Do you need to transfer to humen health service center

1. Can the health service center see a doctor

Yes. Community health service centers generally provide public health services and basic medical services, so general minor diseases can be treated. In addition, the community health service center has the nature of public welfare, not for profit, so the medical cost is cheap<

extended data:

working system of Health Service Center:

1. Community health service station completes the daily work of community station under the leadership of station master

2. Use appropriate Chinese and Western medicine and technology to undertake the prevention and treatment of common, frequently occurring and chronic diseases of community residents

3. Implement the government's commitment to community residents, undertake the task of emergency first aid and referral for critically ill patients, timely consult and refer patients with difficult diseases, and establish the registration system of medical errors and accidents

4. Provide on-site services such as visiting and family beds for the elderly and chronic patients with mobility difficulties. To carry out community nursing work for the elderly and patients in family beds

5. Regularly carry out health ecation and health promotion activities, hold lectures and issue health ecation prescriptions

6. Carry out family planning technical guidance and maternal and child health care

7. Establish health records for residents within the jurisdiction, implement standardized and standardized computer management for health records, and implement classified management for chronic non communicable diseases

8. Carry out rehabilitation training and guidance for disabled patients

9. Carry out community census every year, revise community diagnosis, formulate intervention plan and organize the implementation according to the main health problems in the community.

2.

If the insured person needs to be transferred e to his or her illness, the doctor in the designated organization of outpatient coordination shall apply and, with the seal and consent of the organization, transfer to the designated hospital with which the organization has signed an agreement, and the transfer certificate shall be valid at that time

two points should be emphasized: first, it must be a designated organization for outpatient coordination, which is selected by itself at the beginning of each social security year

The second is that the referral certificate is issued by the receiving doctor, that is to say, when the doctor thinks that your condition does not need referral, the referral certificate cannot be issued

information required: generally, you can carry your ID card and medical insurance card. In addition, you should keep the examination and diagnosis results of the first hospital to facilitate subsequent referral

extended data

referral refers to a system in which the medical and preventive institutions transfer the patients in their own units to another medical and preventive institution for diagnosis and treatment or treatment according to the needs of the disease

the concept of "Referral" is often divided according to the level of hospitals. In addition to referral between general hospitals of the same level, referral can also be divided into vertical referral and horizontal referral. Vertical referral includes forward referral and reverse referral. Forward referral refers to referral from lower level (community) hospitals to higher level hospitals, while reverse referral refers to referral from higher level hospitals to lower level (community) hospitals. Horizontal referral refers to the same level of specialist, specialty hospital referral

in the process of China's medical system reform, the two-way referral system is an important measure to support community health care and solve the problem of "difficult and expensive to see a doctor", which is established on the basis of the first diagnosis in the community, As well as grassroots hospitals and community medical service institutions, the demand is sluggish, the number of visits is too small and other phenomena are of great significance

3. Now the implementation of hierarchical diagnosis and treatment, cross hospital treatment must open referral certificate, as long as meet the referral conditions, the community can open referral certificate, open referral certificate condition is that the community health station can not treat or diagnose the disease, you can also apply for referral.

4.

The proceres required for transfer are as follows:

1. The attending physician of the transferred hospital shall fill in the application form for transfer of urban employees' basic medical insurance insured personnel within the overall planning area to urban residents or the application form for transfer of social medical insurance insured personnel within the overall planning area to urban residents, which shall be signed by the person above the deputy chief physician or the director of the Department, The medical (medical insurance) Department of the hospital shall contact the designated medical institution and seal it

2. The settlement Office of the transfer out hospital shall handle the discharge settlement for the insured patients in the medical insurance information system with the application form for transfer in the city, transfer to the city for application registration in the medical insurance information system, and contact with the designated medical institutions to be transferred, which shall be confirmed by the other party in the medical insurance information system

3. The municipal medical insurance secondary agency should go through the filing proceres in the medical insurance information system within one working day. The designated medical institutions shall print the application form of transfer to other hospitals in the city with record results through the medical insurance information system in plicate, one of which shall be submitted to the patients for registration at the inpatient department of the designated medical institutions, and the other shall be kept for record

