基于医保收费政策的住院药学服务信息管理模块开发

目的 设计开发一种基于浏览器/服务器架构的住院药学服务信息管理模块，加载于合理用药软件，实现药学服务信息与其他诊疗信息的关联，再造住院药学服务管理模式。方法 梳理福建医保收费政策下对住院药学服务信息记录的要求，构建业务逻辑，模块分模型层、显示层、控制层三部分设计。显示层结合药学服务规范设计表单，检索、录入相关信息和药学干预内容等，模型层转化展示层用户指令，控制层响应模型层访问操作。主要利用Java语言完成架构开发。结果 应用该模块方便临床药师实现患者维度的住院药学服务追踪管理和服务项目统计，实现服务内容电子化，数据结构化。结论 基于浏览器/服务器架构的住院药学服务信息管理模块满足了医保收费对服务的记录要求，实现了工作流程标准化，是住院药学服务管理模式新的尝试。

Development of Inpatient Pharmaceutical Care Information Management Module Based on Medical Insurance Charge Policy

OBJECTIVE To design and develop a management module of inpatient pharmaceutical care information based on browser/server architecture, which was loaded into rational drug use software to realize the association between pharmaceutical care information and other diagnosis and treatment information, rebuild the management mode of inpatient pharmaceutical care information. METHODS Combed the requirements of inpatient pharmaceutical care information record under the medical insurance charging policy, designed the logical relationship of workflow, and divided the module into three parts: model layer, display layer and control layer. The display layer designed forms, retrieved and input relevant information and pharmaceutical intervention contents according to the basic standards of pharmaceutical care, the model layer transformed user instructions in the display layer, and the control layer responded to access operations in the model layer. Java language was mainly used to complete the development of the architecture. RESULTS The application of this module was convenient for clinical pharmacists to track and manage inpatient pharmaceutical care from the patient dimension, and realized electronic service content and data structuring. CONCLUSION The inpatient pharmaceutical care information management module based on browser/server architecture meets the requirements of medical insurance charges for service records, realizes the standardization of workflow. It is a new attempt of inpatient pharmaceutical care management mode.