金华市医疗机构医保电子凭证使用情况分析

doi:10.3969/j.issn.1006-5253.2023.06.009

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Abstract Objective To study the use of electronic certificate for national basic medical insurance in medical institutions in Jinhua, to analyze the use of electronic certificate for national basic medical insurance in a tertiary hospital, and to provide a basis for the further promotion and use of electronic certificate for national basic medical insurance in the future.Methods The electronic certificate data of medical institutions in Jinhua from April 1 to October 31, 2022 and the data of the tertiary hospital from April 1 to October 31, 2021 and 2022 were exported from the medical information system. The data of influencing factors were obtained from questionnaire survey of 361 randomly selected persons.Results Among tertiary hospitals in Jinhua, the highest utilization rate of electronic certificate for national basic medical insurance was 51.18%he highest utilization rate of electronic certificate for national basic medical insurance was 50.91ong secondary hospitals. The utilization rate of electronic certificate for national basic medical insurance in the outpatient service (49.41%) and inpatient service (84.16%) of the tertiary hospital in 2022 were significantly better than those in 2021 (9.49% vs 30.20%) (P<0.001). The results of multivariate logistic regression showed that the use of electronic certificate for national basic medical insurance of urban patients was better than that of rural patients (P=0.049), and the familiarity of electronic certificate for national basic medical insurance (P<0.001), the rich functions of Internet hospitals (P=0.027), the convenience of electronic certificate for national basic medical insurance (P=0.004) and the satisfaction of electronic certificate for national basic medical insurance (P=0.041) were the positive factors of using electronic certificate for national basic medical insurance.Conclusion The utilization rate of electronic certificate for national basic medical insurance in Jinhua was generally at a high level. By studying the detailed data of the tertiary hospitals in the past two years, it was found that there was still much room for improvement in the use of electronic certificate for national basic medical insurance in outpatient services. The study of influencing factors found that the use of electronic certificate for national basic medical insurance can be improved through publicity, promotion and enrichment of functions.

Key words： Jinhua Internet electronic medicare use influencing factor

Received: 21 May 2023

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	Wang Runnan
	Chen Zhangfang
	Shi Hui
	Wu Wei
	He Jia

Cite this article:

Wang Runnan,Chen Zhangfang,Shi Hui, et al. Analysis of the use of electronic certificate for national basic medical insurance in medical institutions in Jinhua[J]. journal1, 2023, 30(6): 440-445.

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