新华社西宁８月４日电（记者徐文婷）记者从青海省医疗卫生改革办公室获悉，青海省各级公立医疗机构将于９月１日起全面推行“先住院后结算”服务模式，惠及全省五百多万各族群众。

    Xining August 4, xinhua news agency（Reporter XuWenTing）Reporters from qinghai medical health reform office learned，Public medical institutions at various levels of qinghai province on September 1,, the full implementation of the“First after be in hospital and settlement”Service mode，The benefit of more than five hundred people of all ethnic groups。

    此次“先住院后结算”服务模式覆盖省、州（地、市）、县（市、行委）公立医疗机构（含中医和民族医医院）和乡镇卫生院、政府举办的城市社区卫生服务中心。

    the“First after be in hospital and settlement”Service mode cover province、state（to、city）、county（city、Line committee）Public medical institutions（Including traditional Chinese medicine and national medical hospital）And rural hospitals、The government of the city for community health service center。

    服务对象为参加省内城镇职工基本医疗保险、城镇居民基本医疗保险和新型农村合作医疗的住院患者；与用工单位签订医疗协议的工伤病人；“三无”病人（无姓名和居住地等身份证明、无责任承担机构或人员、无抢救治疗费用的病人）；突发公共事件中需紧急救治的患者以及医疗机构认可的其他人员。

    The service object for the province town worker is basic medical insurance、Urban resident basic medical insurance and the new rural cooperative medical treatment of be in hospital patients；With the unit that use worker worker medical agreement signed the inductrial injury patients；“3 without the”The patient（No such as name and residence of identity、No liability for organs or personnel、No rescue treatment cost of patients）；Public emergency needs in the emergency treatment of patients and medical institutions recognized by the other personnel。

    各级公立医疗机构在为患者办理住院手续时，将根据患者医保证（卡）、身份证或户口簿、低保证、五保证、重点优抚对象抚恤补助证等有效证件审核患者参保身份和救助对象身份，对符合条件的患者签订住院费用结算协议，并将相关证件交医疗机构保管，不需交纳住院押金即可入院治疗。

    Public medical institutions at various levels in patients with for the admission procedures，Based on patient medical guarantee（card）、Id card or a booklet、Low guarantee、5 ensure、Key optimal object pension allowance card effective certificate such as audit patients identity and aid recipients ginseng identity，To meet the conditions of the patients hospitalized cost settlement agreement signed，And the related certificate pay medical institutions keeping，Not to need to pay a deposit in hospital to hospital for treatment。

    医院在患者出院前一日出具发票和总费用清单，由患者或家属到医疗机构出院处办理出院结算手续，交纳自付费用，医保和医疗救助报销费用由医疗机构定期向医保经办机构和民政部门进行结算。

    Hospital patients in a day before discharge invoice and total cost list，The patient or family member to medical institutions where discharge go through the discharge formalities settlement，Pay the expense，Health insurance and medical treatment fee to submit an expense account by medical institutions regularly to protects agency orgnaization and civil administration department for settlement。