我省今年将推“先看病后付费” Our province this year will push"After the first doctor pay"

　　个别三级医院急诊目前已试点“先诊疗，后付费”模式 Individual tertiary hospital emergency has pilot"First diagnosis and treatment,for"mode

　　近期，国家卫生部倡导在有条件地区开展“先看病后付费”试点。南国都市报记者19日从海南省卫生厅了解到，今年，我省将力推“先诊疗，后付费”服务模式，有医保的病人有望在医院门诊看病，可等检查和诊疗结束后，再一起付费结算，不用挂号交一次费，拿药再交一次费那么麻烦了。

recent,National ministry of health advocate in the conditional areas to develop"After the first doctor pay"pilot.Southern metropolis daily reporter 19 from hainan province health department to know,This year,Our province will push"First diagnosis and treatment,for"Service mode,Have health care of the patients in the hospital outpatient service is expected to see a doctor,On inspection and diagnosis and treatment after the end,Again with pay settlement,Don't pay a registration fee,Medicine to pay a fee so trouble.

　省卫生厅： Provincial department of:

　　预计6月出台“先看病后付费”措施 June is expected to come"After the first doctor pay"measures

　　据省卫生厅医政处负责人介绍，“先诊疗，后付费”服务模式是公立医院改革的一项内容。对住院病人来讲，原来看病是自己先垫付，看完走医保报销，但实行“先诊疗，后付费”服务模式后，费用由医院垫付，病人看完病只用交自己的那部分，其余由医保部门支付给医院。而对于门诊病人而言，原来看病是挂号要排队交一次费，检查要排队交一次费，划价取药要排队交一次费，看病有诸多的不便。实行“先诊疗，后付费”服务模式，有医保的病人在门诊就诊时可先完成检查和诊疗，结束后再一起结算。今年，我省将力推“先诊疗，后付费”服务模式，预计今年6月份前可以出台相关的措施。但这项制度的实施，需要和人社部门的协调和衔接，出台配套的政策才可推行。目前，我省个别三级医院的急诊科已试点了“先诊疗，后付费”的服务模式，也就是说，对于危急的急诊病人是先救命，再付费。此外，“先诊疗，后付费”服务模式的推行，还要与居民健康卡的推广相衔接，因为居民健康卡具有金融和社保报销的功能，病人持卡在门诊和住院部进行付费。

According to the provincial health department in medical administration chief introduction,"First diagnosis and treatment,for"Service mode reform of public hospitals is a content.Will tell to hospital patients,Originally the doctor is his first disbursements,Finish see go medical insurance reimbursement,But the"First diagnosis and treatment,for"After service mode,Charge by hospital disbursements,Patients with watching the disease into the part,The rest pay by health care providers to the hospital.For outpatient service for patients,Originally the doctor is registered to line up into a fee,The inspection will line up into a fee,To calculate medicine to line up into a fee,The doctor had many inconvenience.implement"First diagnosis and treatment,for"Service mode,Have health care of patients in the outpatient clinic when can finish the inspection and diagnosis and treatment,After clearing together.This year,Our province will push"First diagnosis and treatment,for"Service mode,Expected this year June will be available before the relevant measures.But the implementation of the system,Needs and people club department coordination and cohesion,On supporting policy to implement.At present,Our province individual tertiary hospital emergency department has a pilot"First diagnosis and treatment,for"Service mode,that,For critical emergency patients is to help,To pay.In addition,"First diagnosis and treatment,for"The implementation of service mode,Even with the residents health card promotion connected,Because the residents health card has the function of financial and social security to submit an expense account,Patients in the outpatient and inpatient department's pay.

