Design and Implementation of Medical Insurance Fine Management System
XIAO Yongping1, LI Zhonghua2
1. Department of Information, 970 Hospital of the PLA JLSF, Yantai shandong 264002, China;
2. Department of Radiology, Yantai Special Service Sanatorium of Armed Police, Yantai shandong 264000, China
Abstract:Objective To supervise the medical insurance pooling expenses of clinical departments, doctors and patients in real time,
standardize the use of medical insurance pooling fees, and improve the level of medical insurance management in hospitals based on
developing a detailed supervision system of medical insurance. Methods The .NET technology and the MySQL database were used
to interface with the HIS system in the hospital. The key medical data were backed up, extracted and analyzed, and the supervision
data and reports were formed. The medical insurance managers checked the report and supervised the report in real time. Results
The developed system had the functions of patient medical insurance cost monitoring, excess early warning, cost control analysis,
and statistical analysis, so as to realize the fine management of the three level medical insurance overall cost of the department, the
doctor and the patient. Conclusion The deployment of the system regulates the medical behavior of departments and doctors. The
diagnosis and treatment work of drugs, consumables, inspection and inspection in the hospital is more in line with the provisions of
medical insurance, which saves medical insurance expenses and brings the connotation and quality construction of the hospital to a
higher level.
肖永平1,李中华2. 医保精细化监管系统的设计与应用[J]. 中国医疗设备, 2019, 34(4): 119-122.
XIAO Yongping1, LI Zhonghua2. Design and Implementation of Medical Insurance Fine Management System. China Medical Devices, 2019, 34(4): 119-122.