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南京医科大学学报（社会科学版）京医科大学学报（社会科学版） 第5期 总第112期
南
· 504 · Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） 2022年10月
Journal

Research on the implementation dilemma of outpatient medication

guarantee policy for chronic diseases based on the Meter⁃Horn model

——Taking Nantong as an example
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JIN Hui ，JI Jingya ，CAO Xin ，GAO Yuexia ，YAN Lijing 2
1. School of Public Health，Nantong University，Nantong 226019；
2. NCD Research，Global Health Research Center，Duke Kunshan University，Kunshan 215316，China
Abstract：Based on the Meter ⁃ Hom model，the implementation dilemma of the outpatient medication
guarantee policy for chronic diseases in Nantong was analyzed through a qualitative interview to provide a
reference for improving the effective implementation of the policy. Our study indicated that one year following
the launch of the outpatient medication guarantee policy for hypertension and diabetes，the policy filing rate
was only 7% and 14% ，respectively. This suggests that the target population did not fully benefit from the
welfare policy. According to qualitative interviews，the main obstacles to policy implementation were: unclear
objectives and standards of policy implementation；lack of understanding of the outpatient medication guarantee
policy among executing agencies and insured residents；shortage of human resources，and insufficient hardware
environment for policy implementation in primary health care institutions，and the single top⁃down administrative
policy implementation method and so on. Thus，the following optimized paths were proposed to improve:
enhance the top ⁃ level design and refine the policy implementation objectives；broaden the publicity and
promotion of policies through multiple channels to improve the compliance of policy implementation；strengthen
the linkage between medical insurance departments and primary health care institutions.
Key words：policy implementation；Meter⁃Horn model；chronic diseases；outpatient medication guarantee
policy