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

China Health Insurance ›› 2023, Vol. 0 ›› Issue (2) : 88-91.

China Health Insurance ›› 2023, Vol. 0 ›› Issue (2) : 88-91. DOI: 10.19546/j.issn.1674-3830.2023.2.013
Observation & Discussion

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

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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.

Key words

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

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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

References

[1] 国家医疗保障局.关于积极推进“互联网+”医疗服务医保支付工作的指导意见.中国医疗保险,2021(06):32.
[2] 浙江省医疗保障局,浙江省卫生健康委员会.关于进一步推进“互联网+医保”发展的通知:浙医保联发〔2022〕19号[EB/OL].(2022-12-09)[2023-01-10].http://ybj.zj.gov.cn/art/2022/12/9/art_1229225623_2450857.html.
[3] 黄凡. “互联网+”在医院医保门诊特定病种管理中的应用[J].医学信息,2022,35(02):36-38.
[4] 李杰,付秀,付毅,等.基于医保电子凭证的互联网慢病续方系统的设计与实现[J].中国数字医学,2020,15(11):46-49.
[5] 浙江省药品监督管理局.关于印发2020年浙江省送药上山进岛便民服务点建设工作方案的通知:浙药监通〔2020〕3号[EB/OL].(2020-04-20)[2023-01-10].http://mpa.zj.gov.cn/art/2020/4/13/art_1228989345_42612656.html.
[6] 胡恺琪. 基于服务设计理论的孕妇产前健康管理服务系统设计研究[D].合肥:合肥工业大学,2020.
[7] 刘德阳,王静,周乃彤,等.我国电子处方服务模式现状与发展[J].中国药房,2021,32(1):5-12.
[8] 林辉,吴俊,方辛未.实施医保脱卡在线支付的意义、现状及推进建议[J].中国数字医学,2021,16(4):9-12,34.
[9] 谢金平,邵蓉.国家医保谈判药品省级落地管理典型模式研究[J].中国卫生经济,2020,39(06):42-46.
[10] 薛原,杨令.“互联网+”背景下网上药店市场经营现状与监管对策探讨[J].中国卫生事业管理,2020,37(05):376-379.
[11] 《关于进一步改革完善药品生产流通使用政策的若干意见》印发[J].党政干部参考,2017,(05):56.
[12] 左卫娟. 基于移动购药的网上药店监管机制研究[D].河南:郑州大学,2017.
[13] 国家医疗保障局.2021年全国医疗保障事业发展统计公报[EB/OL].(2022-06-08)[2023-01-10].http://www.nhsa.gov.cn/art/2022/6/8/art_7_8276.html.

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