Implementation of local military hospitals lump sum cost of a single disease should pay attention to avoid problems.docVIP
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Implementation of local military hospitals lump sum cost of a single disease should pay attention to avoid problems
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Implementation of local military hospitals lump sum cost of a single disease should pay attention to avoid problems
On: Sun Ling, Li Ling, Ren Yu Jiang, Zheng Bo, Chiang
[Keywords:] single disease; costs lump sum; avoid
Cost of single-disease health insurance lump sum settlement is to solve the common people, “a doctor is difficult and expensive,” an effective way, some parts of the implementation of lump-sum settlement of disease, does reduce the burden on the patients, saving the health insurance fund. However, serious implementation of military hospital lt;lt;Health Care technical operation of conventionalgt;gt;, participation in local costs of lump sum single disease, is bound to simplify the “clinical pathway to reduce the FDD project” and difficult to diagnose and rule out complications, there are security risks, high incidence of medical disputes. relevant departments of the hospital and leaders should attach great importance to a careful analysis of the problems solved in time.
1 problem
1.1 The lump sum cost of the low single disease through the development of both military hospital general hospital, medical equipment, inspection items found lt;lt;Health Care technical operation of conventionalgt;gt; requirements. Because of the local costs of health insurance single disease lump sum is based on secondary hospital charges standards development, lower cost tertiary hospital clinical pathway for completion of the current medical treatment of patients and service fees will go far beyond “the provisions of the medical costs of a single lump sum settlement of disease” standard. To ensure medical safety, resulting in a tertiary hospital willing to participate in a single lump sum disease, and some two hospitals the patients are too saturated, but the phenomenon of low efficiency thin, to not lose money to run, and some hospital or even a buck to the patient or the patient clinic “outside the system charge” violations. at
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