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世界卫生组织预计,到2015年中国慢性病直接医疗费用将超过5000亿美元。为加强医保基金使用效率,确保参保人员合理就医,提高慢性病管理的水平,湖北省宜昌市就门诊慢性病管理进行了探索。“四定管理”出于细化管理的目的,宜昌市的门诊慢性病分为普通慢性病和特殊慢性病两类。其中高血压、糖尿病等19个病种实行按定额管理;肾功能衰竭透析、
The World Health Organization estimates that by 2015 China’s direct medical costs of chronic diseases will exceed 500 billion U.S. dollars. In order to enhance the efficiency of medical insurance funds, ensure the reasonable attendance of insured persons and improve the management of chronic diseases, the out-patient chronic disease management in Yichang, Hubei Province was explored. “Four Management ” For the purpose of detailed management, outpatient chronic diseases in Yichang City is divided into two categories of general chronic diseases and special chronic diseases. Among them, 19 kinds of diseases such as hypertension and diabetes were administered according to the quota; renal failure dialysis,