Objective: By analyzing the policy texts of the "dual-channel" management of negotiated medical insurance drugs in Guangdong Province, this study aims to summarize key components and areas for refinement in policy, and to propose optimization suggestions for the "dual-channel" management policy. Methods: Relevant policy documents on "dual-channel" management issued by the people's governments and healthcare security administrations of 21 prefecture-level cities in Guangdong Province were collected. ROST CM6 software was used for word frequency and semantic network analysis, and the policy contents of each city were compared and analyzed to summarize the policy differences among different regions. Results: The word frequency analysis identified 26 high-frequency key words (with a frequency of ≥ 200 times), among which 4 key words appeared more than 1000 times. The semantic network diagram indicated that the core of the "dual-channel" policy was "medical insurance" and "drugs". Further comparative analysis of the policy contents of different regions revealed that there were differences in drug management, selection and management of designated retail pharmacies, prescription transfer and drug purchase management, and payment management. Conclusion: The number of "dual-channel" pharmacies varies significantly among different regions. The regulatory requirements and standards for "dual-channel" pharmacies after selection are not yet complete, and there are obvious differences in medical insurance payment policies among different regions. It is suggested that each prefecture-level city should reasonably set the access standards for "dual-channel" pharmacies, establish and improve the regulatory requirements and measures for "dual-channel" pharmacies, improve the separate payment policy for medical insurance, and give full play to the supplementary role of other insurances.
Key words
"dual-channel" management /
"dual-channel" drugs /
national negotiated drugs /
policy text analysis
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