　　另外，省卫生厅农卫处负责人告诉记者，对于我省新农合的病人，从2009年开始就已实现了住院报销“即时结算”的便利。参合农民住院时，只交相当于起付线水平的押金(三级医院一般交1000元)即可办理入院，等病人办理出院时，可即时结算报销，自付个人部分的费用就可以了。

In addition,The provincial department of agriculture in who told reporters,For new farm in our province, the patient,Beginning from 2009 has realized the hospitalization expense"Immediate settlement"convenience.Ginseng adds up to farmer was in hospital,Only pay the equivalent pay line level of deposit(Tertiary hospitals generally pay 1000 yuan)Can deal with to the hospital,Such as patients for the hospital,Instant settlement to submit an expense account,Since the cost of individual pay part of it.

　医院： hospital:

　　有意试水“先看病后付费”制度 Intends to test the waters"After the first doctor pay"system

　　对于“先看病后付费”制度，省妇幼保健院院长向伟表示，目前，我省的社保都已经联网，各市县都可以异地报销，但对于省外的流动人口来讲，在全国医保没有联网的情况下，医保结算存在很大难度，这种医疗服务模式推行存在一定的困难，万一出现跑账的情况，谁为医院埋单？

for"After the first doctor pay"system,The provincial maternal and child care service centre to wei said,At present,The social security of our province have networking,The different cities and counties can submit an expense account,But for the flow of the province in terms of population,In the national medical insurance under the condition of no networking,There is a big difficulty medical insurance settlement,The medical service mode it is difficult to implement,In one thousand to run the accounts,Who was the hospital bill?

　　“今年省妇幼保健院将在产科试点‘先看病，后付费’的医疗服务模式。”向伟表示，除了未婚生子和未办理准生证的产妇外，在医保全覆盖的情况下，生孩子都有医保报销，这个容易做试点。

"This province maternal and child care service centre will be in maternity pilot‘First the doctor,for’Medical service mode."To wei said,In addition to not children and did not deal with ZhunShengZheng woman outside,In the medical insurance under the condition of complete coverage,Children have medical insurance reimbursement,That's easy to do the pilot.

　　向伟认为，“先看病后付费”让病人的就医流程得以简化，排队等候的时间也得以缩短。另一方面，对于医院来说，“先看病后付费”制度的实行也提高了医院的服务效率，从而进一步提高接诊量。此外，“先看病后付费”把以往病人垫付的就医费用变为医院垫付，这样做对医生的医疗行为产生影响，对遏制过度医疗也有一定的作用。

To wei think,"After the first doctor pay"Let the patient's medical treatment process can be simplified,Queue waiting time can also shorten.On the other hand,To the hospital for,"After the first doctor pay"The implementation of the system and improve the efficiency of hospital services,So as to further improve the quantity of it.In addition,"After the first doctor pay"The ever paid by the patients go to a doctor to the hospital fee paid,To do this to the doctor's medical behavior impact,To contain excessive medical also to have certain effect.

　　业内人士表示，国家需要有相关法规进行约束，明确如何对待患者治疗后不支付费用的行为。可建立一套征信系统，根据患者还款总额、时间、次数等的表现，给予不同的信用等级。信用等级高的，可以继续享受“先看病后付费”；而对于在“信用黑名单”里的，则可以采取一定措施作为惩罚。

The personage inside course of study says,The country needs to have relevant regulations constraint,Clear how to treat patients after treatment does not cover the cost behavior.Can set up a set of reference system,According to patients with reimbursement amount/time/The performance of the frequency etc,Give different credit rating.High credit rating,Can continue to enjoy"After the first doctor pay";And in the"Credit blacklist"in,It can take certain measures as a punishment.

　　据悉，“先看病后付费”实施范围包括：参加医保、新农合范围的病人，无姓名、无陪护人、无地址的“三无”病人，病情严重急需抢救的病人。因交通事故、打架斗殴等责任事故受伤的病人不在范围内。(南国都市报 陈新)

It is reported,"After the first doctor pay"Scope of implementation including:medicare/New farmers close range of patients,No name/Without accompanying people/No address of"neutral"The patient,In serious condition need rescue of patients.Because of the traffic accident/Fighting responsibility for accident injury patients not range.(Southern metropolis daily, Chen xin)