Through the establishment of a two-way referral system, strict referrals from outside the county (city), and at the same time set the starting line and compensation ratio for medical expenses subsidized by different levels of medical institutions, to guide the reasonable diversion of hospitalized patients to achieve the goal of "small illnesses do not go out of the townships, big illnesses do not go out of the county, and difficult and serious illnesses go to the big hospitals," thereby reducing the burden on medical expenses of the farmers who are enrolled, and also ensuring that the cooperative medical care is provided to the farmers, and also ensuring that they can be treated in the hospital. The company's website has been updated with the latest information about the company's products and services, as well as the latest information about the company's products and services, and the company's website.
Question 2: What is the two-way referral system that regulates the orderly flow of patients between primary medical institutions and higher-level medical institutions (large and medium-sized medical institutions). Through the establishment and implementation of the two-way referral system, can effectively standardize the flow of medical services, to achieve "minor illnesses in the community, serious illnesses to the hospital, rehabilitation back to the community" of the rational division of labor pattern of medical services.
A spokesman for the Ministry of Health explained the two-way referral system as follows: community health service organizations sign agreements with regional large and medium-sized general hospitals and specialized hospitals, so that common and frequent minor illnesses can be treated in community health service organizations, and major illnesses can be transferred to large hospitals above the second level, and the treatment of chronic illnesses after diagnosis in large hospitals and post-surgical rehabilitation can be transferred to community health service organizations. In this way, it is possible to realize the principle of "keeping minor illnesses out of the community and referring major illnesses in a timely manner". The two-way referral system is linked to the hierarchical medical care, the core of which is to clarify their respective functions and form a complementary advantage, rather than grabbing each other's medical market.
Question 3: What does two-way referral mean? If AB = 10, how many circles are there that cross points A and B and have a radius of 7?
Question 4: Introduction to the system of two-way referral "two-way referral" system is the key: standardized management, but also to achieve rational planning of regional health resources. Rational use of resources, according to the community population density, according to the local morbidity rate, and according to the local medical resources, to ensure that community hospitals have a considerable number of patients referred to the counterpart hospital. If the patient only to a doctor and hospital, there is no need to repeat the examination, and naturally form an effective operation. I. For cases that cannot be handled by community medical stations with insufficient equipment and technology, general practitioners will be responsible for consultation and referral. II. Provide doctors of specialized hospitals with patients' health information, including medical history, clinical examination information, and so on. III. To follow up the referred patients and contact the specialized doctors at any time to keep track of the patient's treatment during the referral and treatment as well as the development of the patient's condition. Fourth, after the end of the patient's treatment in the specialized hospitals, the specialized hospitals are required to provide the treatment and medication during the referral period, and refer the patient back to the community health care station, as a two-way referral.
Question 5: What role does the implementation of two-way referral play in the reporting of bills? Efficiency
Question 6: What is the referral service? The principle of two-way referral for community health services, the conditions of referral, the referral process and referral requirements.
The principle of referral:
(a) the principle of patient voluntariness: from the maintenance of the interests of patients, fully respect the right of patients and their families and relatives to choose, and effectively serve as a good counselor for the patient;
(b) the principle of hierarchical diagnosis and treatment: the general small and common diseases routine diagnosis and treatment in the community, the diagnosis and treatment of critical critical and serious illnesses in the higher level of hospitals, the general rehabilitation or hospice care in the community;
(C) the principle of proximity referral: according to the patient's condition and the accessibility of medical institutions, the proximity of the referral of patients, to achieve convenient, fast;
(D) the principle of relevance and effectiveness: according to the patient's condition and willingness to selectively refer the patient to the specialty, specialty characteristics of the medical institutions, to improve the effectiveness of diagnosis and treatment;
(E) the principle of resource **** enjoyment: To make the results of the examination common, not to do unnecessary duplication of examination, reduce the cost of patients;
(6) the principle of continuous management: the establishment of an effective, strict, practical, smooth up and down the referral channel, to provide patients with holistic, continuous medical services.
Referral conditions:
Upward referral conditions
In addition to emergency rescue, community health service organizations should refer the following patients to medical institutions above the second level of diagnosis and treatment:
1. Various types of injuries (work-related injuries, traffic accidents, house collapses, burns, scalds, etc.) serious injuries or more serious, the ability to deal with the case of limited;
2. Various types of acute poisoning (poisons, gases, poisonous gas, etc.), the case of a serious injury or more serious, the handling capacity of the case;
2. Poisoning (poison, gas, drugs, etc.) serious or severe symptoms;
3. Various causes of hemorrhage, hemoptysis;
4. acute and chronic diseases, the condition of the more critical, serious, or community health service institutions are difficult to carry out effective treatment cases;
5. Diagnosis of the case is not clear or conventional treatment is ineffective, can not be diagnosed in difficult and complex cases;
6.6. Indications for surgery, the "Hospital Surgery Classification and Management Code" stipulates the surgical cases;
7. Various types of infectious diseases and other new infectious diseases requiring hospitalization;
8. Acute exacerbation of mental disorders;
9. Malignant tumors requiring surgery, chemotherapy;
10. Disease diagnosis and treatment of cases that are beyond the approved diagnosis and treatment registration subjects of the institution. Cases of disease diagnosis and treatment beyond the approved diagnosis and treatment registration subjects of the organization, cases that can not be dealt with due to technical and equipment limitations or other reasons.