< H2 > the specific methods for hospital transfer are as follows:

1. The transfer must be discussed by the department or proposed by the director of the Department. Patients and their families can also make requests to the director of the department or the doctor in charge. With the approval of the medical department and the hospital leaders, they can contact the transferred hospital in advance and obtain the consent of the other party

When the patient needs to be transferred to another hospital for hospitalization, the consent of the patient's unit must also be obtained, and sometimes it must be reported to the Department of health for approval. Patients with acute infectious diseases, leprosy, psychosis and paraplegia may not be transferred to other provinces for treatment

3. For the patients with serious illness, the hospital should send people to escort them and bring first-aid medicine. If it is estimated that there may be life-threatening on the way, they should not be transferred to the hospital, but should stay in the hospital for disposal. They should be transferred to the hospital after the illness is stable, and the patients and their families should also actively cooperate

The summary of medical record should be taken when transferring to hospital. X-ray and other medical information is best to bring, can avoid repeated examination, rece costs. The borrowed materials can be returned to the hospital after treatment

5. When transferring to another department for diagnosis and treatment in the hospital, the consent of the transferring department should be obtained, and the decision should be made by the medical department if necessary. The transfer out department will send the patient to the transfer in department, hand over the patient's condition and explain the relevant matters. The transfer department will check the new patients according to a set of proceres, write the transfer records, and inform the outpatient and nutrition department

< H2 > extended data:

hospitalization process:

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2

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4. Doctors of Medical Insurance Bureau checked patients and their condition for approval

5. After examination and approval, advance payment was collected according to regulations for rational drug use and treatment

6. After the end of hospitalization, the hospital was directly responsible for the settlement proceres, and the hospitalization prepayment was refunded and supplemented

the process of transferring medical insurance:

1. The participating farmers hold the new rural cooperative medical certificate for outpatient treatment in designated institutions, and the designated medical institutions will directly rece the medical expenses according to the existing amount of the family outpatient account in the new rural cooperative medical certificate, and the excess part will be paid by the participating farmers themselves. Designated medical institutions should settle accounts with rural medical institutions in time

2. If the participating farmers are hospitalized in the designated medical institutions of the city, county and township, the designated medical institutions will provide direct subsidy. The medical expenses incurred by the designated medical institutions shall be reviewed, and the amount of subsidy shall be paid in advance according to the standards specified in the implementation measures

3. When applying for compensation, you need to bring your ID card, household registration book, valid hospitalization invoice, discharge summary (or medical record), expense list and referral certificate of the medical institution of the new rural cooperative medical system (the original copies of the three certificates are checked and kept)

4. The participating farmers suffering from serious outpatient disease (chronic disease) should bring their ID card, household register, new rural cooperative medical certificate, outpatient invoice and list, outpatient medical record, inspection report, and certificate of serious outpatient disease (chronic disease) in the township (town) agricultural medical office at the specified time (usually in July and December each year)

5. For the farmers who have participated in commercial insurance and the students who have participated in student medical insurance, when they need both commercial insurance compensation and new rural cooperative medical insurance compensation after discharge, the farmers should first submit the original invoice and the of the invoice to the agricultural medical institute or the designated medical institution at the county level for verification and compensation, and then send the original invoice to the commercial insurance company for compensation

6. The hospitalization expenses are reported and settled within a limited period of time. The compensation and settlement proceres can be handled at any time within three months after discharge, and those who have been out of hospital for more than three months will be regarded as giving up the compensation on their own (migrant workers can delay to the end of the year). The amount of compensation that should be paid by the agricultural medical institute according to the standards stipulated in the implementation measures shall be paid to the participating farmers within 10 working days

5.

