A college student asked a question in the class group: How to regulate the discharge of hospitalized patients with medication dosage?
A classmate replied, "General medicines are taken for a week."
In fact, this issue needs to be considered from the two aspects of prescription management and medical insurance management .
If the relevant regulations of medical insurance are not considered, I think that the dosage of will generally not exceed 7 days after discharge; if a patient with chronic disease who meets the conditions is discharged from the hospital, it will generally take up to 4 weeks, and the maximum is not more than 12 weeks.
The reason is:
First of all, Article 2 of the " Prescription Management Measures " stipulates that prescriptions include medical orders for medical institutions in wards. In other words, the medical order for discharge from the hospital to bring medicine is also a prescription and should follow the provisions of the "Prescription Management Measures".
Secondly, Article 19 of the "Prescription Management Measures" stipulates that prescriptions shall generally not exceed 7 days of dosage; emergency prescriptions shall generally not exceed 3 days of dosage; for certain chronic diseases, geriatric diseases or special circumstances, the dosage of prescriptions may be appropriately extended, but the doctor shall indicate the reasons.
Finally, Article 11 of the "Long-term Prescription Management Standards (Trial)" stipulates that according to the patient's diagnosis and treatment needs, the amount of prescription for long-term prescription is generally within 4 weeks; according to the characteristics of chronic diseases, patients with stable conditions should be appropriately extended, with a maximum of no more than 12 weeks.
However, a large number of our patients are medical insurance patients. Not only should we consider the prescription management regulations when taking medicine when discharged from the hospital, but also the relevant regulations for medical insurance . The requirements for medical insurance in each place are different. For specific purposes, you must determine the dosage of medicine for discharge from the hospital in combination with local medical insurance reimbursement regulations.
For example:
Dongguan region stipulates that it cannot exceed 7 days. The "Implementation Rules for the Interim Measures for Basic Medical Insurance of Agricultural (residents) in Dongguan City" and the "Implementation Rules for the Interim Regulations for Basic Medical Insurance of Employees in Dongguan City" both stipulate that if is discharged from hospital with medicine for more than seven days, medical insurance will not be paid.
Guangzhou area also stipulates that cannot exceed 7 days in the " Guangzhou Social Medical Insurance Measures ".
Shenzhen area stipulates that inpatients who are discharged from hospital are limited to the drugs required for the treatment of their own diseases in the social medical insurance directory. The amount of drugs required for the treatment of their own diseases is generally not exceeding 7 days. If the dosage of really needs to be increased due to the course of disease treatment, the dosage of must be approved by the medical insurance office of the designated medical institution designated medical institution , but the amount of is not exceeding 30 days.
Foshan area stipulates in the "Implementation Rules for the Basic Medical Insurance Measures of Foshan City Employees" that the amount of that is not more than 7 days after being discharged from hospital for ordinary diseases, and the amount of chronic diseases (such as hypertension , hepatitis, tuberculosis , mental illness, etc.) shall not more than 1 month.
huizhou area stipulates in the "Management Measures for the Scope of Medical Service Facilities and Payment Standards for Basic Medical Insurance Diagnosis and Treatment Projects" that the number of hospitalized patients with discharged from hospitalization is within the " Drug Directory ", which is the drug required for treatment, and the number of drugs for the treatment is limited: acute diseases shall not exceed 7 days, and chronic diseases shall not exceed 15 days.
Zhaoqing Region stipulates that General diseases are discharged from hospital with medicines, and the dosage of shall not exceed 7 days; for chronic diseases and elderly diseases that require long-term treatment, the prescription dosage can be appropriately extended, but the doctor should indicate the reason, and in principle, it cannot exceed 3 weeks.
and Shaoguan In the "Notice on the Implementation Rules for Basic Medical Insurance for Urban Residents in Shaoguan City" also stipulates that the dosage of insured residents with is controlled within 3-7 days of discharge, and the cost is controlled within 300 yuan . If the condition needs to increase, the dosage of the drug can be appropriately increased after obtaining the consent of the designated medical institution for medical treatment with medical insurance institution.
In fact, according to Article 37 of the "Long-term Prescription Management Standards (Trial)", local medical insurance departments pay the fees for drugs issued in accordance with the regulations for long-term prescriptions, and do not restrict the quantity and amount of a single prescription, and the insured person enjoys benefits according to regulations. However, the "Long-term Prescription Management Standards (Trial)" was only implemented on August 10, 2021. The medical insurance departments in various places have not revised the corresponding reimbursement regulations in a timely manner, which may cause patients to not enjoy reimbursement of long-term prescriptions and cause complaints.
Therefore, when a patient asks the doctor to prescribe more drugs for discharge, the doctor must not only determine whether a long-term prescription can be issued, but also check the local medical insurance reimbursement regulations to avoid causing unnecessary complaints.
