Renovation and Application of Outpatient First Care Pay Later System
Based on the National Medical Insurance Interface System
FANG Weiqing1, CHEN Chuan2, WANG Yixin1, ZHANG Lan1
1. Department of Information, Changshu No.2 People’s Hospital, Suzhou Jiangsu 215500, China;
2. Department of Implementation, Winning Health Technology Group Co., Ltd., Changzhou Jiangsu 213000, China
Abstract：Objective To realize the renovation and application of the first care pay later system for outpatients depending on the
national medical insurance interface. Methods Based on the analysis of the existing business processes and interface functions
of the hospital, combined with the municipal credit system, the registration and settlement processes of the hospital information
system (HIS) front-end were respectively called through the registration and cancellation interfaces of the municipal credit
system, so as to realize one registration and one settlement. The in-hospital process was optimized by storing the patient status in
the database of the HIS, so as to realize first care pay later. Results Under the national medical insurance interface environment,
the business process of hospital outpatient first care pay later was reshaped. The average number of queues and waiting time of
the patients who adopted the mode of treatment first and then settlement were reduced by 0.52 times and 6.84 min, respectively.
Conclusion The renovation of the HIS streamlines the outpatient consultation process and ensures effective cost control within
the city by introducing municipal credit system. It has positive implications for reducing the staying time of outpatients in
hospital, and has implication for optimizing the process in hospital outpatient clinics in the national health insurance environment.
方卫青1，陈川2，王逸新1，张兰1. 国家医保接口环境下门诊先诊疗后结算
系统的改造及应用[J]. 中国医疗设备, 2024, 39(3): 86-91.
FANG Weiqing1, CHEN Chuan2, WANG Yixin1, ZHANG Lan1. Renovation and Application of Outpatient First Care Pay Later System
Based on the National Medical Insurance Interface System. China Medical Devices, 2024, 39(3): 86-91.
