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Journal of Chinese Pharmaceutical Sciences ›› 2021, Vol. 30 ›› Issue (10): 845-850.DOI: 10.5246/jcps.2021.10.073

• Drug administration and clinical pharmacy column • Previous Articles     Next Articles

Analysis of reimbursement policy for outpatient chronic diseases in basic medical insurance for urban residents in China provincial capitals

Ningtai Luo1,#, Yajuan Xiong1,#, Li Liu1, Bin Jiang1,*(), Jianying Yue2   

  1. 1 Department of Administrative and Clinical Pharmacy, School of Pharmaceutical Sciences, Peking University Health Science Center, Beijing 100191, China
    2 School of Health Humanities, Peking University Health Science Center, Beijing 100191, China
  • Received:2021-05-12 Revised:2021-06-10 Accepted:2021-06-25 Online:2021-10-24 Published:2021-10-24
  • Contact: Bin Jiang
  • About author:
    # These authors contributed equally to this work.

Abstract:

Reimbursement policy for outpatient chronic diseases is an important part of the basic medical insurance scheme in China. The reimbursement policy for outpatient chronic diseases in basic medical insurance for urban residents of provincial capitals in China were analyzed from the perspectives of disease types, benefits package, qualification and health service access. Proposals to improve policy design, establish standardized disease inclusion criteria and set reasonable benefits package, strengthen management and complete supporting policy, strengthen policy coordination were put forward according the existing problems such as fragmented policy, great difference in disease types and benefit package, supervision difficulty, incomplete policy framework and lack of policy coordination.

Key words: Outpatient chronic diseases, Basic medical insurance, Reimbursement policy

Supporting: