Linyi City, Urban Workers, Out-patient Chronic Disease Management Is Discussed

Linyi City in September 1999 set up a part of Linyi City Labor and Social Security Bureau of the Health Insurance Division,which is responsible for urban workers in Linyi city directly under the basic medical insurance premium collection and the basic medical insurance business of all kinds of specific managers. With the enrollment increase in the number of out-patient with chronic diseases more and more and more, while the level of medical technology makes the development of chronic out-patient cost of rapid growth. How to protect the economic interests of insured patients to ensure that the treatment of diseases, it is worth exploring. Linyi City Department medical insurance in such cases, set up a special grant for urban workers out-patient approach to chronic disease. Running process, the need to continuously improve and update, in order to better service for the vast number of insured patients, to alleviate the financial burden of patients, improve the standard of living patients, and improve quality of life of patients, to promote social justice, and safeguard social stability and harmony development.The first part of the thesis introduction Linyi basic medical insurance system set up, basic medical insurance fund collection and the basic medical insurance specific business managers.The second part of thesis defines the concept of out-patient chronic disease, pointing out that the Linyi City urban workers exist out-patient chronic disease management issues, such as the patient and control mechanism of tripartite security imperfect, insured patients with fully attached units, individual cost burdens, and related reasons are discussed.Part III compares the thesis of Qingdao City and Heze City, out-patient chronic disease management strengths and weaknesses, the Linyi City for a favorable way to learn.Fourth part thesis and improve urban workers in Linyi city out-patient chronic disease management strategies recommendation that strengthen the doctor-patient Paul tripartite collaboration capabilities, set up reward system to increase the intensity of punishment, will be key to the prevention of security costs are included in the scope of measures such as claims , In addition, insured patients for overweight individuals to bear the costs of the questions proposed to abolish the limit QifuBiaozhun settlement, based on disease condition to establish the proportion of subsidy for new ideas, so as to better safeguard the economic interests of patients.