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Leano le Lekhutšoane|Boro ea Naha ea Inshorense ea Bophelo bo Botle e fane ka tokomane e hlakisang boholo ba lisebelisoa tse tla kenyeletsoa tefong ea inshorense ea bophelo.

Ka la 5 Loetse, Ofisi ea Tšireletso ea Bongaka ea Naha e ile ea ntša Notice of the State Medical Security Bureau on Doing a Good Job in the Management of Medical Consumables Payment for Basic Medical Insurance (eo ka mor'a moo e tla bitsoa "Tsebiso"), e nang le likarolo tse 4 tse kholo. likarolo le lingoloa tse 15.Lisebelisoa tsa bongaka tse boletsoeng Tsebisong ke tse ngolisitsoeng kapa tse fetisitsoeng ke balaoli ba lisebelisoa tsa bongaka, tse fuoeng boemo ba lethathamo 'me li ka lefisoa ka thoko.

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Ho ea ka Tsebiso, ho tloha letsatsing la ho ntšoa ha Tsebiso ena, liprofinse li lokela ho tlalehela Ofisi ea Naha ea Inshorense ea Kalafo bakeng sa rekoto pele e hlahisa lethathamo la lintho tse ka sebelisoang tsa bongaka bakeng sa ho sebelisoa.Mafapha a profinse a inshorense ea bongaka a khothaletsoa ho nka sebopeho sa selekane sa tikoloho kapa tšebelisano 'moho ho hlahloba ho thehoa ha lethathamo le kopaneng la lisebelisoa le litekanyetso tsa tefo ka har'a selekane kapa sebaka.NHPA e tla thakgola ntshetsopele ya lenane la naha la disebediswa tsa kalafo bakeng sa inshorense ya bongaka ha nako e ntse e tsamaya.

 

Lintlha tsa bohlokoa li akaretsoa ka tlase:

 

Ntlha ea 1: Khothalletsa kopano ea naha ea lihlopha le khoutu ea lisebelisoa

Tsebiso e bolela hore lihlopha le khoutu ea lisebelisoa tsa bongaka li lokela ho kopanngoa.Ho khothaletsa ka tieo ts'ebeliso ea khoutu ea naha ea lisebelisoa tsa bongaka tsa inshorense ea bongaka, ka nako e nepahetseng ho latela Ofisi ea Naha ea Inshorense ea Bophelo bo Botle ho nts'etsapele likarolo tsa lisebelisoa tsa bongaka le database ea khoutu ho etsa mosebetsi o motle oa ho nchafatsa khoutu ea lisebelisoa tsa bongaka ho ntlafatsa ts'ebeliso ea ho nepahala le maemo a khoutu ea lisebelisoa tsa bongaka ho fihlela lisebelisoa tsa bongaka ka theko ea khoutu, ka khoutu e lokelang ho sebelisoa, ka tefiso ea khoutu, ka taolo ea khoutu, le ho netefatsa hore ho hlophisoa ha lisebelisoa tsa bongaka le khoutu ea bonngoe ba sechaba.

 

Ntlha ea bobeli: karohano ea tšebeliso ea thekenoloji, mofuta ona oa lisebelisoa ho tefo ea inshorense ea bongaka

Tsebiso e supa hore boholo ba lintho tse ka sebelisoang ho kenyeletsoa tefong ea inshorense ea bongaka.Ho ikamahanya le phetoho ea theko ea litšebeletso tsa bongaka "litšebeletso tsa tekheniki le tšebeliso ea thepa e arohaneng", ho matlafatsa morero oa theko ea litšebeletso tsa bongaka le khokahano ea taolo ea tefo ea lisebelisoa tsa bongaka, 'me butle-butle e ke ke ea kenyeletsoa sebopeho sa theko ea litšebeletso tsa bongaka tsa lisebelisoa tsa bongaka tse lahloang ho latela lipehelo tsa sebaka sa taolo ea tefo ea inshorense ea bongaka.

