Present situation about the medical resources used for emergency patients with medical insurance in China based on analysis of large numbers of data
10.3760/cma.j.issn.1671-0282.2018.08.028
- VernacularTitle:基于医保大数据的我国急诊医保患者急(抢)救药品使用现状
- Author:
Ting LI
1
;
Jing LEI
;
Yifang PEI
;
Yi REN
;
Yufei FENG
;
Xinchao ZHANG
Author Information
1. 北京医院药学部国家老年医学中心药物临床风险与个体化应用评价北京市重点实验室
- Keywords:
Emergency patients;
Emergency medicines;
Health care costs;
Analysis of the utilization;
Medical insurance data
- From:Chinese Journal of Emergency Medicine
2018;27(8):949-954
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the current status and features of the use of medical resources for emergency patients with medical insurance in China clarified by analysis of large numbers of data.Methods Using the database from China Medical Insurance Research Association's research group,the total amount and the average cost of emergency medicines for patients with medical insurance,as well as the proportion of emergency medicines in total medical resources used in the emergency department were statistically analyzed.Additional analyses were made based on cities and medical institutions of different levels.Results The data were collected from more than 63 million pieces of medication information,from which 260 thousand pieces of information involved in emergency medicine used within 100 sorts of emergency medicines.The use of emergency medicines for emergency cases accounted for a low proportion of over all medicine used in emergency department in our country,and the specifications of emergency medicine were limited in a few kinds of medicine such as tetanus antitoxin injectio (1500 U),50％ glucose solution in 20 ml water,and 50 g mannitol in 250 ml water frequently used as the leading essential agents.The sum of consumption of emergency medicines in tertiary hospitals was the highest among all levels of medical institutions,and the proportion of which in all medicine used in the emergency department also in the first place of the list.In the third-tier cities,although the sum of consumption of emergency medicines accounted for a small proportion of the whole country,the proportion of which in all kinds of medicine used in the emergency department was highest,while the situation of first-tier cities was just on the contrary.Except for only a few medicines,the ranking of the use of any emergency medicine else varied little in different cities and in various medical institutions.Conclusions On one hand,the current status and characteristics of the use of emergency medicines for emergency patients with medical insurance in China may be related to the characteristics of emergency departments and emergency cases,and on the other hand,they could also be influenced by medicines in clinical needs,clinical compliance,and shortages.This study showed the clinical application of emergency medicines in China in the past three years,which can provide some clinical data for the revision of emergency drug list in the future.
