Causes and optimization strategies of cross-provincial medical treatment for residents in developed counties
10.3760/cma.j.cn111325-20230509-00375
- VernacularTitle:发达县域居民跨省异地就医成因与优化策略探析
- Author:
Xiaoqiang ZHU
1
;
Heng GAO
;
Hua ZHANG
;
Xinglong XU
;
Yucheng JIANG
Author Information
1. 东南大学医学院附属江阴医院，江阴 214400
- Keywords:
Health services research;
Developed counties;
Cross-provincial medical treatment;
Basic medical insurance;
Causes;
Strategies
- From:
Chinese Journal of Hospital Administration
2023;39(10):795-798
- CountryChina
- Language:Chinese
-
Abstract:
Cross-provincial medical treatment can meet the high-quality health needs of residents and make up for the shortage of high-quality medical resources in underdeveloped areas. However, in economically developed areas with abundant medical resources, the phenomenon of residents seeking medical treatment across provinces was prominent. The author took J City as an example to present the distribution of cross-provincial medical visits, costs, and disease types in J City from 2017 to 2021 through on-site visits and surveys. Combined with in-depth interviews, the causes of residents in J city seeking cross-provincial medical treatment were explored, including the effective promotion of health integration in the Yangtze River Delta, the need to improve local medical technology, incomplete medical insurance policies, and relatively low reimbursement rates for major illness insurance. And strategic suggestions were proposed, including building local medical brand, improving the medical technology level of public hospitals, and reforming and improving medical insurance reimbursement policies.
