Research On The Risk Management Of Third-party Payment In The Medical Income Of Public Hospitals ——Taking SD Provincial Affiliated Hospitals As An Example

Since the new century,the rapid development of e-commerce industry has promoted the wide application of third-party payment technology.With the increasing maturity of technology,third-party payment has won the favor of the public with its advantages of convenience,efficiency and low cost,quickly penetrated into various industries,and has become one of the main settlement methods of public hospitals.While enjoying the convenience of simplified operation process,rapid information transmission and improved service quality brought by the third-party payment,public hospitals are also facing the impact and impact brought by the third-party payment.Medical income is the non repayable fund obtained by public hospitals according to law and the necessary capital guarantee to maintain the sustainable operation of public hospitals;Because medical income involves multiple departments and processes,it is also a high incidence link of financial risk in public hospitals.What impact will the wide application of third-party payment in the medical income of public hospitals have on public hospitals? What new risks? How to improve the risk management system of public hospitals to effectively prevent and control the risk of third-party payment? This thesis will carry out in-depth research on this.The first chapter is the introduction,which mainly introduces the research background and significance,summarizes the relevant literature combined with the third-party payment risk and public hospital risk management,and expounds the research content,methods and research innovation.The second chapter introduces the related concepts and theoretical analysis.The third chapter analyzes the overall level and structural changes of medical income of public hospitals in China,and describes the basic process of medical income of public hospitals in China in combination with income acquisition channels.From the perspective of the evolution,function and practical application of payment methods,this thesis systematically analyzes the application status of third-party payment in public hospitals.Combining the third-party payment with the medical income of public hospitals,this thesis preliminarily investigates the impact of the third-party payment on the medical income.The fourth chapter introduces the risks of third-party payment,identifies the risks of third-party payment in the medical income of public hospitals,and expounds the risk management of third-party payment in the medical income of general public hospitals.The fifth chapter analyzes the impact of third-party payment on the medical income process and risk of SD provincial affiliated hospital.The sixth chapter puts forward policy suggestions to optimize the risk management of public hospitals according to the above theory and case analysis results.The seventh chapter combs the main research conclusions and puts forward the prospect of future research.SD provincial affiliated hospital is a well-known third class hospital in the province,with complete discipline construction and abundant human resources.The president responsibility system is implemented for its financial management activities,and the planning and finance department is in charge of the financial management and accounting of the capital construction of the hospital.Since the introduction of the third-party payment mode in 2015,the integration of the third-party payment and various processes of the hospital has been improved day by day.This thesis selects SD provincial Affiliated Hospital as the case study object,and summarizes its medical income management from four aspects: charge,refund,arrears and accounting.On this basis,the impact of third-party payment on the medical income process of SD provincial affiliated hospital is analyzed from three aspects: transaction capital settlement process,financial verification process and refund process.Finally,combined with the risk status of third-party payment,it is analyzed that third-party payment will bring certain system security risk,capital security risk and operational risk to the medical income of SD provincial affiliated hospitals,which needs to be further controlled and prevented by public hospitals.The research contributions of this thesis are as follows: first,supplement the relevant research in the field of public hospital risk management and third-party payment risk,and provide case analysis evidence.By combining the third-party payment with the actual cases of risk management in public hospitals,this thesis makes up for the lack that the current research on the risk of third-party payment mostly focuses on the macro level,and further explores the risk identification and coping strategies in the risk management of public hospitals,which has a certain practical significance for the internal management of public hospitals in China;Second,it focuses on the risk management of public hospitals and the risk prevention and control of traditional Chinese medicine income.This thesis takes SD provincial Affiliated Hospital as a research case to provide reference and reference for the risk management of public hospitals at the same level,which helps to improve the risk management awareness of public hospitals,so as to strengthen the risk prevention and control of medical income of public hospitals under the mode of third-party payment.