 

Ntlha ea boraro: lisebelisoa tsena li ke ke tsa kenyelletsoa ka molao-motheo oa tefo ea inshorense ea bongaka

Mabapi le phihlello ea inshorense ea bongaka, "Tsebiso" e fana ka ho khomarela boemo ba "motheo" bo sebetsang.Phihlello le tsamaiso ea lisebelisoa tsa mantlha tsa inshorense ea bongaka li lokela ho khomarela ka tieo maemo a "motheo" a ts'ebetso, li etse sohle se matleng a tsona, ka hohle kamoo li ka khonang, 'me ka mokhoa o utloahalang li fumane sebaka sa litekanyetso tsa tefo le tefello, tse shebaneng le karolo ea bohlokoa ea ho reka ea bongaka. letlole la inshorense, e tla ba lisebelisoa tsa bongaka tse hlokahalang, tse bolokehileng le tse sebetsang hantle, tse theko e tlase molemong oa tefo ea inshorense ea bongaka ho latela mekhoa.Lisebelisoa tsa bongaka li tla kenyelletsoa sebakeng sa tefo ea inshorense ea bongaka ho latela lenaneo.

Ha e le hantle, lisebelisoa tsa bongaka tse nang le boleng bo tlase ba kliniki, litheko kapa litšenyehelo tse fetang hole ho khoneha ha letlole le bakuli, hammoho le lisebelisoa tseo e seng tsa kalafo li ke ke tsa kenyeletsoa molemong oa tefo ea inshorense ea bongaka.Bakeng sa mmuso o hlokehang ka ho hlaka hore o se ke oa kenyelletsoa molemong oa tefo ea inshorense ea bongaka ea lisebelisoa, latela lipehelo tsa pele.

 

Ntlha ea bone: ho kengoa ts'ebetsong butle-butle ha inshorense ea bongaka e tloaelehileng tsamaiso ea mabitso

The Notice e bontša hore State Medical Insurance Bureau e tla ithuta ho thehoa ha mokhoa o tloaelehileng oa tsamaiso ea mabitso bakeng sa lisebelisoa tsa bongaka tlas'a inshorense ea bongaka, e itšetlehileng ka lihlopha le boitsebiso ba khoutu ea lisebelisoa tsa bongaka tlas'a inshorense ea bongaka, ho fumana hore na ke mekhoa efe e nepahetseng bakeng sa tsamaiso ea meriana. tefo ea inshorense ea bongaka, butle-butle ba theha melao ea ho reha mabitso a tloaelehileng a lihlopha tse fapaneng tsa lisebelisoa tsa bongaka, 'me ba bokelle lebitso le tloaelehileng la inshorense ea bongaka e le motheo oa mohato o latelang oa tsamaiso ea tefo ea inshorense ea bongaka.

Bakeng sa lisebelisoa tsa bongaka tse nang le mabitso a tloaelehileng a seng a entsoe, re lokela ho khothalletsa ka mafolofolo tsamaiso ea tefo ea inshorense ea bongaka bakeng sa lisebelisoa tsa bongaka ho latela mabitso a tloaelehileng.Bakeng sa lisebelisoa tsa bongaka tse e-s'o hlahise lebitso le tloaelehileng, sehlopha sa hona joale le khoutu li tla sebelisoa bakeng sa nako ea tsamaiso ea tefo ea inshorense ea bongaka.

 

Ntlha ea 5: Nako ea "14th ea Lilemo Tse Hlano", ho thehoa ha lethathamo la thepa ea inshorense ea bongaka e kopaneng ea profinse.

Tsebiso e hlakisa hore taolo ea phihlello ea lethathamo la lisebelisoa tsa bongaka e ntse e tsoela pele butle-butle.Khothaletsa ho theoa ha mokhoa o nepahetseng oa ho fumana lisebelisoa tsa bongaka, nako ea "14th-Lilemo tse Hlano", e tlameha ho phethoa ho latela molao oa phihlello ho nts'etsapele profinse (libaka tse ikemetseng, bomasepala ka kotloloho tlas'a 'Muso o Moholo) bukana e kopaneng ea inshorense ea bongaka ea lisebelisoa tsa bongaka.

