医疗跨省就医联网即时结报工作实践

Practice of Inter-provincial Medical Treatment Supported by the New Rural Cooperative Medical Service Settled by Networking in the Hospital

新型农村合作医疗跨省就医的传统报销流程费时费力,自2017年7月起,全国有9个省份已实现在全国近300家跨省签约医院治疗后当场直接联网结报,方便了参合患者。新型农村合作医疗跨省联网即时结报是一项全新的政策,需要做好周密的前期准备。首批参加结报的医院都是从零开始在摸索中开展此项工作,从中获得的经验对于后期加入的医院有着较大的借鉴价值。本文在总结新政策的背景与流程的基础上,介绍本院作为首批单位参与落实推行这一新政策的实践经验,并提出一些建议。

The insured persons of the new rural cooperative medical service would take relevant documents to be reimbursed when they were back to their insured land after they had finished medical treatment in other provinces,which was very inconvenient.Since July 2017,there have been 10 provinces which have signed a contract with about 300 hospitals all over our country.The insured persons of the new rural cooperative medical service of these provinces will be reimbursed through the network when they are going through the hospital discharge Formalities,which will ease their burden.The＂inter-provincial medical treatment supported by the new rural cooperative medical service settled by networking＂is a all new policy,which needs a huge amount of preparations.The first group of hospitals which have taken part in the networking settlement work will progress without any predecessors＇ experience while they can also obtain much practical experience to initiate the late-comers.This paper introduced some experience of our hospital which is one of the hospitals in the first group on the base of the policy and put forward several suggestions.