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以常州市为样本地区,以HER-2阳性乳腺癌病种为例,测算江苏省医疗保险特殊药品保障政策推出前后患者的医药费用负担,以“灾难性卫生支出”为指标来评估医疗保险特殊药品保障项目的实施成效。结果显示,该政策使患者经济负担大幅下降,发生灾难性卫生支出的概率显著降低;医保基金总支出的绝对值虽然在逐年上升,但基金支出年增长率与政策前相比却呈下降趋势,说明该政策的实施并未给基金带来大的冲击。
Take Changzhou as a sample area, taking HER-2-positive breast cancer as an example, this paper estimates the medical expenses of patients before and after the introduction of special medical insurance policies for medical insurance in Jiangsu Province, and evaluates the medical treatment with the index of “catastrophic health expenditure” Effective implementation of insurance special drug protection project. The results show that the policy significantly reduces the economic burden on patients and significantly reduces the probability of catastrophic health expenditures. Although the absolute value of total expenditure on medical insurance increases year by year, the annual growth rate of fund expenditures shows a downward trend compared with that before the policy, Indicating that the implementation of the policy did not bring a big impact on the fund.