Mothating ona ho thehile profinse e kopaneng ea inshorense ea bongaka consumables directory ea sebakeng seo, ka nakoana e thehiloeng ho naha ea inshorense ea bongaka consumables classification le khoutu, 'me butle-butle ho ea inshorense ea bongaka tloaelehileng lebitso la tsamaiso phetoho.Hajoale ha e so thehe bukana ea phepelo ea bongaka e kopaneng ea profinse ea sebaka seo ho eketsa matsapa ho fihlela "Leano la Lilemo tse Hlano" la ho theha bukana ea phepelo ea bongaka e kopaneng ea provense.

Bakeng sa tsamaiso e ntseng e hola ho feta ea lisebelisoa tse sebelisoang ka kakaretso, mmuso butle-butle o tla nts'etsapele lethathamo le kopaneng la naha la inshorense ea bongaka, 'me butle-butle e atolose kakaretso ea lethathamo la naha le kenyelelitsoeng ke sehlopha sa thepa e ka sebelisoang.

 

Ntlha ea 6: Theha mokhoa o matla oa tokiso 'me u hlahlobe phihlello eo ho buisanoeng ka eona bakeng sa lisebelisoa tse ikhethileng.

Ho ea ka Tsebiso, profinse ka 'ngoe e lokela ho hlophisa lisebelisoa tsa bongaka, tsa bongaka, tsamaiso ea inshorense ea bophelo bo botle, tlhahlobo ea theknoloji le litsebi tse ling le mekhatlo e amanang le indasteri, ka mokhoa o tloaelehileng oa tlhahlobo, lisebelisoa tsa bongaka tse tšoanelehang bukeng ho latela lits'ebetso, le liphetho tsa tlhahlobo li tla senoleloa sechaba ka nako.Khothaletsa ho kenyeletsoa hoa pele lethathamong la lisebelisoa tse khethiloeng ho tsoa ho theko e kopaneng e lumellanang le leano la hajoale la tefo.Lekola phihlello ea lihlahisoa tse ikhethileng kapa tsa boleng bo holimo ka lipuisano le mekhoa e meng.

Ho feta moo, ho lokela hore ho thehoe mochine oa tokiso e matla.Nahana ka botlalo ka tsoelo-pele ea theknoloji ea lisebelisoa tsa bongaka, ts'ebeliso ea bongaka, maemo a theko le litšenyehelo, le ho khoneha ha letlole la inshorense ea bongaka le batho ba nang le inshorense, joalo-joalo, ho hlokomela phetoho e matla ea ho kena le ho tsoa.Ho tlatsoa ka nako ea lihlahisoa tse hlokahalang tsa theknoloji e ncha, ho tlosoa ha kliniki ho ka nkeloa sebaka hamolemo, tlhahlobo e mpe ea moruo, ke mafapha a amehang a kenyellelitsoeng lethathamong le lebe mme lihlahisoa tse ling ha li fihlelle litlhoko tsa inshorense ea bongaka.

Ka nako e ts'oanang, ho thehoa ha mokhoa o utloahalang oa ho thibela kotsi bakeng sa phetoho ea tekanyo ea tefo ea inshorense ea bongaka ea lisebelisoa tsa bongaka, polokeho ea letlole, kalafo ea bakuli nako e telele ea lipalo tse nepahetseng, bakeng sa likotsi tse ka bang teng. ntshetsopele ya moralo, haholo-holo o kenyeletsang phetisetso ea sebaka sa tefo ea mefuta e fapaneng ea ho etsa mosebetsi o motle oa ho netefatsa ts'ireletso ea litokelo le lithahasello tsa bakuli.

 

Ntlha ea 7: Butle-butle leka-lekanya leano la tefo ka hare ho provense

Tsebiso e supa hore leano la tefo le lokela ho hokahanngoa le ho ntlafatsoa.Khothaletsa leano la litefo hore e be tsa mahlale le ho hloekisoa haholoanyane, 'me butle-butle ho felisoe leano la ho lefa ka bohlasoa le ipapisitseng le tefello e arotsoeng ea boemo ba litšenyehelo, le tefello ea karolo e le 'ngoe ea quota kapa moeli oa tefo.

