The Situation And Analysis Of Seeing Doctor Before Paying Policy In Jining

Objective:Since 2011, successively in medical institutions of various levels of jining fully implementing "to see a doctor before paying" policy, cancel the medical care, new farming and inpatient hospitalization fee in advance, don’t pay the deposit in hospital, the hospital the checkout patients only need to pay for health care, new farming in personal pay for part of the reimbursement. Policy has been carried out for more than three years. This study based on the analysis of jining city to see the doctor before paying the implementation status, on the basis of objectively evaluate the jining city "after the first doctor pay" policy implementation effect, and the results and existing problems. Based on the above research results, put forward to perfect the relevant policy recommendations, the reform mode of in order to better promote the implementation of this model.Methods:1. literature synthetics; 2. quantitative analysis method; 3、 investigation methodResults:After the implementation of the policy, medical institutions generally stable, malicious arrears less. County and township levels of total service institutions increased, while the county hospital is to meet the body’s incremental demand. Township hospitals and other primary health care institutions and services capability is weakened. "After the first doctor to pay" due to the release of the health care needs of patients, increasing the workload of doctors and nurses, to some extent, improve the doctor-patient relationship. Policy implementation to improve patient satisfaction. Medical insurance policy to pay to see a doctor after the first implementation of the policy impact is obvious.Conclusion:Jining city to see the doctor before they paid service mode reform has achieved obvious economic and social benefits. "After the first doctor pay" should be steadily in various conditions are ripe conditions, avoid enforced. To improve the level of basic medical insurance, strengthening policy foundation. To strengthen grass-roots allocation of health resources, strengthen the two-way referral incentive mechanism, enhance policy effectiveness. To strengthen coordination and cooperation between departments, ensure the effective policy execution. To further promote the reform of public hospitals, perfecting the safeguard mechanism of a serious illness, provide support for policies to promote. To establish a social credit system, perfect specific measures, such as hospital information management system to effectively control cost issue. We need to improve the social assistance system, reduce the "poor" owe the vulnerable groups.