跨省门诊慢特病直接结算存在问题与对策研究OA
Research on the problems and countermeasures of direct settlement for chronic and special critical dis-eases in cross provincial outpatient service——taking suzhou S hospital as an example
目的 探究跨省门慢特直接结算政策实施现状及存在问题,提出改进对策和建议,为进一步完善跨省门慢特直接结算政策提供参考,提升患者就医满意度和便捷性,共同维护医保基金安全.方法 提取S医院跨省门慢特结算数据和医保服务平台数据,收集并梳理日常结算中遇到的困难,分析政策实施存在的问题及原因.结果 跨省门慢特直接结算给患者带来了便利,结算人次日益增多,但仍存在结算流程繁琐、结算人次不高、部分病种无法结算、患者不清楚结算政策、开通医疗机构数量不多及结算数据不准…查看全部>>
Objective To explore the current implementation status and existing problems of direct settlement for chronic and special critical diseases in cross provincial outpatient service policies,propose improvement strategies and suggestions,pro-vide reference for further improving direct settlement for chronic and special critical diseases in cross provincial outpatient service policies,enhance patient satisfaction and convenience in seeking medical treatment,and …查看全部>>
纪正;周倩
苏州大学附属第二医院 江苏苏州 215004苏州大学附属第二医院 江苏苏州 215004
预防医学
跨省异地就医门诊慢特病直接结算医保管理
Trans-provincial and remote medical treatmentOutpatient treatment for chronic and special critical disea-sesDirect settlementMedical insurance management
《现代医院》 2023 (12)
1805-1808,1813,5
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