新冠疫情背景下公立医院推进“互联网+医保服务”的实践与思考  

Implementation of Internet+Medical Insurance Service in public hospitals under COVID-19

作　　者：杨扬[1] 蔡滨[1] 史力群[1] 李小芳[1] 王永祥[1] YANG Yang;CAI Bin;SHI Liqun;LI Xiaofang;WANG Yongxiang(Northern Jiangsu People’s Hospital,Yangzhou 225001,China)

机构地区：[1]江苏省苏北人民医院,江苏扬州225001

出　　处：《现代医院》2022年第8期1254-1256,共3页Modern Hospitals

基　　金：2018年度江苏省社会科学基金课题(18GLC005);江苏省医学会2020年伦理协同审查机制探索与实践专项课题(SYH-330·81-0005);江苏省医院协会2020年度医院管理创新研究课题(JSYGY-3-2020-719);2020年度江苏省苏北人民医院管理课题(YYGL202010)

摘　　要：自新冠疫情发生以来,在政府政策与社会需求双向驱动下,互联网+医疗的发展迎来了新的机遇。我院应用“互联网+”等现代信息技术创新医保服务模式,通过创新窗口服务、设置医保电子窗口、开展床旁医保咨询和延伸出院后服务等方式优化医保服务线下流程,同时开展互联网+医保线上服务,实现医保服务线上+线下有效联动,有力提升了患者的就医体验和获得感,推动医院高质量发展。Since the outbreak of COVID-19,the development of“Internet+Medical Care”has ushered in new opportunities driven by the two-way model of government policy and social demand.Northern Jiangsu People’s Hospital innovates medical insurance service model by applying modern information technologies such as the“Internet+”.On the one hand,it optimizes the offline process of medical insurance service through innovating window service,setting up electronic medical insurance window,carrying out bedside medical insurance consultation and extending post-discharge service.On the other hand,it also actively launches“Internet+medical insurance”services simultaneously,so as to realize the effective linkage between online and offline services of medical insurance,effectively improving patients’medical experience and sense of acquisition and promoting the high-quality development of the hospital.

关 键 词：新冠疫情 互联网+医保 线上+线下联动 医院高质量发展 

分 类 号：R197.32[医药卫生—卫生事业管理] R319[医药卫生—公共卫生与预防医学]