How to write a prescription for chronic disease?

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) refers to the prescriptions prescribed by qualified doctors to meet the requirements for patients with chronic diseases. Long-term prescription is generally suitable for patients with chronic diseases who have definite clinical diagnosis, stable drug regimen, good compliance, stable disease control and long-term drug treatment. In response to the needs of the masses during the epidemic, the Municipal Medical Insurance Bureau launched a policy of medical insurance payment for chronic long-term prescriptions, which further reduced the number of visits to the doctor and enjoyed the treatment of specific diseases such as hypertension and diabetes in the outpatient clinic of the city's medical insurance. when seeing a doctor in a designated medical institution at or below the second level, the amount of prescription can be relaxed to 3 months according to the evaluation of the doctor. Synchronously support three-level designated medical institutions to reasonably increase the dosage of a single prescription to one month according to the actual situation of patients. Why some patients with chronic diseases may not be able to write long prescriptions at the maximum? Doctors need to follow the relevant regulations of the administrative department of health on prescription management.

Q: we hear more about prescriptions every day, so what is a long prescription?

Answer: long-term prescription (referred to as "long prescription") refers to qualified doctors in accordance with the regulations, to meet the requirements of chronic disease patients to appropriately increase the amount of prescription. Long-term prescription is generally suitable for patients with chronic diseases who have definite clinical diagnosis, stable drug regimen, good compliance, stable disease control and long-term drug treatment. The longest long-term prescription is usually no more than 3 months.

Q: how does Guangzhou Medical Insurance support the prescription of chronic disease?

A: in 2020, the Municipal Medical Insurance Bureau quickly responded to the needs of the masses during the epidemic and actively responded to social concerns by introducing a policy of medical insurance payment for chronic long-term prescriptions, so as to further reduce the number of visits by insured people and reduce the risk of infection. The insured who enjoy the treatment of specific diseases in the outpatient clinic of medical insurance such as hypertension and diabetes in this city can relax the prescription dose to 3 months after the evaluation of doctors, and support the third-level designated medical institutions to reasonably increase the dose of single prescription to one month according to the actual situation of patients.

Q: why can some people with chronic diseases not necessarily write long prescriptions at the maximum?

How to write a prescription for chronic disease?

Answer: doctors need to prescribe long-term prescriptions for patients in accordance with the relevant regulations of the administrative department of health on prescription management, combined with the actual clinical condition, and under the condition of determining the safety, effectiveness and stability of the current medication plan.

Long prescriptions are written for different conditions of each person. For example, for patients with high blood pressure and diabetes, drug use is long-lasting. According to the situation, if it is judged that the blood pressure and blood sugar of the patient are well controlled within a period of time, and the drug is not adjusted, all aspects of the situation are very stable. You can write a long prescription. After the doctor's diagnosis, if the patient's condition is unstable or changes, from the point of view of clinical medication safety, the doctor may not prescribe a long prescription or write a long prescription for the longest time.

Q: can insured persons who have gone through long-term remote medical records enjoy the treatment of prescribing chronic diseases under medical insurance?

The insured who have been registered for long-term medical treatment in different places, who go to the designated medical institutions selected in different places for special treatment, can also reasonably increase the dosage of a single prescription according to the actual situation of the patients after the evaluation of the diagnosis and treatment doctor. (Zhou Jieying)

Source: Guangzhou Daily