How to choose a designated hospital for Beijing medical insurance

The medical insurance card will be bound to the designated hospitals, so how many designated hospitals can each person choose at most? How to choose? What is the basis of choice? Why do you have to choose a designated hospital? The specific provisions of the medical insurance policy are as follows: the basic medical insurance implements the management of designated medical institutions, allowing the insured to put forward the choice intention of individual designated medical institutions within the scope of medical institutions with designated qualifications, which greatly facilitates the insured to seek medical treatment. When the insured chooses a designated medical institution for medical treatment, he takes into account the needs of comprehensive and specialist, Chinese and Western medicine, grass-roots and advanced; Moreover, it also expands the insured person's right to choose designated medical institutions for personal medical treatment in quantity, and allows the insured person to propose the intention of changing designated medical institutions according to his illness. The specific provisions include the following three aspects: first, specialized medical institutions and Chinese medicine medical institutions that have obtained designated qualifications can be used as designated medical institutions for all insured persons in the region; Second, in addition to specialized medical institutions and Chinese medicine medical institutions with designated qualifications, the insured can also choose 3 to 5 different levels of medical institutions, and the number of insured with management ability can be expanded; Third, after 1 year, the insured can also make changes to the designated medical institutions. How to choose a designated hospital? The medical insurance manual is mainly to control the designated hospitals. According to the principle of "nearby medical treatment and convenient management", everyone can, in principle, arbitrarily choose four medical institutions for medical treatment within the designated medical institutions of basic medical insurance in the districts and counties where the unit and place of residence are located, among which there must be/kloc-0 designated medical institutions at the grass-roots level (including community health service centers and medical institutions in stations, factories and mines). All designated hospitals marked as "Grade I" and "Other" in "Hospital Level" are designated hospitals for primary medical care. There are five hospitals (4+ 1) in the medical insurance manual. You can choose four designated hospitals (including a primary community hospital) and a community service station. Note that the fifth is the community service station, which is only a service point set up by the community hospital, not the community hospital itself. In general, you can choose four designated hospitals. Why are insured people allowed to choose designated hospitals freely? In the management of designated medical institutions, the insured is allowed to choose designated places, mainly to enhance the demand side's ability to dominate competition. Due to the information asymmetry between the supply and demand sides of the medical service market, the medical service market has a strong supplier monopoly. In the management of designated medical institutions, it is necessary to introduce demand-led competition mechanism in the field of medical services, not only between medical institutions, but also between medical institutions and pharmacies. If there is no competition, the level and quality of medical services will not go up, and the cost of medical services will not come down. In the past, the contracted hospital was also a fixed-point management, but the designated medical institutions for employees to seek medical treatment were selected by employers, and employees did not have any choice, which strengthened and consolidated the "monopoly" position of contracts. With the development of health in China, people's demand for medical services is diversified and multi-level. People pay attention not only to the quality of medical services, but also to the price, environment and service attitude of medical services. In the management of designated medical institutions of basic medical insurance, patients can choose their own medical institutions and doctors to provide services within the designated scope, although they cannot choose what kind of medical services they receive. In this way, if the services provided by medical institutions cannot meet the needs of patients, the cost is too high, the quality is not good, it is inconvenient to see a doctor or the service attitude is not good, the insured can enter the "gate" of other medical institutions and obtain satisfactory services. This will promote medical institutions to improve service quality in all directions, improve service attitude and medical conditions, reduce and control medical expenses, and attract insured people to seek medical treatment.

Legal objectivity:

The "New Policy of Beijing Social Capital to Encourage Medical Institutions" and "Several Policies on Further Encouraging and Guiding Social Capital to Establish Medical Institutions" (hereinafter referred to as "Several Policies"), which have attracted much attention, were officially announced. In the future, it will no longer be a "fantasy" for Beijing residents to enjoy professional medical services in an international, comfortable and clean hospital or to be visited by foreign doctors in person, and medical insurance patients can also enjoy reimbursement. Social non-profit medical institutions will enjoy the same tax benefits as public hospitals. The recently released "Several Policies" is the first relevant document issued by Beijing for social medical institutions. Because of the policy measures of 18, it is generally called "Beijing 18" by the industry. "Beijing 18" highlights three principles: treat society equally, encourage private medical institutions to become bigger and stronger, and pay equal attention to supporting, promoting and standardizing supervision. The deputy mayor of Beijing said that supporting the society to run medical services is to effectively solve the main problems encountered in the development of social medical services. The first is to break the entry threshold for social medical treatment. At present, there are many problems in running medical institutions with social capital, such as difficult access and many restrictions. The second is to improve the fixed-point access and exit mechanism of medical insurance. At present, it is urgent to change the nature of investors who apply for medical institutions to become designated medical insurance institutions as the examination conditions. The third is to give social medical institutions the same treatment as public medical institutions. At present, the operating cost of social medical institutions is high, so social medical institutions should be treated equally with public medical institutions and enjoy the same treatment.