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军队医院医保综合信息平台的设计和应用
引用本文:林济南,李蕊.军队医院医保综合信息平台的设计和应用[J].中国数字医学,2014(8):61-63.
作者姓名:林济南  李蕊
作者单位:解放军第309医院信息科,北京市海淀区黑山扈17号,100091
基金项目:总后卫勤理论研究计划课题项目(编号13WQZ25)
摘    要:目的:探讨军队医院医保业务信息化和医保管理信息化的建设与应用。方法:通过调用医保中心提供的接口和动态库函数,将医保相关信息嵌入到HIS的业务系统中,并对业务系统产生的业务信息进行数据挖掘、分析和整理,形成管理信息。结果:搭建了高效、科学、全面的医保综合信息平台,提高了工作效率和医保管理科学化水平。结论:系统在控制过度医疗、医保支出等方面提供了科学管理和决策依据。

关 键 词:医保管理  医保业务  信息系统

Design and Application of Medical Insurance Comprehensive Platform of Military Hospital
LIN Ji-nan,LI Rui.Design and Application of Medical Insurance Comprehensive Platform of Military Hospital[J].China Digital Medicine,2014(8):61-63.
Authors:LIN Ji-nan  LI Rui
Institution:(Medical Insurance Department of the 309th Hospital ofPLA, Beijing 100091, P.R.C.)
Abstract:Objective: To discuss medical insurance business informationalization and medical insurance management informationalization construction and application. Methods: Through call dynamic library function and interface provided by medical insurance center, medical insurance related information will be embedded into HIS,and business information generated by business systems conduct data mining, analysis and consolidation, form management information. Results: Build an efficient, scientific and comprehensive health care integrated information platform, improve the efficiency of work and improve scientific level of medical insurance management. Conclusion: The system provides scientific management and basis for decision making to control over health care and medical insurance costs and so on.
Keywords:medical insurance management  medical insurance business  information system
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