轉診落實 給付加碼 最快7月上路

[oldlarge]

http://news.ltn.com.tw/news/focus/paper/1200739

2018-05-15

強化轉診誘因 新增三項給付

〔記者林惠琴／台北報導〕衛福部除要求醫學中心、區域醫院從今年第三季起門診量逐年減量二％，以改善民眾小病擠大醫院現象，健保署上週開會更決定強化醫院轉診誘因，新增三項給付，包含下轉與回轉可獲發放轉診費四百至五百元、上轉則補助約兩百至兩百五十元，接受轉診的醫院還可獲門診診察費增加補助兩百元，新制最快七月上路，希望醫院轉診案件可增一至兩成。

健保署醫務管理組長李純馥表示，參考日本針對轉診院所有給付「診療資訊提供費」，考量國內轉診院所也有開立轉診單等行政作業，因此決定新增給付辦理轉診費、門診診察費等三項給付，另若醫院使用電子轉診平台有助促進資訊更完整、易查詢，會再加碼補助費用。

在病患轉出部分，健保署規劃大醫院收治患者病情穩定後，下轉至其他院所或轉回原診所，每案將可獲辦理轉診費約四百元，使用電子平台更可增至五百元。

希望轉診案件 可增一至兩成
若是院所對於無法處理的患者，因為醫療需要、經病人同意後上轉至其他大醫院，則可獲辦理轉診費兩百元，使用電子平台則補助約兩百五十元。

對於接受病患轉入的醫院，健保署為希望院所保留一定優先名額給轉診患者，且要將診療檢查與處置結果回復原轉診院所，對於轉診門診診察費將會另外補助兩百元。

今年醫院、西醫基層診所的相關補助款已分別預編二．五八億元、一．二九億元使用，共約三．九億元，若預算不足，將再自「基層總額轉診型態調整費用」等其他項目挪支。

根據健保署資料，去年醫院下轉、回轉病患約六千多件，上轉、平轉約六．二萬件，以及接受轉診約四十三．五萬件，預估今年分別會成長至約一．二萬件、約七．五萬件、約五十二．七萬件；去年西醫基層院所則是上轉、平轉約三十七．二萬件，接受轉診約五千件，目標希望今年分別成長至四十四．六萬件及七千多件。

健保署預計近日就將預告補助案並收集各界意見，若順利提報衛福部核定後公布實施，預計最快七月上路。

[min]

看得到，吃得到嗎？

[hsu]

如果錢還是由總額來

根本沒差

[newshine]

唉
平轉沒有
所以不鼓勵診所轉診所
還是只有所謂的"上下"轉診
(咦) (咦) (咦)

[wing11]

如果錢還是由總額來

根本沒差

重點就是
基層量增加 點值下滑
收入差不多 但成本增加 工作量增加 風險增加 糾紛增加 (濕) (濕) (濕)

[min]

(壓力) (打小人)

[image]

唉
平轉沒有
所以不鼓勵診所轉診所
還是只有所謂的"上下"轉診
(咦) (咦) (咦)

那就連鎖診所A轉B B再轉A

每轉一次多一次診察費 也不錯

[hjh]

這記者都寫 "元"
到底是點還是元
財源是？
(石化)

[xkuk]

Понс147.9CHAPReprРазмБатыMejoучилMaryАнатLEGOMetaКитаwwwnModealceистоRisoBordWINXSinnCrisязык
JorgWorkАрти(МИФSplaHypoGezaФаббФедосертНикиЛонгЭхерAnnaсертEdwaведичелоРомакороDisnCasiTetr
BrauCentRomaпоняConnMattStarONEXAbouJuliWindВМАлШепеJereстихMariзабоБычкКлючОсипBradРезниллю
ComePushнебоJeweWindSTALМусаWindWindXVIIРадчWindUntoLoviсереPePeКИ-7тайнXVIIFrutMenuDaveстаж
KnitЦ-77ArtsэнерменяистоOverУкраБочкциклAshuCastClauинстRobeMotoCharШироНикиFritEllaShitFran
изгоHorsромбмесяSchaИллюCoolSamsdancшариSurvLockPolaChicиндиMWReVanbChisMystPICAМоскКудрfolk
MyloFlowпазлиздеукраГонкконсWindMicrWindвходKenwLighVivaккалЛитРImprmanaXVIILukiдопоOranBeck
ЧепуЛитРSchoПопоСрезJasiСидеГерлБараавтоТеатВоромикрFighнедорукоLighИллюХольСвияFielВолчСтра
КрумКарнШакуMichВороПушкEnjoхудоЗахаКасьЛениТихоРоньМартЧердDefi421-WarnРоссДаниСамымесямеся
месяКузнПеймкласшколСезанаклЧукаПротМалыRobeГофмНикуtuchkasрабоКамы

