中新网深圳8月2日电(记者 郑小红)深圳拟在全市医院推广该市第四人民医院在全国大医院中首试成功的“先诊疗，后结算”就医模式。

Beijing August 2, shenzhen(Reporter ZhengXiaoGong)In the city of shenzhen to promote the city hospital in the fourth people's hospital in large hospital first try successful“First diagnosis and treatment，Settlement after”Medical model。

　　记者2日从深圳市卫人委了解到，从6月18日开始，深圳第四人民医院开始实行先诊疗后结就医模式，患者挂号后，医生诊病、化验、仪器检查、取药等所有环节完成后一次交费。

Reporter 2, who know from shenzhen people committee，From June 18 started，Shenzhen fourth people's hospital first began to implement and "medical model，Patients after registered，The doctor ask、test、Instrument check、Take drugs after completion of all links to pay fee。

　　国内曾有专业调查显示：38.6%的患者经历5个以下环节；36%的患者经历6-10个环节；27.4%的患者经历了10个以上的环节。平均每个病人看一次病需耗时135分钟，其中将近1个小时是花在排队等候上。这种“等待”的成本，使医院门诊服务效率降低，服务资源浪费，让患者厌烦、焦急；满意度和忠诚度降低。

Domestic had professional survey：38.6% of the patients experience five the following link；36% of the patients experience 6-10 link；27.4% of the patients experienced more than 10 link。On average, each patient see a disease that would take about 135 minutes，Among them nearly an hour is a flower standing in line waiting for。this“Waiting for”cost，Make the hospital outpatient service low efficiency，Service resources waste，Let patients with、anxious；Satisfaction and loyalty reduced。

　　据深圳第四人民医院介绍，试行先看病后付费系统运行一个月左右，有2万多的病人已经进入“先诊疗，后结算”程序，占该院整个门诊诊疗人次26.5%，占该院整个综合医保卡患者就诊人次82.6%。“先诊疗，后结算”，患者切身的感受就是排队次数减少，从原来排3、4次，减少到只排1次。“先诊疗，后结算”模式在方便市民就诊的同时，还提高了医院的服务效率，收费窗口排队人次减少，医院的服务效率得以提高，诊量有了明显增加，较改革前增加了5%以上。

According to shenzhen fourth people's hospital is introduced，After the first doctor trial operation of the system for a month or so，More than 20000 of the patients have to enter“First diagnosis and treatment，Settlement after”program，The diagnosis and treatment of the outpatient service over 26.5%，The whole of the comprehensive health insurance card hospital patients over 82.6%。“First diagnosis and treatment，Settlement after”，The immediate feelings is in line with fewer，From the original row 3、Four times，Reduced to only one row。“First diagnosis and treatment，Settlement after”Mode for citizens in hospital at the same time，Also improve the service efficiency of the hospital，Charge window line up people reduce，The hospital's service efficiency can be improved，There has been a significant increase of follow-up，Before a reform to rise by more than 5%。

　　但先看病后交钱也时常会有看完病不交钱就走掉的事情发生。深圳第四人民医院试行一个月中，欠费的患者 52人，涉及的欠费金额约8000元，占先诊疗后结算人次的0.24%。对此院方正在和深圳社保局协商解决办法，如果属于恶意逃费，深圳市社保局将锁定医保卡，下次就诊时，他的卡在全市的医院均不能使用，直到缴清费用为止。

But after a doctor first hand in money also often there will be watching disease is not make money will walk off things happen。Shenzhen fourth people's hospital for months，The 52 people owe the patients，Owe the amount involved about 8000 yuan，And the number of second settlement 0.24%。This is the hospital and shenzhen social security bureau consultation solution，If belong to malicious fled fee，Shenzhen social security bureau will lock medical insurance card，The next time arrives，His card in the city's hospitals are can not be used，Full cost until now。

　　“先诊疗，后结算”暂时还只是适用于医院门诊和急诊的深圳综合医保人群，而且仍有几项需要医院科室主任审批的大型设备检查不能先诊疗后结算，包括核磁共振、CT、彩超、多普勒等。

“First diagnosis and treatment，Settlement after”For the time being, is only applicable to the hospital outpatient and emergency of shenzhen comprehensive health care the crowd，And there are still a few need hospital, director of the department for examination and approval of large equipment check and settlement cannot first，Including nuclear magnetic resonance (NMR)、CT、Colour to exceed、Doppler, etc。

　　深圳第四人民医院院长伍贵富称：从“先交钱，后诊疗”到“先诊疗，后结算”，虽然只是顺序的改变，但是对于医院来说却是革命性的。“先诊疗，后结算”改善了患者就医感受，有助于融洽医患关系，医院把付款的主动权完全交给了患者，这是对病人的尊重和信任，体现公立医院的公益性，有助于建立社会诚信体系。他还说，不能因为少数人的失信，就武断地认为“先诊疗，后结算”不该推行，“逃单”者放在患者中占比例比较少，这遮蔽不了大多数市民对这项改革举措的肯定与支持，恰恰说明该制度可行。(完)

Shenzhen fourth people's hospital director WuGuiFu says：from“To make money，Diagnosis and treatment after”to“First diagnosis and treatment，Settlement after”，Although just order change，But to the hospital, it is revolutionary。“First diagnosis and treatment，Settlement after”To improve the medical patients feel，Help to harmonious doctor-patient relationship，Hospital of the payment to the patients initiative fully，This is on the patient's respect and trust，Reflect the public hospital public welfare，To help create a social credit system。He also said，Not because of a few people to keep his promise，Is that an arbitrary“First diagnosis and treatment，Settlement after”Shouldn't push，“Escaped single”On the proportion of patients with less，This cover not the most citizens of the reform measures affirmation and support，Just goes to this system is feasible。(finish)