RESUMEN
Objective To explore the current implementation status and existing problems of direct settlement for chronic and special critical diseases in cross provincial outpatient service policies,propose improvement strategies and suggestions,pro-vide reference for further improving direct settlement for chronic and special critical diseases in cross provincial outpatient service policies,enhance patient satisfaction and convenience in seeking medical treatment,and jointly maintain the safety of medical in-surance funds.Methods Extract settlement data from chronic and special critical diseases in cross provincial outpatient service and medical insurance service platform data from S Hospital,collect and sort out the difficulties encountered in daily settlement,and analyze the problems and reasons in the implementation of settlement policies.Results Direct settlement for chronic and special critical diseases in cross provincial outpatient service has brought convenience to patients,with an increasing number of settlement personnel.However,there are still problems such as cumbersome settlement processes,low settlement personnel,ina-bility to settle certain diseases,unclear settlement policies for patients,limited number of medical institutions opened,and inac-curate settlement data.Conclusion Medical insurance departments and institutions at all levels need to work together to develop a unified list of outpatient treatment for chronic and special critical diseases,expand the scope of pilot diseases and medical insti-tutions,optimize settlement processes,strengthen information construction,strengthen policy promotion and personnel training,establish a regulatory mechanism of outpatient treatment for chronic and special critical diseases in remote locations.
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Objective To find out research progress for remote medical treatment of basic medical insurance in China,in order to provide evidences for further research and policy-making.Methods Doing literature research.Results Research progress is summarized from five aspects,such as concepts and theoretical basis,causes of remote medical treatment and different social problems caused by it,the observation of domestic and foreign experiences,shift and continuity of basic medical insurance for rural residents,as well as instant reimbursement.Conclusion The enlightenment from the existing research is put forward,that is to solve the related problems of remote medical treatment.The most important thing is to classify the people who need remote medical treatment,and then to give solutions acording to different categories.
RESUMEN
It is one of the hot spots in recent years to provide immediate settlement services for a large number of remote medical groups.Based on the related concepts and the design of the national policy,it clarifies the connotation and types of remote medical treatment and remote medical treatment,analyzes the existing policy orientation,and puts forward the main problems of real-time settlement in different places.In the new stage of the medical and health system reform,combined with the relevant reform and practice,it proposes the realization path of real-time settlement of medical treatment in different places.
RESUMEN
In 2002 the introduction of a telemedicine clause into the Medical Law allowed telemedicine consults between physicians and health care providers. The Korean government decided to launch a pilot program to provide online health services for people who resided in rural or remote areas such as island dwellers, prisoners, soldiers, and the crew of a pelagic trawler in 2014. However, since the accessibility to medical facilities has been well-established in South Korea, it was hard to determine whether the pilot programs, in terms of safety, were successful or not. The majority of people argue that telemedicine should be performed by medical professionals only for achieving accessibility. Nonetheless, if telemedicine were proven to be useful with respect to safety and validity, then broadening the application of telemedicine between physicians and patients may need reconsideration.