Lamers Leida M, van Vliet René C J A
Department of Health Policy and Management, Erasmus MC (University Medical Center Rotterdam), P.O. Box 1738, 3000 DR Rotterdam, The Netherlands.
Health Policy. 2004 Apr;68(1):113-21. doi: 10.1016/j.healthpol.2003.09.001.
In 2002, the Dutch government implemented a Pharmacy-based Cost Group (PCG) model in the social health insurance sector. This model uses specific types of medication prescribed to individuals in a base year as markers for chronic conditions, which are then employed to adjust capitation payments to their sickness fund in the subsequent year. In this study, a classification of prescribed medication is derived for 22 chronic conditions, based on an assessment of the relation between prescribed medication and diagnoses indicated by physicians on their prescriptions. Of the 22 chronic conditions in this classification, 13 were included in the PCG model that is currently used in the Netherlands.
2002年，荷兰政府在社会医疗保险部门实施了基于药房的成本分组（PCG）模式。该模式将基准年中开给个人的特定类型药物用作慢性病的标志物，然后用于调整次年向其疾病基金支付的人头费。在本研究中，基于对所开药物与医生处方上所示诊断之间关系的评估，得出了22种慢性病的处方药物分类。在该分类中的22种慢性病中，有13种被纳入荷兰目前使用的PCG模式。
