Whether it is possible to minimize the financial burden of hepatitis B patients and minimize unnecessary monetary expenditures while safely and effectively treating chronic hepatitis B is something I have been thinking about and working on for a long time. So, in what ways should chronic hepatitis B patients start to get better and save more at the same time? The first and most crucial first step is for you to choose a reliable local physician. Your doctor is a key player in helping you treat your disease wisely and spend money wisely. In most cases, there is no need to travel to Shanghai or Beijing to see a big specialist in a big hospital to treat chronic hepatitis B. The treatment of chronic hepatitis B should follow the guidelines of the local doctor. The treatment of chronic hepatitis B should follow the guidelines and experts’ consensus. Local doctors in city hospitals, county hospitals and even township health centers, as long as they can study the latest hepatitis B guidelines carefully, standardize the treatment according to the principles of the guidelines, and at the same time be able to analyze the specific conditions and carry out individualized and flexible treatments, they will not be inferior to those big-name specialists, and may even be more than those big specialists. The techniques of diagnosis and treatment of chronic hepatitis B are mature and not very complicated, and local doctors can master them very well. You can think about it, you go to Shanghai or Beijing and other first-tier cities to see a doctor, first of all, you have to take a leave, to arrange for various things at home, the unit, the round trip to take a train or even a plane, to stay in a hostel, hang up a special number of experts, may not necessarily get the so-called “special services”, because the experts are very busy, there are still a lot of people outside waiting for him to see a doctor, hurriedly finish the consultation, and then the doctor will be able to see the doctor. It is not uncommon for specialists to be busy, with many people waiting to be seen by them, and for them to rush through the consultation and issue a prescription quickly. Hepatitis B requires frequent follow-ups. Can you afford to go to Shanghai or Beijing repeatedly? Is it worth it? Is it worth it? I treat patients with chronic hepatitis B, there are some very rich or senior government officials, after my treatment, still do not rest assured, and then go to Shanghai or Beijing to find a big hospital to see a big expert, returned to Shangrao almost in unison, said to me: Dr. Wang, Shanghai expert diagnosis and treatment program and your exactly the same, the next time do not go to the trouble. So, is it that the level of hepatitis B treatment in Shangrao can be the same as that of the big hospitals in Shanghai? No, it is not! For example, in the treatment of severe hepatitis, in the treatment of liver cancer, Shanghai’s treatment level will be far more than Shangrao. For most of the ordinary hepatitis B patients, the treatment level in Shangrao is not worse than Shanghai, because the local doctors in Shangrao can understand your condition more patiently and carefully, and provide timely medical service for a long period of time, which are beyond the reach of Shanghai specialists. Hepatitis B patients in Shangrao should still rely mainly on Shangrao doctors to solve their problems. Drug expenditure is the big head of hepatitis B patients’ treatment consumption, how to reduce patients’ drug expenditure? First, minimize the use of those auxiliary drugs, such as hepatoprotective and enzyme-lowering drugs, antifibrotic and immunomodulatory drugs. Chinese hepatitis B patients spend a lot of money to buy those so-called “liver enzyme” drugs, for chronic hepatitis B patients, standardized and effective antiviral drugs such as entecavir or tenofovir is the best liver enzyme drugs. Most ordinary patients with hepatitis B, after taking entecavir or tenofovir for six months, about 80% of the patients’ liver function will return to normal, whether or not to take liver enzyme drugs are the same. Second, if lasting immune control can be achieved safely and effectively through interferon, it should be the most cost-effective treatment. Patients with full-blown triple III Yang, if there is no contraindication to interferon, should consider preferred interferon therapy. HBeAg-negative chronic hepatitis B (small triple or small bi-yang) has a very high relapse rate when treated with interferon, so it should be chosen carefully; Third, try to prefer the first-line drugs that are potent and low-resistance such as entecavir or tenofovir. Preferred first-line drugs seem to cost more than second-line drugs such as adefovir or telbivudine, but first-line drugs have stronger antiviral effects, are more effective in controlling the progression of the disease, and minimize the risk of drug resistance, so they are actually more economical and highly effective; 4. Try to choose domestically produced generic drugs. The quality of our generic drugs is stable and reliable, and the price is relatively low, which is not worse than the quality of foreign drugs, and should be the first choice of Chinese hepatitis B patients; v. Under the premise of ensuring the quality, we can consider purchasing drugs such as entecavir through pharmaceutical companies or manufacturers, and by reducing the intermediate circulation of drugs, we can alleviate the economic burden of patients; vi. Chronic hepatitis B has been included in the management of outpatient special chronic diseases. Should find ways to apply for outpatient special chronic disease reimbursement, this is the most important and fundamental way to reduce the drug expenses of hepatitis B patients. Scientific, reasonable and timely tests are also important to help hepatitis B patients save money. The basic tests for hepatitis B patients include liver function, hepatitis B five quantitative, HBVDNA quantitative, AFP and color ultrasound, etc. The tests that must be done can never be reduced, but there are some patients who have to do hepatitis B five quantitative or color ultrasound repeatedly, which results in a great waste. Do the right tests at the right time and ask a reliable doctor to choose for you.