金华市医疗机构医保电子凭证使用情况分析

Analysis of the use of electronic certificate for national basic medical insurance in medical institutions in Jinhua

目的研究金华市医疗机构医保电子凭证使用情况,并对某三甲医院的使用情况进行分析,为医保电子凭证的进一步推广提供依据。方法利用业务系统导出金华市2022年4月1日至10月31日和某医院2021年和2022年4月1日至10月31日的医保电子凭证使用数据,并通过问卷调查的方式随机抽取361人进行影响因素调查。结果三级医院中医保电子凭证使用率最高为51.18%,二级医院中医保电子凭证使用率最高为50.91%;某三甲医院2022年门诊(49.41%)和住院(84.16%)的医保电子凭证使用情况明显优于2021年(9.49%vs 30.20%)(P<0.001);多因素logistic回归结果显示城市患者的医保电子凭证使用情况优于农村患者(P=0.049),医保电子凭证的熟悉程度(P<0.001)、互联网医院的丰富功能(P=0.027)、医保电子凭证的便利程度(P=0.004)和医保电子凭证满意度(P=0.041)是使用医保电子凭证的积极因素。结论金华市医保电子凭证使用率总体处于一个较高水平,通过对某三甲医院近2年的详细数据进行研究发现,医保电子凭证在门诊使用上还有很大的提升空间。对影响因素研究发现可通过宣传推广和丰富使用功能的方式提升医保电子凭证的使用情况。

Objective To study the use of electronic certificate for national basic medical insurance in medical institutions in Jinhua,to analyze the use of electronic certificate for national basic medical insurance in a tertiary hospital,and to provide a basis for the further promotion and use of electronic certificate for national basic medical insurance in the future.Methods The electronic certificate data of medical institutions in Jinhua from April 1 to October 31,2022 and the data of the tertiary hospital from April 1 to October 31,2021 and 2022 were exported from the medical information system.The data of influencing factors were obtained from questionnaire survey of 361 randomly selected persons.Results Among tertiary hospitals in Jinhua,the highest utilization rate of electronic certificate for national basic medical insurance was 51.18%he highest utilization rate of electronic certificate for national basic medical insurance was 50.91ong secondary hospitals.The utilization rate of electronic certificate for national basic medical insurance in the outpatient service(49.41%)and inpatient service(84.16%)of the tertiary hospital in 2022 were significantly better than those in 2021(9.49%vs 30.20%)(P<0.001).The results of multivariate logistic regression showed that the use of electronic certificate for national basic medical insurance of urban patients was better than that of rural patients(P=0.049),and the familiarity of electronic certificate for national basic medical insurance(P<0.001),the rich functions of Internet hospitals(P=0.027),the convenience of electronic certificate for national basic medical insurance(P=0.004)and the satisfaction of electronic certificate for national basic medical insurance(P=0.041)were t he positive factors of using electronic certificate for national basic medical insurance.Conclusion The utilization rate of electronic certificate for national basic medical insurance in Jinhua was generally at a high level.By studying the detailed data of the tertiary hospitals in the past two years,it was found that there was still much room for improvement in the use of electronic certificate for national basic medical insurance in outpatient services.The study of influencing factors found that the use of electronic certificate for national basic medical insurance can be improved through publicity,promotion and enrichment of functions.