Linzi: The reimbursement ratio will be increased again

Linzi Rong Media News On February 22, the sun in the afternoon dispersed the cold cold when it was just spring. At 2:30 pm, Li Guiying, who lived in Fenghuang Town, Linzi District, walked into the chronic disease management of Peking University Medical Lu Traditional Chinese Medicine Hospital center.

Compared to the window where long teams are waiting for medicine and payment, chronic disease outpatient clinics appear orderly. Patients are accompanied by their families to handle the chronic disease prescription and review business.

By retreating the electronic medical record and asking about the recent physical condition, the doctor soon prescribed Li Guiying's need for the medicine next month. "Still according to the previous method, you must take medicine on time, blood pressure on time, and come here at any time." Liu Yan, deputy chief physician of chronic disease outpatient clinic, told him carefully.

Li Guiying is 59 years old. He is a retired employee of the Qilu Petrochemical Plastic Plastic Plant. He was hospitalized for coronary heart disease in 2018. After discharge, he applied for chronic disease identification and has been taking drugs for treating coronary heart disease.

"It can be done in five minutes here, and then go to the pharmacy to get medicine, which is very convenient." Li Guiying told us that her slow disease reimbursement ratio was increased to 85%in July last year. Comem. "Thanks to the high proportion of medical insurance reimbursement, otherwise it will become a big burden on the family alone."

"There are more than 150 patients who come here every day to prescribe medicine and review. If there are more than 400 people in other outpatient clinics in the whole hospital," Liu Yan said that most patients with chronic diseases come to the hospital and only need to "grab the medicine according to the prescription. "Just, you can do it soon.

It turned out that because there was no dedicated clinic for chronic diseases, they could only go to the ordinary outpatient clinic to register and line up with other new patients, which was very wasteful. In order to provide convenient services to the majority of patients with chronic diseases, Peking University Medical Lu Traditional Chinese Medicine Hospital has established a chronic disease management center since March 2019. It is equipped with two high -age doctors. Patients with chronic diseases can enjoy one -stop service for diagnosis and treatment, drug opening, and reimbursement. Reduce patients' legs without having to pay for fees, which greatly facilitates patients.

In addition, the District Medical Insurance Branch and the Peking University Medical Lu Traditional Chinese Medicine Hospital. By optimizing the review model, patients only need to pay the individual's self -owned part after the medical insurance reimbursement, which greatly facilitates the patient's reimbursement process. "Now you can directly review it after prescribing the medicine, and the reimbursement can be reimbursed on the spot. Patients only need to pay hundreds of pieces to take away the original medicines that are thousands of pieces. Publishing medicines and so on have reduced the economic pressure of patients. "Wang Ning, deputy head of the medical insurance department of Peking University Medical Lu Traditional Chinese Medicine Hospital.

In 2021, the approval of the qualifications for chronic disease treatment in our district was changed from a quarterly approval to every monthly approval, and the "daily acceptance, monthly appraisal" was implemented, and 4,383 chronic disease appraisal of the annual outpatient clinic was passed. The proportion of chronic disease reimbursement of residents 'outpatient clinics has increased from 50%to 55%; those who have chemotherapy for malignant tumor outpatient chemotherapy will increase from 70%to 75%, retired employees have increased from 80%to 85%, urban and rural residents' medical insurance reimbursement ratio has been from 50%from 50% Raise to 60%.

"We make full use of the management advantages of chronic disease identification hospitals themselves, create a clinical clinic application, confirmation, filing, and feedback full -process closed -loop work mechanism, and gradually realize the online full coverage, offline Unicom, and data. Chen Xiaoyan, head of the Medical Security Service Section of the Linzi Branch of Zibo Medical Security Bureau.

Li Guiying quickly completed all procedures and left the hospital with new medicine. Facing the gentle sunshine, the footsteps of the old man are still stable.

Linzi Rong Media Reporter Gao Dapeng Report

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