中国医院管理2024,Vol.44Issue(6) :73-76,86.

"双通道"管理机制下电子处方流转与医保线上结算分析

Analysis of Electronic Prescription Circulation and Medical Insurance Online Settlement under the "Dual Channel" Management Mechanism

莫曼君 吴志强 黄宁 林健波 胡雪峰
中国医院管理2024,Vol.44Issue(6) :73-76,86.

"双通道"管理机制下电子处方流转与医保线上结算分析

Analysis of Electronic Prescription Circulation and Medical Insurance Online Settlement under the "Dual Channel" Management Mechanism

莫曼君 1吴志强 1黄宁 1林健波 1胡雪峰1
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作者信息

  • 1. 深圳市中医院 广东深圳 518000
  • 折叠

摘要

运用问卷调查、关键知情人深度访谈等研究方法对深圳市2022年6月试点开展"双通道"电子处方流转与医保线上结算的量化数据、结算费用、满意度等实际运行情况进行调查,探索分析其有效杜绝假冒纸质处方、药店库存实时共享、药品价格透明化等优势以及处方流转覆盖面局限、处方审核环节障碍等不足之处,并提出打造统一化、标准化的处方流转模式,构建规范、高效的外购药品目录管理体系,强化信息隐私及数据安全等优化建议.

Abstract

It uses research methods such as questionnaire surveys and in-depth interviews with key informants to investigate the quantitative data,settlement costs,satisfaction,and other actual operations of the"dual channel"electronic prescription circulation and medical insurance online settlement pilot project in Shenzhen in June 2022.It explores and analyzes its advantages in effectively eliminating counterfeit paper prescriptions,real-time sharing of pharmacy inventory,transparency of drug prices,and limitations in prescription circulation coverage.And it makes suggestions for optimizing the prescription review process,such as creating a unified and standardized prescription circu-lation model,constructing a standardized and efficient management system for purchased drug catalogs,and strengthening information privacy and data security,are proposed.

关键词

双通道/电子处方/医保/线上结算

Key words

dual channel/electronic prescription/medical insurance/online settlement

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基金项目

广东省卫生经济学会科研面上课题(2023-WJMZ-44)

深圳市卫生经济学会科研基金(202311)

出版年

2024
中国医院管理
中国医院管理杂志社

中国医院管理

CSTPCD北大核心
影响因子:2.15
ISSN:1001-5329
参考文献量4
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