Discussions on basic medical insurance management for those seeing doctors out of hometown in China
10.3760/cma.j.issn.1000-6672.2013.02.001
- VernacularTitle:我国基本医疗保险异地就医管理探讨
- Author:
Qiuxiao CHEN
;
Yihui SUN
;
Zhigang YAO
;
Yin ZHANG
;
Zhong JIANG
- Publication Type:Journal Article
- Keywords:
Basic medical insurance;
Seeing doctors elsewhere;
Management
- From:
Chinese Journal of Hospital Administration
2013;(2):81-83
- CountryChina
- Language:Chinese
-
Abstract:
A consensus remains unsettled yet for basic medical insurance and common protocols on managing patients seeing doctors out of their hometown.This results in such setbacks as difficulty in seeing doctors elsewhere for those covered and in unaffordable financial burden,as well as medical insurance fraud,lack of information sharing among social insurance authorities,and difficulty of supervision.This study described the status quo of seeding doctors elsewhere under China's basic medical insurance system,and analyzed problems found in the management framework.On such basis,authors proposed such recommendations as unified management system for seeding doctors elsewhere,network information sharing for medical insurance information,and networked settlement for medical expenses for basic medical insurance.These measures should be carried out as per general requirements for health reform stage by stage.
