OBJECTIVE To quantitatively evaluate the"dual channel"management policy of national medical insurance negotiation drugs at the provincial level,analyze the shortcomings and excellent experience and provide reference for the optimization of the policy.METHODS Taking the"double-channel"management policy of national medical insurance negotiation drugs in 31 provinces as the research object,text mining method was used to summarize the key contents of the policy;the policy modeling consistency(PMC)index model is constructed,and the"dual channel"management policies of 31 provinces are quantitatively analyzed through the evaluation model.Taking Beijing and Chongqing as examples,the differences between good policies and acceptable policies are compared.RESULTS Among the 31 provinces,the PMC index of 18 provinces is between 6.00 and＜8.00,which belongs to the excellent policies.The PMC index of 13 provinces is between 4.00 and＜6.00,which belongs to acceptable policies.The policies of Beijing and Chongqing are consistent in 5 aspects,such as policy nature and policy effectiveness,while there are differences in 4 aspects,such as policy content and policy audience.CONCLUSION The"dual channel"management policies in most provinces are at a relatively perfect level,and some provinces need to continuously optimize the policy design and improve the policy rules according to the actual situation of their own medical and health development;establish the management mode of designated pharmacies,clarify the selection rules and exit mechanism;pay attention to the construction of pharmaceutical care,and promote the outflow of prescriptions.
关键词
国家医保谈判药品/双通道/PMC指数模型/文本挖掘法/政策研究/量化评价
Key words
national medical insurance negotiation drugs/dual channel/PMC index model/text mining method/policy research/quantitative evaluation
万方数据