宁波"互联网+护理服务"医保在家支付的实践

Practice and exploration of"medical insurance home payment"of"Internet plus nursing service"in Ningbo

2021年12月,宁波在"互联网+护理服务"的推进中,为切实解决高龄或失能老年人、肿瘤患者的经济负担和支付困难,将患者需求大、发生频次高的经外周静脉置入的导管维护、导尿管护理和鼻胃管护理3项居家医疗护理服务项目纳入医保,并可在家支付(以下简称"医保家付")。作者介绍了"医保家付"的相关概念和服务流程,总结了"医保家付"实施以来的效果、问题及进一步改进措施。3项纳入"医保家付"的居家护理项目2022年服务量为7953单,比2021年同期增长了105.29%,且无不良事件发生,患者满意度高。"医保家付"减轻了患者的经济负担,可为我国"互联网+护理服务"的医保支付及服务收费提供参考。

In December 2021,in order to effectively solve the economic burden and payment difficulties of the elderly or disabled elderly and tumor patients in the promotion of"Internet plus nursing services",Ningbo included three home medical care services,namely,peripherally inserted central maintenance,urinary catheter care and nasogastric tube care with large patient needs and high frequency,into medical insurance,and could be paid at home(hereinafter referred to as:"medical insurance home payment").The author introduced the relevant concepts and service processes of"medical insurance home payment",and summarized the effects,problems and further improvement measures.After the implementation of the policy,the number of three nursing services included in"medical insurance home payment"reached 7953 in 2022,with an increase of 105.29%over the same period in 2021,no adverse events occurred,and patient satisfaction was high.Ningbo"medical insurance home payment"could reduce the economic burden of patients and provide a reference for the medical insurance payment and service charges of"Internet plus nursing services"in China.