杭州市创新"医后付一次"就医模式的探索

Exploring the innovative"post-payment"for medical service in Hangzhou

为了让患者看病少跑腿,只付费一次,改善就医体验,2019年2月开始,杭州市卫生健康委员会在全市范围进行了"医后付一次"服务的探索。该模式融入应用杭州市信用体系,根据患者信用等级获得对应的授信额度,在授信额度内患者所有付费合并为就诊结束后的一次性付费。该模式覆盖了杭州市拥有信用等级的参保居民,截止目前,累计为近2000万人次的门急诊患者提供了便捷服务。患者看病时的付费次数由原来的平均2~3次,减少为最多1次。引入信用体系,先看病后付费是可以实现的,而且是可控的。

Post-payment for patients can minimize their errands and improve their medical experience.Since February 2019,Hangzhou Municipal Health Commission began to try the"post-payment"service.This mode is integrated into the municipal credit system,and the patients can obtain the corresponding credit line according to their credit rating.Within such line,the patient can pay only once for all their medical services received per visit.The mode covers all Hangzhou residents with credit rating and has served nearly 20 million outpatient and emergency patients with expedient services.Thanks to the reform,the number of payment for patients to see a doctor reduced from an average of 2 to 3 times to only 1 time.It is proved that the credit system can realize payment after medical service and it is controllable.