住院病房检查退费的医护一体化管理

Doctor-nurse integration management in inpatients' examination refund process

目的 :探讨医护一体化检查退费的管理方法,避免漏退费造成的患者经济损失及对医院的信任危机。方法 :分析病房检查退费的现状及原因,制定各项检查退费流程,动态监测病房结算前、后检查退费执行情况。统计对照干预前后的检查退费及漏退费次数。结果 :实施医护一体化模式管理检查退费后,检查退费总次数由53次下降至23次,无结算前、后检查漏退费发生,两组比较差异有统计学意义(P<0.05)。结论:医护一体化模式管理检查退费有助于减少可控因素下退费次数,避免结算前后漏退费的发生,保障患者利益,提高患者对医院及医护人员的信任度。

Objective： To implement doctor-nurse integration management model in examination refund process in respiratory ward, and to reduce patients＇ economic losses and confidence crisis to hospital. Methods： The authors analyzed the primary cause of examination refund and set up the flow path for different examination refund. Dynamic monitoring and timely information feedback also were used to check the implementing status. The data of examination refund were compared before and after doctor-nurse integration management. Results： After application of doctor-nurse integration management, the times of examination refund significantly decreased from 53 to 23, no examination refund events occurred before and after discharge settlement （P〈0.05）. Conclusion： Doctor-nurse integration management model could reduce the times of examination refund, and increase patients＇ satisfaction to medical staffand hospital.