药品“网订店送”医保结算的探索和思考

周宸棋, 熊尚华, 黄玉清, 王文栋, 吕警军

中国医疗保险 ›› 2023, Vol. 0 ›› Issue (2) : 88-91.

中国医疗保险 ›› 2023, Vol. 0 ›› Issue (2) : 88-91. DOI: 10.19546/j.issn.1674-3830.2023.2.013
观察思考

药品“网订店送”医保结算的探索和思考

  • 周宸棋1, 熊尚华1, 黄玉清1, 王文栋2, 吕警军2
作者信息 +

Exploration and Reflection on Medical Insurance Settlement Based on "Online Ordering and Delivery by Store" of Drugs

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文章历史 +

摘要

目的: 设计一种基于医保电子凭证的药品“网订店送”线上线下一体化的“互联网+”医保服务模式。方法: 结合浙江省“网订店送”药房建设工作方案,借助“互联网+”技术设计开发“网订店送”医保结算系统。结果: 系统实现了网上下单、在线问诊、线下配药、骑手配送的闭环流程,同时具有药品订单管理、订单审核、订单结算管理、大数据分析等功能。结论: “网订店送”是创新“互联网+”医保服务模式的探索,应加强网上订单监管,加快医保个人账户改革。

Abstract

Objective: We design an “Internet plus” medical insurance service model based on medical insurance electronic voucher, which integrates online booking and offline delivery. Methods: According to the "Online Ordering and Delivery by Store" pharmacy construction work plan of Zhejiang Province, the system of online booking and store delivery medical insurance settlement system was designed and developed with the help of "Internet plus" technology. Results: The system has realized the closed-loop process of online ordering, online consultation, offline dispensing and rider distribution. Meanwhile, the system has the functions of drug order management, order review, order settlement management, big data analysis and so on. Conclusion: "Online Ordering and Delivery by Store" is exploration of innovative "Internet plus" medical insurance service mode. We should enhance the supervision of online orders and speed up the reform of individual medical insurance accounts.

关键词

互联网+ / 网上购药 / 医保结算 / O2O / 医保电子凭证

Key words

Internet plus / online purchase of drug / medical insurance payment / online to offline / medical insurance electronic voucher

引用本文

导出引用
周宸棋, 熊尚华, 黄玉清, 王文栋, 吕警军. 药品“网订店送”医保结算的探索和思考[J]. 中国医疗保险. 2023, 0(2): 88-91 https://doi.org/10.19546/j.issn.1674-3830.2023.2.013
Exploration and Reflection on Medical Insurance Settlement Based on "Online Ordering and Delivery by Store" of Drugs[J]. China Health Insurance. 2023, 0(2): 88-91 https://doi.org/10.19546/j.issn.1674-3830.2023.2.013
中图分类号: F840.684    C913.7   

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基金

2022年度金华市公益性技术应用研究项目“基于大数据的医保精准监管系统的开发与应用”(2022-4-098); 2022年度金华市公益性技术应用研究项目“基于医疗大数据的医院监测分析平台构建”(2022-4-127)

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