I. Preparation for referral procedures
Before making a referral, patients need to fully understand their own conditions and treatment needs, and communicate with the medical institutions in their original place of treatment to confirm the necessity and feasibility of referral. At the same time, patients also need to prepare their personal identification, medical insurance card, medical records and other relevant documents for subsequent procedures.
Second, application for referral procedures
1. Consultation and application: Patients or their family members need to apply for referral to the medical institution in their original place of medical treatment and consult the relevant policies and procedures. The medical institution will assess the suitability of the referral based on the patient's condition and treatment needs, and give appropriate advice.
2. Fill out the referral application form: Patients are required to fill out the referral application form, recording in detail their basic personal information, a summary of their condition, and the reason and purpose of the referral. At the same time, they need to provide relevant medical records, examination results and other supporting documents.
3. Review and approval: The medical institution in the original location will review the patient's referral application, including the assessment of the patient's condition and the judgment of treatment needs. After the review and approval, the medical institution will issue a referral certificate and go through the relevant procedures.
Third, the receiving medical institution's formalities
1. Acceptance notification and confirmation: After receiving the notification of referral, the receiving medical institution will need to reassess the patient's condition and treatment needs to confirm whether the conditions for acceptance are met. If the conditions are met, the receiving medical institution will send a notification of acceptance to the patient and inform him/her of the relevant matters.
2. Arranging for consultation and hospitalization: The receiving medical institution will arrange for consultation and hospitalization according to the patient's condition and treatment needs. The patient should report to the receiving medical institution and go through the hospitalization procedures according to the requirements.
3. Settlement of Medical Expenses: During the treatment in the receiving medical institution, the patient will be required to settle the expenses in accordance with the local medical insurance policies and regulations. Specific settlement methods can be carried out according to the guidance of the local medical insurance department.
In summary:
The referral of patients to other places requires the cooperation of patients and medical institutions*** to go through a series of procedures. Patients need to understand their own condition and treatment needs, communicate with the medical institutions in the original place of treatment and submit a referral application. After approval, the patient should report to the receiving medical institution and go through the relevant procedures. Throughout the process, the patient should actively cooperate with the medical institution to ensure that the referral process is carried out smoothly.
Legal basis:
"Chinese People's **** and the State Practitioners Law"
Article 29 stipulates:
Physicians in the event of a medical incident or the discovery of infectious disease outbreaks, should be in accordance with the relevant provisions of the relevant agencies or the health administrative department in a timely manner to the report. Physicians find patients suspected of injury or unnatural death, shall report to the relevant departments in accordance with the relevant provisions.
"Regulations on the Administration of Medical Institutions"
Article 31 provides:
Medical institutions shall immediately rescue critically ill patients. Patients who cannot be diagnosed and treated due to limited equipment or technical conditions shall be referred to the hospital in a timely manner.
The Social Insurance Law of the People's Republic of China
Article 29 stipulates:
The portion of a participant's medical expenses that should be paid for by the basic medical insurance fund shall be settled directly by the social insurance agency with the medical institution and drug business unit.
The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.