Recently, Jiao Yahui, head of department of medical administration, the ministry of the health, said that the ministry of health is advocating a pilot "pay after see a doctor" model in areas where conditions are available. At present, more than 20 provinces are exploring it. As early as last year, the fourth people's hospital of Senzhen city, as the first pilot in Shenzhen, began to implement a new model of "diagnosis and treatment before settlement". How has the new model worked in the academy for eight months? Wu Guifu, president of the hospital, said the new model only applies to patients with comprehensive health insurance cards. If the non-insured patients are included in the new model, the medical insurance system needs to be improved before it can be implemented. According to the latest data from the hospital, as of February 20, the hospital had been paid more than 60,000 yuan in flight fees, owing about 1.2 percent of the rate. Aiming at the "difficulty" of the escape fee of patients under the new model, the hospital set up a medical team to collect payment.
Doctor-patient relationship:
The average patient visit time was shortened by 30 minutes
"Treatment before settlement" is different from the traditional medical treatment process of "one examination, one queuing and one payment" It saves patients the time of waiting in line for medical treatment. After registration, medicare patients can check and receive medical treatment before settling accounts, eliminating the link of multiple waiting in line for payment. “ Some patients who do not need to pay fees are less effective, but those who pay more often see a reduction in the queue process.” Shenzhen fourth people's hospital head told reporters, after the implementation of the "pay after diagnosis" mode, the hospital can save the waiting time for patients to pay in line for up to 20 to 30 minutes, which is conducive to easing the tension between doctors and patients.
According to the new model, patients with comprehensive medical insurance card can register - triage - hospital workstations - issue check and test forms (no charge is required for the time being)- check and examine - get the results back to the doctor's workstations - issue drugs and treatment - go to the charge office for one-time settlement - get drugs - leave the hospital. It is worth noting that if large equipment inspection is required to be approved according to the medical insurance regulations, this visit will not enter the mode of "diagnosis and treatment before settlement".
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