天津：取消门诊预交金 试点探索推行门诊“先诊疗后付费”

Group 1 - The core viewpoint of the article is the implementation of a new policy in Tianjin to cancel outpatient prepayment and pilot the "pay after diagnosis and treatment" model to improve patient experience and efficiency in medical services [1][3]. Group 2 - The Tianjin Health Commission has initiated this policy as part of the "Sixteen Measures for Health Services for the People," aiming to reduce the financial burden of prepayments on patients [3][4]. - As of September this year, Tianjin has refunded a total of 5.0168 million yuan in outpatient prepayments, and the average prepayment amount for hospitalized patients has decreased from 8,403.68 yuan to 7,243.77 yuan [3]. - The policy encourages medical institutions to establish a credit system for patients, allowing those with basic medical insurance and commercial health insurance to benefit from the "pay after diagnosis and treatment" approach [3][4]. Group 3 - The "Sixteen Measures for Health Services for the People" also includes initiatives in disease prevention, diagnostic services, and enhancing capabilities at the grassroots level [4]. - As of October, 68% of tertiary public hospitals in Tianjin can provide "no accompanying care" services, covering 247 wards and 8,812 beds, indicating an expansion in service capacity and coverage [4].