河北省某医院患者对医保审批的满意度调查

宋华芹，吕艳玲，王庆军，杨圣俊，王永锋，戴万琦河北省人民医院，河北石家庄　050000

河北省某医院患者对医保审批的满意度调查

宋华芹，吕艳玲，王庆军，杨圣俊，王永锋，戴万琦
河北省人民医院，河北石家庄050000

目的调查患者对医保审批满意程度，为医保管理部门提供参考。方法随机抽取医保临床科室100例患者进行问卷调查，并进行相关数据分析。结果患者对基本医保审批总体满意率48%，提升改进方面包括审批时间、审批过程等。结论医保管理部门应从患者需求出发，优化合并审批项目，减化审批流程，减少患者往返审批次数及时间；院内医保部门应积极提供医保审批流程，针对临床科室实际情况，开展针对性医保审批培训，并为患者提供医保审批流程及注意事项，提供多种咨询服务方式，方便服务患者。

医保审批；医保管理；审批；满意度

［Abstract］Objective To survey the satisfactory degree of patients to medical insurance approval and provide reference for the medical insurance management department.Methods 100 cases of patients in the medical insurance clinical department were randomly selected and given questionnaire，and the relevant data were analyzed.Results The total satisfactory degree of patients to basic medical insurance approval was 48%，the approval time and approval process needed to be improved. Conclusion The medical insurance management department should optimize the combined approval projects，simplify approval process and reduce the roundtrip approval frequency and time，the hospital medical insurance department should actively provide medical insurance approval process，and carry out targeted medical insurance approval trains，provide medical insurance approval process and considerations for patients and provide multiple consulting service ways in order to provide convenience for patients.

［Key words］Medical insurance approval；Medical insurance management；Approval；Satisfaction

医院医保审批工作是医保资金拨付的最后环节，关乎患者切身利益，也关系到医保基金的合理支出和承受能力，为全院提供及时的政策指导和宣传发挥了重要作用［1］。但在实际工作中，由于政策文件更新不及时，医保审批项目众多，审批时间长等原因，医保患者多次往返审批，费时费力。该文针对当前医保审批问题为突破前提，选取河北省综合性医院，深入科室开展患者满意度调查，并根据调查反馈表及部分专家访谈，提出改进建议，现报道如下。

1　资料与方法

1.1一般资料

选取河北省其大型综合医院为典型研究单位，随机抽取10个有病区的医保临床科室，共选取100例患者开展问卷调查。……