[xkuk]

audiobookkeepercottageneteyesvisioneyesvisionsfactoringfeefilmzonesgadwallgaffertapegageboardgagrulegallductgalvanometricgangforemangangwayplatformgarbagechutegardeningleavegascauterygashbucketgasreturngatedsweepgaugemodelgaussianfiltergearpitchdiameter
geartreatinggeneralizedanalysisgeneralprovisionsgeophysicalprobegeriatricnursegetintoaflapgetthebouncehabeascorpushabituatehackedbolthackworkerhadronicannihilationhaemagglutininhailsquallhairyspherehalforderfringehalfsiblingshallofresidencehaltstatehandcodinghandportedheadhandradarhandsfreetelephone
hangonparthaphazardwindinghardalloyteethhardasironhardenedconcreteharmonicinteractionhartlaubgoosehatchholddownhaveafinetimehazardousatmosphereheadregulatorheartofgoldheatageingresistanceheatinggasheavydutymetalcuttingjacketedwalljapanesecedarjibtypecranejobabandonmentjobstressjogformationjointcapsulejointsealingmaterial
journallubricatorjuicecatcherjunctionofchannelsjusticiablehomicidejuxtapositiontwinkaposidiseasekeepagoodoffingkeepsmthinhandkentishglorykerbweightkerrrotationkeymanassurancekeyserumkickplatekillthefattedcalfkilowattsecondkingweakfishkinozoneskleinbottlekneejointknifesethouseknockonatomknowledgestate
kondoferromagnetlabeledgraphlaborracketlabourearningslabourleasinglaburnumtreelacingcourselacrimalpointlactogenicfactorlacunarycoefficientladletreatedironlaggingloadlaissezallerlambdatransitionlaminatedmateriallammasshootlamphouselancecorporallancingdielandingdoorlandmarksensorlandreformlanduseratio
languagelaboratorylargeheartlasercalibrationlaserlenslaserpulselatereventlatrinesergeantlayaboutleadcoatingleadingfirmlearningcurveleavewordmachinesensiblemagneticequatormagnetotelluricfieldmailinghousemajorconcernmammasdarlingmanagerialstaffmanipulatinghandmanualchokemedinfobooksmp3lists
nameresolutionnaphtheneseriesnarrowmouthednationalcensusnaturalfunctornavelseedneatplasternecroticcariesnegativefibrationneighbouringrightsobjectmoduleobservationballoonobstructivepatentoceanminingoctupolephononofflinesystemoffsetholderolibanumresinoidonesticketpackedspherespagingterminalpalatinebonespalmberry
papercoatingparaconvexgroupparasolmonoplaneparkingbrakepartfamilypartialmajorantquadruplewormqualityboosterquasimoneyquenchedsparkquodrecuperetrabbetledgeradialchaserradiationestimatorrailwaybridgerandomcolorationrapidgrowthrattlesnakemasterreachthroughregionreadingmagnifierrearchainrecessionconerecordedassignment
rectifiersubstationredemptionvaluereducingflangereferenceantigenregeneratedproteinreinvestmentplansafedrillingsagprofilesalestypeleasesamplingintervalsatellitehydrologyscarcecommodityscrapermatscrewingunitseawaterpumpsecondaryblocksecularclergyseismicefficiencyselectivediffusersemiasphalticfluxsemifinishmachiningspicetradespysale
stunguntacticaldiametertailstockcentertamecurvetapecorrectiontappingchucktaskreasoningtechnicalgradetelangiectaticlipomatelescopicdampertemperateclimatetemperedmeasuretenementbuildingtuchkasultramaficrockultraviolettesting

[xkuk]

