论文部分内容阅读
加强医疗保险费用管理,克服浪费、减轻参保人员负担是保证医疗保险制度改革顺利实施的关键。根据省部属驻榕单位医疗保险和商业补充医疗保险运行一年半来的情况,结合医疗服务管理常规,现就强化医疗保险服务管理特别是加强大额医疗费用管理的有关问题通知如下:一、规范医疗服务行为,控制不合理医疗支出1、普通门诊和门诊特殊病种治疗,应严格遵循处方用药管理有关规定,急性病一般不超过三日常用量,慢性病不超过七日常用量,特殊情况一般也不应超过两周常用量,不得擅自超剂量用药。
To strengthen the management of medical insurance expenses, to overcome the waste and reduce the burden on insured persons is the key to ensure the smooth implementation of the medical insurance system reform. According to the provincial department of Rong unit of medical insurance and commercial supplementary medical insurance running for a year and a half, combined with the medical service management practices, now strengthen the medical insurance service management, especially to strengthen large-scale medical expenses management issues related to the following: First, Standardize medical service behavior and control unreasonable medical expenses 1. General outpatient and outpatient special disease treatment should strictly follow the prescription medication management regulations, acute diseases generally no more than three daily doses, chronic diseases, no more than seven daily doses, special circumstances are generally not Should be more than two weeks often used, may not be overdosage medication.