Research and Application of Outpatient National Medical Insurance
Settlement System in Our Hospital
CHEN Jianfu
Department of Information, No.909 Hospital of Joint Support Force of the Chinese People’s Liberation Army,
Southeast Hospital Affiliated to Xiamen University, Zhangzhou Fujian 363000, China
Abstract：Objective To realize the national medical insurance settlement of outpatient service based on information technology, to
optimize outpatient procedures for medical insurance patients and improve patient satisfaction with medical treatment. Methods The
front-end used SunnyUI framework to develop Winform applications, and the back-end used Spring MVC technology to achieve the
full integration of MVC design pattern and hospital information system based on Java. The front-end and back-end separation method
was used to develop outpatient medical insurance settlement system supporting national medical insurance. Results Through the
application of the outpatient national medical insurance settlement system, the waiting time of patients decreased from (181±3) s to
(89±2) s, the completion time of medical insurance settlement decreased from (119±2) s to (59±1) s, and the error rate decreased
from (1.31%±0.02%) to 0, and the differences were statistically significant (P<0.05). Patient satisfaction has significantly improved,
and treatment efficiency has significantly improved. Conclusion The implementation of the outpatient medical insurance settlement
system has achieved local patient settlement, intra provincial and inter provincial settlement. It optimizes the entire medical insurance
settlement process, improves patient satisfaction, and improves the service level of the hospital.
陈建福. 我院门诊国家医保结算系统的设计与应用[J]. 中国医疗设备, 2024, 39(1): 92-96.
CHEN Jianfu. Research and Application of Outpatient National Medical Insurance
Settlement System in Our Hospital. China Medical Devices, 2024, 39(1): 92-96.