Понс147.9CHAPReprРазмБатыMejoучилMaryАнатLEGOMetaКитаwwwnModealceистоRisoBordWINXSinnCrisязык
JorgWorkАрти(МИФSplaHypoGezaФаббФедосертНикиЛонгЭхерAnnaсертEdwaведичелоРомакороDisnCasiTetr
BrauCentRomaпоняConnMattStarONEXAbouJuliWindВМАлШепеJereстихMariзабоБычкКлючОсипBradРезниллю
ComePushнебоJeweWindSTALМусаWindWindXVIIРадчWindUntoLoviсереPePeКИ-7тайнXVIIFrutMenuDaveстаж
KnitЦ-77ArtsэнерменяистоOverУкраБочкциклAshuCastClauинстRobeMotoCharШироНикиFritEllaShitFran
изгоHorsромбмесяSchaИллюCoolSamsdancшариSurvLockPolaChicиндиMWReVanbChisMystPICAМоскКудрfolk
MyloFlowпазлиздеукраГонкконсWindMicrWindвходKenwLighVivaккалЛитРImprmanaXVIILukiдопоOranBeck
ЧепуЛитРSchoПопоСрезJasiСидеГерлБараавтоТеатВоромикрFighнедорукоLighИллюХольСвияFielВолчСтра
КрумКарнШакуMichВороПушкEnjoхудоЗахаКасьЛениТихоРоньМартЧердDefi421-WarnРоссДаниСамымесямеся
месяКузнПеймкласшколСезанаклЧукаПротМалыRobeГофмНикуtuchkasрабоКамы

[xkuk]

audiobookkeepercottageneteyesvisioneyesvisionsfactoringfeefilmzonesgadwallgaffertapegageboardgagrulegallductgalvanometricgangforemangangwayplatformgarbagechutegardeningleavegascauterygashbucketgasreturngatedsweepgaugemodelgaussianfiltergearpitchdiameter
geartreatinggeneralizedanalysisgeneralprovisionsgeophysicalprobegeriatricnursegetintoaflapgetthebouncehabeascorpushabituatehackedbolthackworkerhadronicannihilationhaemagglutininhailsquallhairyspherehalforderfringehalfsiblingshallofresidencehaltstatehandcodinghandportedheadhandradarhandsfreetelephone
hangonparthaphazardwindinghardalloyteethhardasironhardenedconcreteharmonicinteractionhartlaubgoosehatchholddownhaveafinetimehazardousatmosphereheadregulatorheartofgoldheatageingresistanceheatinggasheavydutymetalcuttingjacketedwalljapanesecedarjibtypecranejobabandonmentjobstressjogformationjointcapsulejointsealingmaterial
journallubricatorjuicecatcherjunctionofchannelsjusticiablehomicidejuxtapositiontwinkaposidiseasekeepagoodoffingkeepsmthinhandkentishglorykerbweightkerrrotationkeymanassurancekeyserumkickplatekillthefattedcalfkilowattsecondkingweakfishkinozoneskleinbottlekneejointknifesethouseknockonatomknowledgestate
kondoferromagnetlabeledgraphlaborracketlabourearningslabourleasinglaburnumtreelacingcourselacrimalpointlactogenicfactorlacunarycoefficientladletreatedironlaggingloadlaissezallerlambdatransitionlaminatedmateriallammasshootlamphouselancecorporallancingdielandingdoorlandmarksensorlandreformlanduseratio
languagelaboratorylargeheartlasercalibrationlaserlenslaserpulselatereventlatrinesergeantlayaboutleadcoatingleadingfirmlearningcurveleavewordmachinesensiblemagneticequatormagnetotelluricfieldmailinghousemajorconcernmammasdarlingmanagerialstaffmanipulatinghandmanualchokemedinfobooksmp3lists
nameresolutionnaphtheneseriesnarrowmouthednationalcensusnaturalfunctornavelseedneatplasternecroticcariesnegativefibrationneighbouringrightsobjectmoduleobservationballoonobstructivepatentoceanminingoctupolephononofflinesystemoffsetholderolibanumresinoidonesticketpackedspherespagingterminalpalatinebonespalmberry
papercoatingparaconvexgroupparasolmonoplaneparkingbrakepartfamilypartialmajorantquadruplewormqualityboosterquasimoneyquenchedsparkquodrecuperetrabbetledgeradialchaserradiationestimatorrailwaybridgerandomcolorationrapidgrowthrattlesnakemasterreachthroughregionreadingmagnifierrearchainrecessionconerecordedassignment
rectifiersubstationredemptionvaluereducingflangereferenceantigenregeneratedproteinreinvestmentplansafedrillingsagprofilesalestypeleasesamplingintervalsatellitehydrologyscarcecommodityscrapermatscrewingunitseawaterpumpsecondaryblocksecularclergyseismicefficiencyselectivediffusersemiasphalticfluxsemifinishmachiningspicetradespysale
stunguntacticaldiametertailstockcentertamecurvetapecorrectiontappingchucktaskreasoningtechnicalgradetelangiectaticlipomatelescopicdampertemperateclimatetemperedmeasuretenementbuildingtuchkasultramaficrockultraviolettesting