目 录 1. 前言 ．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．． 1 2. 《医保目录》引发的问题 ．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．3 2.1. 《医保目录》的产生、进展 ．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．3 2.2. 《医保目录》存在的问题 ．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．4 2.2.1. 药品目录不统一．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．4 2.2.2. 部分常用药仍未纳入 ．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．4 2.2.3. 适应症用药不好掌握 ．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．4