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高值医用材料在临床上越来越广泛的应用,大大提高了疾病治愈率和病人的生活质量。但同时也增加了参保人员的个人负担和医保基金的压力。为全面了解现状,并提出有针对性的管理意见,笔者对山东省17个城市的高值医用材料现行医保支付政策等情况进行了调查…… “材料”支出普遍增加目前国家对高值医用材料没有统一的界定,因此对于高值医用材料的调查范围,笔者在参照山东省《医疗机构收费项目及收费标准》所列项目的基础上,又对近年来临床上新采用的某些材料进行了补充,调查确定的范围大致掌握在单价1000元以上的项目。主要包括两大类:一是人工组织器官类,如人工晶体、人工髋关节、人工瓣膜、人工
High-value medical materials are more and more widely used clinically, which greatly improves the cure rate and quality of life of patients. But it also increases the individual burden of insured persons and the pressure on the Medicare fund. In order to fully understand the status quo and put forward targeted management advice, the author investigated the current medical insurance payment policy of high value medical materials in 17 cities of Shandong Province, etc. The expenditure of “material” generally increased the current national high value There is no uniform definition of medical materials, so for high-value medical materials survey, the author refers to the Shandong Province “medical institutions fees and charges” listed on the basis of the project, but also in recent years, the clinical use of certain new materials To add that the scope of the survey to determine the roughly held in the unit price of 1,000 yuan or more items. Mainly includes two major categories: First, artificial organs and organs, such as artificial crystals, artificial hip joint, artificial valve, artificial