Hospital medical insurance window service terms

1. Improve the hospital system

1.1 Strictly implement charging standards

Strict charging standards should be used to reduce the burden on patients in many ways, be a good home for patients, and manage finances well . Ensure reasonable inspections, rational use of medications, and strictly enforce price and charging standards. It is necessary to vigorously promote the behavior of medical treatment and change people's simple concept of commodity trading and simple health and welfare services. Reasonable charges can effectively reduce the cost burden on patients. Vigorously adopt applicable technologies with low prices and good effects, and strictly control the indication standards of high and new technologies. On the premise of ensuring medical quality, appropriate technology is widely used to reduce patient examination costs. When the curative effect is roughly the same, try to use lower-priced drugs. It is necessary to increase the transparency of medical charges; standardize charging behavior and put an end to repeated charges, decomposed charges, exceeding standard charges, and expanding the scope of charges.

1.2 Simplify the medical treatment procedures to facilitate patients' medical treatment

Optimize the medical treatment process and simplify the service links to facilitate patients' medical treatment. Efforts should be made to improve the attitude of medical care services, standardize service terms, reasonably increase service windows, shorten patient waiting time, achieve fewer medical links, short diagnosis and treatment time, low treatment costs, and good service quality, and firmly establish a people-oriented and patient-centered service concept. Under the market economy system, we must strengthen the humanized management of hospitals, improve service quality, establish good and effective communication channels with patients, shorten the psychological distance with patients, enhance understanding between doctors and patients, reduce misunderstandings, and avoid disputes , improve patient satisfaction, build a harmonious and good doctor-patient relationship, and promote hospital construction and development.

1.3 Optimizing the hospital profit model

Some hospitals have deviations in their business philosophy, and due to the objectively stimulating competition in the medical market, hospitals pay more attention to economic benefits, especially most hospitals. After the implementation of independent economic accounting of departments, departments are responsible for their own profits and losses. Departments have to make economic calculations. To a certain extent, there is an unhealthy trend of pursuing economic benefits, which has caused adverse psychological effects on patients. Therefore, in order to improve the doctor-patient relationship, we must fundamentally ensure the income of medical staff so that their contributions are proportional to their returns. Twenty or thirty years ago, a similar phenomenon occurred in Taiwan's hospitals. The government and hospitals could not guarantee the income of medical staff, which made red envelopes and kickbacks common. But now with the reform of Taiwan's medical system, this kind of phenomenon has faded out of the medical field. Doctors can better diagnose and treat patients without too much economic benefit. 2. Adhere to "people-oriented"

The reason why we should be patient-centered is that patients are the premise for the existence of the hospital and the direct object of medical and health services; patients are the main component of the hospital population, and the patient flow determines the hospital survival and development. Without patients, there would be no value for the existence of the hospital, and there would be no value for the work of medical staff. Therefore, patient-centeredness is the fundamental starting point and attribution of all work in the hospital.

2.1 Patients have the right to informed consent, privacy and other rights

In the United States, patients’ rights mainly include: understanding their condition and treatment measures, the right to request to stop treatment, etc. The walls of each department are clearly posted. As soon as patients are admitted to the hospital, they are given a Patient's Rights pamphlet. These practices can easily create an atmosphere of equality and respect and reduce patients' suspicion of the hospital. Once a dispute occurs, the patient can easily maintain a peaceful and rational attitude and negotiate with the hospital to resolve the issue. American doctors pay special attention to protecting themselves. The ubiquitous and effective thing between doctors and patients is the consent form. They usually spend a certain amount of time talking to the patient: for example, blood transfusion may bring infectious hepatitis or AIDS, even though the hospital has already provided blood. Pre-examination, but the hospital cannot guarantee that there will be no infection after blood transfusion. If the patient agrees, he will sign it. If something goes wrong, the patient will not go to the doctor. This emphasizes the patient's rights. In our country, the same approach can be adopted. Inform the patient in as much detail as possible about the risks of using a certain treatment or performing a certain operation, inform the patient of the possible prognosis and its complications, and sign a consent form. Let patients be mentally prepared for the occurrence and development of diseases and minimize medical disputes.

2.2 Actively care for patients

The core of humanized services is to respect and understand patients and give more care. For example, hanging cartoon pictures on the walls of the pediatric clinic of our hospital, sending children's wish cards, sending small gifts, and talking softly to the children can help them eliminate their fear of the hospital. Provide patients with more spiritual care and comfort in addition to treatment.

2.3 Empathy

As a hospital, being people-oriented means respecting patients, being considerate of patients, caring for patients, and completely correcting the phenomenon of "seeing the disease but not seeing the person, treating the disease without treating the heart", so as to From the patient's perspective, we strive to provide patients with high-quality and satisfactory medical services as much as possible. At the same time, as medical staff, we should understand the possible psychological changes of patients under the disease state, understand some abnormal psychological phenomena of patients under the disease state, be people-oriented, think from others' perspective, and always carry forward the compassion in medical services. The humanitarian spirit of saving lives and helping the wounded should be enthusiastic, proactive, patient and thoughtful, so that patients can feel caring, cordial and warm. Respect patients' rights to informed consent, privacy, choice, etc., use professional knowledge to relieve patients' doubts, exchange patients' trust and understanding with sincerity, and allow patients to fully participate in the formulation and implementation of medical measures. This can both Winning the support and cooperation of patients can also reflect the humanitarian spirit and promote the healthy development of medical work. 3. Improve the quality of medical personnel

With the rapid development of China's economy and the continuous improvement of people's living standards, the development of medicine has also shifted from a pure biomedical model to a bio-psychological-social medical model. The patient's role has changed from a passive role in the past to a coexistence of multiple roles and even an active role. Here, patients' requirements for medical staff are not only superb medical skills, but also require medical staff to understand basic psychology and sociology knowledge, to communicate well with patients, and to alleviate patients' physical and psychological illnesses. 3.1 Use communication skills flexibly

Mastering effective communication skills is the primary condition for doctor-patient communication. First of all, be good at comprehensively using language and non-verbal communication skills: As the saying goes, "A good word warms people for three winters, but a bad word hurts people for six months." This sentence fully illustrates the charm and role of language art. Beautiful language can not only make people listen I feel relaxed, friendly and peaceful, and also very therapeutic. For example, the combination of elegant and refined speech, a sincere and warm smile, a friendly and humble attitude, and a solemn and steady demeanor form a nursing language and non-verbal communication system. This is not only an important method of psychological care for patients, but also the art of nursing and The essence of nursing ethics. Secondly, communication should grasp the reality and be good at taking advantage of opportunities: choose the appropriate conversation reality based on the severity of the illness and the patient's mood. For example, patients in the acute stage must absolutely stay in bed. At this time, you only need to convey your concern to the patient appropriately. After the condition improves or stabilizes, you can then talk to them about the predisposing factors and psychological feelings of the disease. Working while talking is more casual and makes patients feel very natural

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