Conditions for referral
Medical institutions above the second level should refer the following patients to community health centers for follow-up treatment, rehabilitation or care:
1. Cases of various patients with critical and serious illnesses whose condition stabilized after rescue treatment and who entered the rehabilitation period;
2. Cases of patients whose condition stabilized after the acute treatment and who need to continue the rehabilitation;
3. Cases with a clear diagnosis and who do not need special treatment. 3. cases with a clear diagnosis that do not require special treatment; or cases of chronic diseases with a clear diagnosis that require long-term treatment;
4. cases that require long-term rehabilitation after surgical healing;
5. cases of various types of infectious diseases and hospitalized new infectious disease patients with symptoms relieved by the treatment or less severe symptoms and have been lifted from isolation need to resume treatment;
6. cases of various types of 6. advanced non-surgical treatment or hospice care for patients with various malignant tumors; 7. geriatric patient care;
8. mental disorders and other mental illnesses in the recovery period;
9. general common diseases, cases of frequent illnesses;
10. voluntarily requesting to be transferred back to the community for follow-up or rehabilitation.
Referral procedures
1, community health service organizations in accordance with the principle of referral and referral conditions, the patient will be referred to the second level or above, large and medium-sized hospitals.
2, the receiving doctor to open the referral order, to the community center two-way referral office stamped effective.
3. Referred patients with "two-way referral order" to the corresponding medical institutions. More serious patients by the center or contact the higher hospitals to send a car to transport patients to the higher hospital.
4. Large and medium-sized hospitals above the second level will meet the conditions of the transfer of patients back to the corresponding community health service organizations in a timely manner to continue rehabilitation treatment.
5. Each community health service organization, according to its own situation and geographical location, selects 1-2 hospitals above the second level as the upward referral hospital, and signs a "two-way referral agreement".
Referral requirements
(a) Community health service organizations
1, community doctors should be familiar with the basic situation of the referral hospital, expert specialties, commonly used checkups and prices, to assist or guide the patient to select the appropriate experts and checkups, timely referral of patients eligible for referral to higher hospitals, to avoid blind selection and reduce medical expenses;
2, community health service organizations should be familiar with the basic situation of the referral hospital, expert specialties, commonly used checkups and prices, to assist or guide the patient to select the appropriate experts and checkups, to timely refer patients eligible for referral to higher hospitals, to avoid blind selection and reduce medical expenses;
2, community health service organizations on the transfer of patients to fill out the "XX city community health service institutions and hospitals two-way referral on the transfer of single", indicating the preliminary diagnosis, the patient's medical history and diagnosis and treatment, the reason for the referral and other circumstances, signed by the attending physician and stamped with the official ...... >>
Question 7: The referral process of two-way referral 1. Community health service agencies to transfer patients fill out the "community health services two-way referral upload form", indicating the initial diagnosis, signed by the attending physician and stamped with the official seal, while the phone notification of the hospital in charge of the community staff, after recognition of the referral. When referring critically ill patients, it is necessary to send a special escort, and explain the patient's condition to the receiving doctor, and provide relevant examination and treatment information. 2. The two-way referral form is divided into a stub column and a referral column, and the patient is required to hold the "Community Health Service Referral Form" when he/she is referred to a clinic, and the stub column is retained by the community from which he/she is referred. 3. After receiving the patient in the hospital, the hospital should fill out the "Two-Way Referral Registration Form", and make timely arrangements for the patient referred to the corresponding ward or outpatient clinic. 4. Hospitals in receiving community health services referral patients, and the corresponding diagnosis and treatment period, professional doctors have the obligation to accept the community doctor's consultation, and will be the patient's treatment feedback community doctors. 5. When the patient's diagnosis is clear, the condition of the patient is stable to enter the recovery period, the hospital professional doctors should fill in the "Community Health Services Two-Way Referral under the transfer of the single", explaining the process of diagnosis and treatment, continue the treatment of recommendations and precautions, and timely transfer of patients to the community. 6. Recommendations and precautions, timely transfer of patients back to the community health service organizations, and according to the need to guide the treatment and rehabilitation, if necessary, to accept re-referral. 6. The implementation of clinical tests and other large-scale medical equipment examination resources *** enjoy large-scale medical equipment examination by the community telephone booking date of the examination, and to inform the patient to make the appropriate preparations. The patient holds the test and examination checklist issued by the community doctor, and goes directly to the corresponding department of the hospital to make the price and charge for the test and examination (free of registration and consultation fee).