北京市某医院国际医疗部商业健康保险服务现状分析  

Analysis of Status Quo of Commercial Health Insurance Services in International Medical Department of a Hospital in Beijing City

作　　者：马盼盼[1] 李君[1] 赵冬旭[1] 李悦媛 张聪聪[1] 柳昭羽[1] Ma Panpan(International Medical Department,Peking Union Medical College Hospital,Beijing,100730)

机构地区：[1]北京协和医院国际医疗部

出　　处：《医学与社会》2019年第6期96-98,共3页Medicine and Society

摘　　要：目的:调查北京市某医院国际医疗部2015-2017年的商业保险服务情况,分析高端医疗中商业健康保险服务现状及发展方向。方法:从HIS后台调取相关数据,采用Excel2013建库、汇总和分析。结果:高端医疗机构中商保患者的实际占比不高,2015-2017年商保门诊收入平均占比为21.85%,商保住院收入平均占比为6.34%,外籍商保患者占比仅为15.81%。海外保险无法享受直付服务。结论:高端医疗机构可以从对内提高服务、对外开拓市场2个方面采取措施,进一步吸引和维护商保患者,发展商保服务。Objective:To probe into the service condition to patients with commercial health insurance in the international medical department of a hospital in Beijing between 2015 and 2017,and analyze the current service condition of commercial health insurance in high-end medical institutions and its development direction.Methods:By collecting data from HIS background,the study built database,summarized and analyzed the data with the help of Excel 2013.Results:The ratio of patients with commercial health insurance was not very high.The average percentage of outpatients with commercial health insurance between 2015 and 2017 was 21.85%,and that percentage of inpatients was only 15.81%.Patients with overseas commercial health insurance cannot enjoy direct-billing service.Conclusion:To attract and maintain patients with commercial health insurance,and further develop commercial health insurance service,high-end medical institutions can take measures from two aspects:inward service and outward market.

关 键 词：高端医疗 商业健康保险 

分 类 号：R197.323.4[医药卫生—卫生事业管理]