The Feasibility Research Of Basic Drugs Full Amount Guarantee For Elderly People Over 65 In Primary Medical Institutions

Purpose:Through the investigation and analysis of resources allocation, medical insurance, basic medical institutions, the use and distribution of medical and health in basic drugs. To study the use of essential drugs, the amount of drug consumption, the amount of the basic medical expenses, and the composition of the basic drugs for the aged over 65 for the government decision-making policy of the basic medical institutions in the basic medical institutions. Once the implementation of this project, it will reduce the burden on the elderly patients, promote the classification and diagnosis and treatment and improve the management of chronic diseases and rational drug use.Method:By using descriptive statistical analysis method and normative research method, referring to the relevant literature, we know that China’s current implementation of the basic drug system, especially in the government run primary health care institutions in the supply and use of basic drugs, summarized the basic medical institutions in the implementation of the basic drug problems and solutions. In Liaoyuan, for example, the use of the basic medical health institutions in Liaoyuan, the local grassroots medical institutions to analyze the use of basic drugs, to explore the full support of 65 years of age and older medical institutions, free access to basic drug policy is feasibleThrough the establishment of the research group, the self-administered questionnaire forms, respectively for grassroots medical institutions management personnel, medical personnel, the masses of the questionnaire. The content of the questionnaire: basic medical institutions over the age of 65 free use of basic drugs, basic medical institutions over the age of 65 free use of basic drugs, the implementation of free basic drug types, how to eliminate the waste of basic drugs, understanding of the extent of the national drug policy, medical personnel for the use of basic drugs, and so on. After finishing, using Epidata3.1 to carry on the questionnaire data entry, the SPSS13.0 statistical software carries on the statistical analysis. Comprehensive understanding of the basic medical institutions, medical personnel, the masses of the basic medical institutions over the age of 65 years of basic drugs for the use of the full guarantee of the full support of the cognitive situation.ResultThe survey results showed: The elderly population in Liaoyuan accounted for less; for township hospitals, city community, village health room of basic drugs proportion is more than two hospitals, drug number was significantly lower than that in more than two hospitals, primary health care institutions basic drug costs were significantly lower than the more than two medical institutions, basic drug coverage is better in the basic medical institutions, the limited number of species and varieties, the cost of basic medical institutions of basic drugs accounted for the larger proportion of larger, more grass-roots; clinic data, outpatient visits more than two hospitals above the city community and township hospitals, the per capita medical expenses were significantly higher than those in City community and township hospitals, hospital data show, more than two is 5 the number of times the city community hospital, analyzed that the multiple flow direction more than two medical institutions at the grassroots level in patients, data show that the state should be strengthened, the city Community and township hospitals to finance, personnel, technology and other aspects of support, so as to play the role of patients with diversion, the elderly disease using basic drug expenditure results show that 82.93% of the 6 diseases, respectively, coronary heart disease, cardiovascular disease, diabetes, respiratory diseases, hypertension, gastrointestinal diseases, 6 diseases are elderly people, in the basic drugs accounted for a relatively high demand for such basic drugs.1. Analysis of the results of the management staff: the basic medical and health institutions in the policy or on the financial security, the basic medical health institutions in the primary health care level 65 years of use of basic drugs to achieve full protection level is very high, but there are still some drawbacks and problems, need to be resolved, and must strengthen the basic medical institutions in the primary medical institutions can be obtained after the use of basic drugs;2. Medical staff questionnaire analysis: medical personnel pay more attention to the full use of basic drugs, basic drugs abuse and waste of resources, the results also show that the best way is to strengthen the medical examination, the basic drug reasonable free use and medical prescription, but also to strengthen the relevant system to restrict and regulate the behavior of patients and doctors prescription, the basic drug use the most ideal measure is the government unified organization, unified procurement;3. To the people of the questionnaire results analysis: the masses questionnaire reflects the full support of the people’s attitude and how to do, more than 70% people believe that full support can reduce the economic burden, 62% of the people who want to meet the 65 years old and older than the basic drugs used in all diseases are the ultimate idea, can be achieved for the first time to achieve the basic drugs needed for the 6 kinds of diseases.Conclusion:According to the survey and assessment data analysis of the basic medical institutions, I think the old people in the basic medical and health institutions to enjoy the full support of the basic medical insurance system was conformed to the China’s current policy, which can be implemented.1.The whole society to the policy of basic drugs full amount guarantee for elderly people over 65 in primary medical institutions with good expectations2.Due to the procurement and supply of essential drugs are still insufficient,it is restricted to implementing the policy of basic drugs full amount guarantee for elderly people over 65 in primary medical institutions.3.The country’s existing financial subsidies can compensate the shortfall arising whice generated by implement the policy of basic drugs full amount guarantee for elderly people over 65 in primary medical institutions.4.The change of National Essential Drugs List will bring some risks for the policy of basic drugs full amount guarantee for elderly people over 65 in primary medical institutions.5.Under the current situation about lack of available funding.Focusing on the implementation of essential drugs safeguards against heart disease, cardiovascular disease and other six kinds of diseases can play a significant role for reducing the drug cost of the elderly people over 65.