Medical insurance payment failed to get through the medical APP, medical treatment is still to be improved

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The picture shows the flow chart of WeChat in Beijing Jiangong Hospital

I believe that people who have been to the hospital have been tested patiently by long-term registration, medical treatment, and payment. Nowadays, with the launch of various medical apps, it has brought convenience to patients in the disease to some extent. What is the experience of using medical apps? What kind of APP does the patient need? The author came to a number of hospitals in Beijing to experience it.

Helps ease the "stress of registration"

The registration windows of major hospitals in Beijing are always crowded. The author came to the registration office of the China-Japan Friendship Hospital, and there are many foreign medical insurance users in the team. "The light registration line is half an hour, this is still the shortest! Then you have to queue up for the doctor! Then you have to line up for the payment!" said a patient from Shandong.

Another patient named Lu was receiving a registration form at the payment window based on the mobile phone text message, and quickly went to the department. "I used the 'Baidu doctor' registration, very convenient. Now there is a voice recognition function, telling the symptoms, automatically help recommend which one to hang." Mr. Lu said.

The author opened the "Baidu doctor" and found that there are various departments in the top three hospitals such as Peking Union Medical College Hospital and the People's Liberation Army General Hospital. When you click on a specific doctor's appointment, you can add the "visiting person" phone number, ID number and other information as required. The result of the appointment is updated, and the source of the day is updated at around 8:00 every day, as well as the “Best Hospital Rankings in China”. According to Zhang Yaqin, vice president of Baidu, the goal of Baidu doctors is to use Baidu's positioning technology, search technology and machine learning precision matching technology to find the best doctors around. At present, there are 157,466 doctors in 2,783 hospitals.

Not only Baidu doctors, micro-medicine registration websites and other APPs also have medical evaluations. With these real evaluations from the visiting users, users can check the doctor's total recommendation level by star rating, and further facilitate the selection of high-quality doctor resources around them, thus avoiding getting together. Home hospital.

The author has learned that major hospitals in Beijing have launched medical applications, and some can be bound to the medical card. In August 2015, Guang'anmen Hospital officially launched the “Guanganmen Hospital APP”, and successively launched online appointment registration, inspection and inspection report inquiry, understanding of department doctors, medical treatment tips, and referral services, etc., and will soon launch online medical consultation and self-service delivery. Medicine, self-service payment and other services. The patient can bind the medical card, medical insurance card or Jingtongtong card at any place and at any time through the mobile phone, and make an appointment for the general clinic and expert clinic number of Guang'anmen Hospital within 3 days. At the same time, it also perfects the information reminding function. In special circumstances such as doctors stopping the doctor, the patient will be notified by APP message and SMS in time. After the doctor is finished, the report can be inquired within the “Guanganmen Hospital APP” terminal within 3 months. It is convenient for patients to grasp the condition at any time and avoid the loss of the report.

It is understood that since the official APP of Peking Union Medical College Hospital was launched in September 2015, the number of APP registrations accounted for about 10% of the total daily appointments. Sun Dafu, deputy director of the Information Management Department of Xiehe Hospital, said that the time of the Concord APP is currently 9:00 am every day, with the function of “binding multiple users”, adopting the “1+3” mode, that is, the user can bind again. 3 relatives or friends, make an appointment for the outpatient number within 7 days.

Looking forward to a safer app

Some of the patients who have used the medical app in random interviews have said that the gospel brought to the APP is “both hands up”, but it also has higher expectations for medical resources, registration systems, payment bindings, etc.

It is understood that the hospital resources that many medical apps can make appointments are still very limited. For example, users in Beijing can achieve online registration, outpatient payment, and personal reports through Alipay's “local service”, but some professional hospitals are not included.

The failure of medical insurance payment to get through is also a headache for many patients. "If you can use the APP platform to pay, you can also save the queue. The mobile payment system of the integrated medical insurance system has not been realized yet. Now you can only use the APP at your own expense," said a patient at Guang'anmen Hospital.

At the beginning of July 2015, Alipay launched a “pre-authorization”, that is, after the medical insurance patient registered with Alipay, the hospital will freeze the balance of the account. If the balance is frozen during the consultation, the hospital will remind the patient to perform additional freezing and complete the treatment. After that, the hospital thawed the rest, but some APPs have not yet realized online payment for medical insurance.

Some users in the interview told the author: "The qualifications of doctors are mixed, and some of them are not assured of online medical treatment. Some medical APPs currently only have consulting functions and cannot achieve medical treatment." The author compares several medical apps, some of which are more standardized. For example, the doctor of “Spring Rain Doctor” indicates the hospital, job title, direction of attendance, etc., and is marked with the words “Spring Rain Certification”; however, the doctor information of APP is also incomplete. ,irregular.

There are also cases where medical apps are not empowered by the system. “When I used it, I entered the ID card information many times in the 'Adding a doctor' and indicated that the 'format is wrong'. I feel that the software is not mature enough. It is not convenient enough to make an appointment.” A patient from Xuanwu Hospital said .

However, there are also some traffickers who are thinking about using the registered APP to make a number. Xicheng District Children's Hospital was used by the traffickers after the registration software was launched in July last year. "The traffickers come to the hospital every day to find the family members of the patients who are not able to hang up. They take pictures of their family's avatars with their mobile phones and come to the family's ID number, mobile phone number and the child's medical card. At 12 o'clock in the evening, the clinic number is one. Out, immediately grab the number, generally 7 yuan, 14 yuan expert number sold to 500 yuan or even 800 yuan, the difficult department will sell more expensive. The police should cooperate with the hospitals in the jurisdiction of the medical care, the number of traffickers In action, the medical care and traffickers who disturbed the order of the hospital were thoroughly cleaned up," said a judge of the Xicheng District Court.

Professor Ding Ding of the School of Law of the University of International Business and Economics believes that medical APP has improved the efficiency of medical treatment, but medical resources are limited. The number of dealers disturbed the order of medical treatment. The lower registration price did not benefit the patients. The value of the doctor could not be reflected in the medical service, which curbed the enthusiasm of the doctor and suppressed the medical supply. Sparse medical resources should be tilted to grassroots hospitals, and high-quality medical resources should be continuously increased to try to bridge the gap between supply and demand of medical resources. At the same time, health supervision, industry and commerce, and public security departments must form a joint effort to crack down on the number.

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