2019-2021 年帕斯科地区 SIS 被保险人药品供应的财务决定因素

Raúl Lopez Seclén, Fernando Burgos Zavaleta
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引用次数: 0

摘要

由于国家卫生机构提供的药品不足,秘鲁公共卫生系统最关注的问题之一就是病人利用自身资源购买药品。从这个意义上说,综合医疗保险(SIS,西班牙语缩写为 Seguro Integral de Salud)尤其具有现实意义,因为它是秘鲁最大的公共保险机构。 SIS 的目标是通过签署协议向各地区医疗支出实体(UE,西班牙语缩写为 Unidad Ejecutora)转移资金,为秘鲁最弱势人群提供优先保障。因此,作者选择帕斯科地区作为案例研究对象,因为该地区是秘鲁最贫困的地区之一。 进行这项研究的目的是通过使用相关方法,发现决定 SIS 受保人药品供应水平的财务因素。由于 SIS 负责执行预算覆盖范围,因此他们主要通过财务手段对药品供应产生积极影响。然而,为 SIS 被保险人采购药品的后勤流程管理由每年年初获得资助的支出实体负责,而这些支出实体应提供被保险人所需的保健产品和药品。 本文最后讨论了结果和建议,以便通过财政手段改善秘鲁 SIS 医院的药品供应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Financial Determinants of Pharmaceutical Supply for SIS Insured in Pasco Region 2019-2021
One of the most significant concerns in Peru’s public health system, given the lack of medicines provided in state health establishments, is that patients make use of their own resources to procure medicines. In this sense, the Integral Health Care Insurance (SIS by its acronym in Spanish for Seguro Integral de Salud) is especially relevant becuase it is the largest public insurance institution in Peru.  The SIS’s objective is to providepriority coverage to Peru’s most vulnerable through monetary transfers to each regional healthcare Expenditure Entity (UE by its acronym in Spanish for Unidad Ejecutora) through signed agreements. Therefore, the author selected Pasco Region to use as a case study because it is one of the poorest regions of the country. This study was conducted with the objective of discovering the financial factors that determine the level of pharmaceutical supply in SIS insured people by use of the correlational method. Because the SIS is in charge of carrying out the budget coverage, their principle ability to positively affect pharmaceutical supplies is through financial means. However, the administration of the logistical processes for the acquisition of medicines for SIS insured people is managed by Expenditure Entities that received the financing –at the beginning of every year- And the UEs are expected to provide the health products and medicines demanded by the insured. The paper concludes with a discussion of results and recommendations to better the pharmaceutical supply of SIS Hospitals in Peru through financial means.
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