Appropriate doctor-seeking management model for hypertension patients under medical insurance in China's urban communities
10.3760/cma.j.issn.1000-6672.2011.04.006
- VernacularTitle:我国城市社区高血压患者医疗保险就医管理模式探讨
- Author:
Juyang XIONG
;
Xiao YAN
;
Lan YAO
;
Xianjun XIONG
- Publication Type:Journal Article
- Keywords:
Hypertension;
Medical insurance;
Doctor-seeking management
- From:
Chinese Journal of Hospital Administration
2011;27(4):260-264
- CountryChina
- Language:Chinese
-
Abstract:
Objective To probe into a doctor-seeking medical management model for China's urban hypertension patients under medical insurance, and enhance the level and quality of medical insurance management. Methods Hypertension patients were surveyed with a structured questionnaire, and the staff at community health centers and medical insurance management centers received qualitative interview. Results The hypertension patients are found to see doctors mostly at community health centers and tertiary hospitals; complaints among hypertension patients for existing medical insurance vary with their areas, mostly targeting on complicated reimbursement procedure, high threshold of medical insurance payment and low level of reimbursement. Recommendation Experiment with the single-disease payment for hypertension, with the total prepayment in per capita and per disease; greater efforts in hypertension control in communities, with more favorable medical insurance policies for communities;elevated collaboration with medical institutions at all levels, and building and standardizing the management information network for hypertension patients.
