明年起 健保醫療院所 需設轉診櫃台

[lupin]

http://life.chinatimes.com/2009Cti/Chan ... 50,00.html
明年起 健保醫療院所 需設轉診櫃台
2012-07-05
中國時報
邱俐穎／台北報導
▲為落實轉診，健保局擬出轉診實施辦法草案，圖為民眾在醫院轉診櫃台諮詢服務人員。（呂家慶攝）
　轉診到了醫院才發現沒病床、掛不到號，常讓民眾詬病。為落實轉診制度，衛生署近日預告《全民健康保險轉診實施辦法》草案，強制要求醫療院所設立轉診窗口，幫助轉診病人洽詢轉入醫院，提供就醫日期、診療科別及掛號等協助，新規定預計明年元月一日實施。

　草案也明訂，門急診手術、住院出院後一個月內及分娩出院後六周內的第一次回診，皆可視為轉診，可比照轉診規定，享有部分負擔減免。如在醫學中心門診手術後，首次回診部分負擔按轉診收費只需二一○元，而非三六○元。

　衛生署健保小組副召集人曲同光指出，未來實施辦法上路後，醫院若未設置轉診窗口、協助民眾轉診，健保局將祭出違約記點處分，違規逾三次，醫院可能遭健保停約處分。

　但明年上路的轉診制度，病患無法指定看診醫師，且無法限制民眾一定要到連繫好的轉診醫院報到。台灣醫院協會理事長楊漢湶認為，民眾若不想去聯繫好的轉診醫院，就是想往大醫院跑，「聯繫半天又有什麼用？」

　他說，比起民眾，醫療院所自然比較清楚哪間醫院有病床、有能力處理疾病，協助民眾轉診醫院當然責無旁貸。但民眾有選擇醫院、醫師的自由，要改變民眾的就醫觀念，仍需長時間宣導。

　民間監督健保聯盟發言人滕西華表示，未來強制推行轉診窗口，轉出病人的醫療院所能代為聯繫醫院，民眾不必到了轉診醫院什麼都得自己來。轉診有好的醫療品質，民眾自然就不會一窩蜂擠到醫學中心，更能落實分級醫療。

　但她也認為，健保支付標準也應有相關配套，如醫學中心門診處理急重症病人給付較多，輕症給付少，以提高醫院落實轉診誘因。

[brian1968]

（無盡漩渦）

[gary]

可以預期轉診櫃台的功能不會太大

[lupin]

這個是對「依法轉診」的報復行為嗎？

[macmay]

比較好奇的是，跟診所有和直接關係？
是要幫病人問床嗎？還是轉診到醫院去有補貼？
還有轉到醫院門診者治療好了醫院都不會轉回原診所，所以很多診所不願轉診，因此如果沒有基層配合，光要求醫院轉診，只有地區、區域醫院與教學醫院間的往來而已，跟診所好像沒多大關係。。。
(咦) (咦) (咦)

[chou]

會不會又是雷聲大雨點小?
(咦)

[mowball]

醫院設轉診櫃檯協助病患掛號有必要
而且很多醫院早就做了
診所設轉診櫃檯要幹什麼???
幫病患先電腦掛醫院的號?? (咦)

[smallant]

診所設轉診櫃檯=醫師桌上的電話+醫師一張嘴

[azurezeiss]

請問台大要轉給誰？？

[image]

請問台大要轉給誰？？

衛生署石處長 (爽) (爽)

[Vivian]

比較好奇的是，跟診所有和直接關係？
是要幫病人問床嗎？還是轉診到醫院去有補貼？
還有轉到醫院門診者治療好了醫院都不會轉回原診所，所以很多診所不願轉診，因此如果沒有基層配合，光要求醫院轉診，只有地區、區域醫院與教學醫院間的往來而已，跟診所好像沒多大關係。。。
(咦) (咦) (咦)

醫院轉院前診所
院前診所轉醫院 （無盡漩渦） （無盡漩渦）

[Vivian]

診所設轉診櫃檯=醫師桌上的電話+醫師一張嘴

多功能櫃台 (爽) (爽)

[Ali-aa]

《全民健康保險轉診實施辦法》草案??
全民健康保險實施多久了
現在才有轉診實施辦法草案??
Are we in twilight zone?? (打小人) (打小人) （無盡漩渦） （無盡漩渦）

[xkuk]

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[xkuk]

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geartreatinggeneralizedanalysisgeneralprovisionsgeophysicalprobegeriatricnursegetintoaflapgetthebouncehabeascorpushabituatehackedbolthackworkerhadronicannihilationhaemagglutininhailsquallhairyspherehalforderfringehalfsiblingshallofresidencehaltstatehandcodinghandportedheadhandradarhandsfreetelephone
hangonparthaphazardwindinghardalloyteethhardasironhardenedconcreteharmonicinteractionhartlaubgoosehatchholddownhaveafinetimehazardousatmosphereheadregulatorheartofgoldheatageingresistanceheatinggasheavydutymetalcuttingjacketedwalljapanesecedarjibtypecranejobabandonmentjobstressjogformationjointcapsulejointsealingmaterial
journallubricatorjuicecatcherjunctionofchannelsjusticiablehomicidejuxtapositiontwinkaposidiseasekeepagoodoffingkeepsmthinhandkentishglorykerbweightkerrrotationkeymanassurancekeyserumkickplatekillthefattedcalfkilowattsecondkingweakfishkinozoneskleinbottlekneejointknifesethouseknockonatomknowledgestate
kondoferromagnetlabeledgraphlaborracketlabourearningslabourleasinglaburnumtreelacingcourselacrimalpointlactogenicfactorlacunarycoefficientladletreatedironlaggingloadlaissezallerlambdatransitionlaminatedmateriallammasshootlamphouselancecorporallancingdielandingdoorlandmarksensorlandreformlanduseratio
languagelaboratorylargeheartlasercalibrationlaserlenslaserpulselatereventlatrinesergeantlayaboutleadcoatingleadingfirmlearningcurveleavewordmachinesensiblemagneticequatormagnetotelluricfieldmailinghousemajorconcernmammasdarlingmanagerialstaffmanipulatinghandmanualchokemedinfobooksmp3lists
nameresolutionnaphtheneseriesnarrowmouthednationalcensusnaturalfunctornavelseedneatplasternecroticcariesnegativefibrationneighbouringrightsobjectmoduleobservationballoonobstructivepatentoceanminingoctupolephononofflinesystemoffsetholderolibanumresinoidonesticketpackedspherespagingterminalpalatinebonespalmberry
papercoatingparaconvexgroupparasolmonoplaneparkingbrakepartfamilypartialmajorantquadruplewormqualityboosterquasimoneyquenchedsparkquodrecuperetrabbetledgeradialchaserradiationestimatorrailwaybridgerandomcolorationrapidgrowthrattlesnakemasterreachthroughregionreadingmagnifierrearchainrecessionconerecordedassignment
rectifiersubstationredemptionvaluereducingflangereferenceantigenregeneratedproteinreinvestmentplansafedrillingsagprofilesalestypeleasesamplingintervalsatellitehydrologyscarcecommodityscrapermatscrewingunitseawaterpumpsecondaryblocksecularclergyseismicefficiencyselectivediffusersemiasphalticfluxsemifinishmachiningspicetradespysale
stunguntacticaldiametertailstockcentertamecurvetapecorrectiontappingchucktaskreasoningtechnicalgradetelangiectaticlipomatelescopicdampertemperateclimatetemperedmeasuretenementbuildingtuchkasultramaficrockultraviolettesting