| 异地医保实时结算的支付模式研究 |
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| 引用本文： | 杨佳泓,;何萍,;王霏,;王晔,;罗方方,;于广军. 异地医保实时结算的支付模式研究[J]. 中国卫生资源, 2014, 0(4): 261-261 |
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| 作者姓名： | 杨佳泓, 何萍, 王霏, 王晔, 罗方方, 于广军 |
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| 作者单位： | [1]上海申康医院发展中心,上海200041; [2]万达信息股份有限公司,上海201112; [3]上海市儿童医院,上海200040 |
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| 基金项目： | 上海市科学技术委员会国内合作计划课题基金资助项目“面向长三角地区的跨区域医疗协同服务关键技术攻关与应用示范”（11595810700）;国家科学技术部国家科技支撑计划课题基金资助项目“面向长三角地区的跨区域医疗协同服务应用示范”（2011BAH15806） |
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| 摘 要： | 针对跨省异地就医实时结算的支付模式难以界定的现状,分析了处理跨省异地医保实时医保结算时必须解决的3项关键问题,提出了可供选择的解决方案,为实现跨省异地就医医保实时结算进行了有益的探索。课题的实施对于推动跨省卫生协同服务水平的提高具有重大意义。
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| 关 键 词： | 异地就医 医保实时结算 药品目录 医用材料目录 |
A study on the real-time settlement payment pattern of health insurance |
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| Affiliation: | YANG Jia-hong, HE Ping, WANG Fei, WANG Ye, LUO Fang-fang, YU Guang-jun ( 1.Shanghai Hospital Development Center, Shanghai 200041, China; 2. Wonders Information Company Limited, Shanghai 201112, China; 3. Children＇s Hospital of Shanghai, Shanghai 200040, China ) |
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| Abstract: | This paper analyzed the three key problems that must be solved,and put forward alternative solutions of real-time settlement of health insurance when patients sought medical services across provinces. It aimed at the current indefinable payment pattern of health insurance settled in real-time and conducted some sound exploration in realizing real-time settlement of health insurance across provinces. The implementation of this plan is of great significance to improve cooperated healthcare levels. |
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| Keywords: | hospitalization in other places real-time settlement drug formulary medical materials directory |
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