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[目的]了解广州市社会医疗保险指定慢性病门诊医保待遇政策(以下简称“待遇政策”)实施中的医患道德风险。[方法]问卷调查303例办理了待遇的患者和19名医保专家。[结果]①93.0%的患者表示不会将取回的药物丢掉或送人,56.4%的患者反对“患者主动要求开贵药”。②96.0%的患者否认有医生诱导消费情况。③100%的专家表示满意“属于指定慢性病相应的门诊专科药品目录范围的药费才可以记帐”和“参保人患病住院期间不得同时享受指定慢性病门诊医疗待遇”在医疗浪费节制性方面的作用。[结论]“待遇政策”在医疗浪费节制性的作用方面总体评价良好。
[Objective] To understand the ethical risks of doctors and patients in the implementation of the policy of medical insurance for designated chronic diseases (hereinafter referred to as “treatment policy ”) in Guangzhou social medical insurance. [Methods] A total of 303 treatment cases and 19 medical insurance experts were investigated. [Results] ①93.0% of the patients said they would not throw away or give away the drugs, 56.4% of the patients objected to the patient’s request for expensive medicines. ②96.0% of patients denied the doctor induced consumption. ③100% of the experts said they were satisfied that “medicines belonging to the designated outpatient specialty drug list of chronic diseases can be booked” and “Medicare may not be entitled to the designated chronic disease at the same time when the insured person is in hospital” Moderator role. [Conclusion] “Treatment Policy ” generally evaluated well in the role of medical waste control.