The concept of "Referral" is often divided according to the level of hospitals. In addition to referral between general hospitals of the same level, referral can also be divided into vertical referral and horizontal referral. Vertical referral includes forward referral and reverse referral. Forward referral refers to referral from lower level (community) hospitals to higher level hospitals, while reverse referral refers to referral from higher level hospitals to lower level (community) hospitals

the horizontal referral was directed to the same level of specialized and specialized hospitals

in the process of China's medical system reform, the two-way referral system is an important measure to support community health care and solve the problem of "difficult and expensive to see a doctor", which is established on the basis of the first diagnosis in the community, As well as grassroots hospitals and community medical service institutions, the demand is sluggish, the number of visits is too small and other phenomena are of great significance

extended data:

the two-way referral system is applicable to patients who only need follow-up treatment, disease monitoring, rehabilitation guidance, nursing and other services. Hospitals should publicize, encourage and mobilize patients to transfer to corresponding township hospitals or community health service centers according to patients' wishes, and the follow-up rehabilitation treatment should be completed by lower level hospitals. For patients who can not get better medical services in our hospital, they will be transferred to the upper hospital

First, adapt to the new situation of developing community health service in our country, grasp the new direction of health care reform that "the government undertakes public health and universal basic medical care"

Second, we should make full use of the group's scientific management and business philosophy, advanced medical equipment, superb medical technology and excellent medical environment to tap the potential medical market

Third, to meet the needs of health care, personnel training, instruments and equipment of community health service institutions, and to benefit the people with "low fees and wide coverage"

6.

The doctor should make a decision according to the patient's condition

when the insured person goes to see a doctor in the community outpatient clinic, the attending doctor can refer the insured person to the outpatient department of the town (street) designated hospital according to the need of diagnosis and treatment and the principle of graal referral; Due to the urgent need of the disease, the patients can be directly transferred from the service station to the outpatient department of the designated specialized hospital or the outpatient department of the designated tertiary hospital in the city

in addition, referral is usually the first medical institution to judge the patient's condition after the necessary diagnosis and treatment, and combined with the diagnosis and treatment ability of the institution to put forward a treatment opinion for the next step of diagnosis and treatment measures. Referral itself is not charged, but the "diagnosis and treatment process" before referral needs to be charged

according to the current charging regulations of community health service institutions in our city, patients need to pay a general medical fee (10 yuan / person time) for each visit, of which 20% of the general medical fee of the insured is paid by themselves, and the rest is reimbursed by the social security fund at 70%

< H2 > extended data

medication scope

1. Medication within the reimbursement catalogue. According to the national essential drug reimbursement catalogue, each province will adjust according to its own situation and update it in time

the drugs included in the scope of basic medical insurance can be divided into class A and class B

class a drugs refer to the drugs that are basically unified throughout the country and can guarantee the basic needs of clinical treatment. The cost of this kind of medicine is included in the scope of basic medical insurance fund payment and paid according to the payment standard of basic medical insurance

the list of class B drugs is adjusted by the provinces, autonomous regions and municipalities directly under the central government according to their own conditions. After the employees pay a certain proportion of the expenses, these drugs are included in the payment scope of basic medical insurance fund, and the expenses are paid according to the payment standard of basic medical insurance

2. The scope of non reimbursement drugs:

drugs that mainly play a tonic role; Some animals and animal organs that can be used as medicine, dry (water) fruits; All kinds of wine preparations made from Chinese medicinal materials and Chinese herbal pieces; Fruit flavor agents and oral effervescent agents in all kinds of drugs; Blood procts and protein procts (except for special indications and first aid and rescue); Other drugs not paid by the basic medical insurance fund stipulated by the social insurance administrative department

Secondly, the scope of diagnosis and treatment should meet the following conditions: clinical diagnosis and treatment must be safe and effective, and the cost should be appropriate; The price department formulated the charging standard; Within the scope of designated medical services provided by designated medical institutions for insured persons

the scope is determined according to the national "basic medical insurance diagnosis and treatment project scope". If it is within the scope of the list of diagnosis and treatment items paid by the basic medical insurance, the insured personnel shall first pay by themselves according to the prescribed proportion, and then pay according to the provisions of the basic medical insurance. If it is within the catalogue of medical and treatment items, the basic medical insurance fund shall not be paid

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