Libaka tse hokahaneng li ka ela hloko lintlha tse kang bokhoni ba letlole le moroalo oa ba inshoriloeng, le ho latela maemo a sebele a theko e phahameng kapa litšenyehelo tsa lisebelisoa tsa bongaka ho theha tekanyo ea pele ea tefo e tsoang ka ntle ho pokotho.Mafapha a inshorense ea bophelo bo botle a liprofinse a lokela ho matlafatsa khokahanyo, butle-butle ho leka-lekanya maano a ho lefa le maemo a tšireletso a libaka tse kopantseng ka hare ho provense, le ho khothaletsa liprofinse tse nang le maemo a ho phethahatsa kopano ho latela liprofinse kapele kamoo ho ka khonehang.

 

Ntlha ea 8: Ho thehoa ha mokhoa oa ts'ebetso ea DRG/DIP ea synergistic

Ho phahamisa maemo a ho lefa ka mokhoa o tsitsitseng le o hlophisehileng.Khothaletsa liprofinse ho hlahloba nts'etsopele ea litekanyetso tsa tefo ea lisebelisoa tsa bongaka bakeng sa inshorense ea bongaka le ho etsa liphetoho tse matla.Ntlafatsa mokhoa oa ho sebelisana pakeng tsa litekanyetso tsa ho lefa le litheko tsa ho reka tse bohareng, le ho fumana litekanyetso tsa tefo bakeng sa lihlahisoa tse khethiloeng ho reka lihlopha tse bohareng ho latela melao e amehang.Lekola lipuisano tsa phihlello le mekhoa e meng ea ho fumana litekanyetso tsa tefo bakeng sa lisebelisoa tse ling tsa boleng bo holimo tsa bongaka.Bakeng sa lisebelisoa tsa bongaka tse nang le ts'ebetso le ts'ebeliso e ts'oanang, lisebelisoa le litšoaneleho tse ts'oanang, maemo a bophelo bo botle, le ho kopana ha tsamaiso ea inshorense ea bongaka, litekanyetso tse kopaneng tsa tefo li ka etsoa.

Synergize mokhoa oa ho lefa phetoho.Ho theha mokhoa oa ho phahamisa li-synergistic le DRG, phetoho ea mekhoa ea ho lefa ea DIP le maano a mang ho theha phello e ntle ea stacking.Nahana ka boholo ba tefo, maemo a tefo le leano la tefo ea lisebelisoa tsa bongaka ka mokhoa o kopantsoeng, 'me u ntlafatse kakaretso ea tekanyetso le tekanyetso ea tefo bakeng sa mefuta/lihlopha tsa mafu ka nako e loketseng.

 

Ntlha ea borobong: lisebelisoa tsena li shebane le ho beha leihlo

Ho latela Tsebiso, ho lokela ho thehoe mokhoa oa ho beha leihlo le oa tlhahlobo bakeng sa tefo ea inshorense ea bongaka.Liprofinse khafetsa mabapi le phihlello ea inshorense ea bophelo bo botle ea profinse, tefo ea letlole la inshorense ea bophelo bo botle, moroalo oa bakuli, joalo-joalo, hammoho le theko ea marang-rang, sekhahla sa theko ea marang-rang, joalo-joalo, tlhokomelo, lipalo-palo, tlhahlobo, e shebaneng le ts'ebeliso ea bongaka e fetang tšebeliso ea lichelete le moroalo oa mokuli oa lisebelisoa tsa bongaka ho beha leihlo moroalo o boima.

 

Hongguan hlokomela bophelo ba hau.

Sheba tse ling tsa Hongguan Meidlcal Consumables Product→https://www.hgcmedical.com/products/

Haeba ho na le litlhoko tsa lisebelisoa tsa bongaka, ka kopo ikutloe u lokolohile ho ikopanya le rona.

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Nako ea poso: Sep-11-2023