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口腔医院门诊收退费问题探讨及精细化管理实践

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目的 通过对"先诊疗后付费"特点显著的口腔医院门急诊收退费问题的探讨,帮助医院梳理分析相关风险,并通过管理实践,提供可供参考和推广的经验做法。方法 通过对口腔医院一定时段内门急诊收退费数据的分析,研究收费和退费的原因和风险要素,根据不同风险动因,综合考虑内控要求、成本效率和患者满意度,并通过ESIA分析,提出对应的精细化管理措施。结果 相关精细化管理措施实施后,未收费处方数和退费量明显下降,患者漏付费情况明显改善,收退费环节风险明显降低。结论 "先诊疗后付费"模式下,医院需要优化收退费相关管理、改善医疗服务、完善内控机制、提升信息化水平,以有效控制相关风险。
Refined management of outpatient billing and refunding in stomatological hospitals
Objective This paper aims to assist the hospital in managing billing and refunding risks from the billing pol-icy of"diagnosis and treatment before payment"by analyzing situations of outpatient and emergency fee refunds at a stomatologi-cal hospital to provide references for outpatient billing and refunding in stomatological hospitals.Methods Through analyzing outpatient and emergency billing and refunding data from stomatological hospitals over a certain period,this paper investigated the causes and risk factors associated with outpatient billing and refunding.According to various risk factors,this paper comprehen-sively considered internal control requirements,cost efficiency,and patient satisfaction,and adopted ESIA analysis to propose corresponding refined management measures.Results Implementing of the relevant refined management measures,the number of prescriptions provided without charging and refunding decreased significantly.The issue of patients missing payments improved significantly,and the risks associated with billing and refunding were significantly reduced.Conclusion Under the"diagnosis and treatment before payment"mode,this paper suggests that stomatological hospitals should optimize the management of billing and refunding,enhance the medical services,improve internal control mechanism,and keep the information updated to effective-ly control related risks.

Stomatological hospitalDiagnosis and treatment before paymentFee collection and refundInternal con-trolRefined management

秦櫆、徐丹

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上海申康医院发展中心 上海 200041

上海市口腔医院 上海 200001

口腔医院 先诊疗后付费 收退费 内部控制 精细化管理

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(5)