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大数据理念下医保报销循证决策框架设计
引用本文:余晓兰,董建成,耿劲松,张健,俞思敏,吴辉群,蒋葵. 大数据理念下医保报销循证决策框架设计[J]. 医学信息学杂志, 2017, 38(2): 62-64,73
作者姓名:余晓兰  董建成  耿劲松  张健  俞思敏  吴辉群  蒋葵
作者单位:南通大学医学院 南通 226001;南通大学医学院 南通 226001;南通大学医学院 南通 226001;南通大学医学院 南通 226001;南通大学医学院 南通 226001;南通大学医学院 南通 226001;南通大学医学院 南通 226001
基金项目:教育部人文社科一般项目(项目编号:14YJCZH035);国家自然科学基金项目(项目编号:71603138)。
摘    要:通过专家咨询探讨基于大数据理念的医保报销循证决策框架,明确决策的维度,结合大数据资源分析医保报销的循证决策步骤,围绕医保决策实践就如何充分利用大数据资源提出建议。

关 键 词:大数据  医保报销  循证决策  框架
收稿时间:2016-10-11

Design of Evidence-based Decision-making Framework for Medical Insurance Reimbursement Based on Big Data Concept
YU Xiao-lan,DONG Jian-cheng,GENG Jin-song,ZHANG Jian,YU Si-min,WU Hui-qun and JIANG Kui. Design of Evidence-based Decision-making Framework for Medical Insurance Reimbursement Based on Big Data Concept[J]. Journal of Medical Informatics, 2017, 38(2): 62-64,73
Authors:YU Xiao-lan  DONG Jian-cheng  GENG Jin-song  ZHANG Jian  YU Si-min  WU Hui-qun  JIANG Kui
Affiliation:Department of Medical Informatics, Medical School of Nantong University, Nantong 226001, China;Department of Medical Informatics, Medical School of Nantong University, Nantong 226001, China;Department of Medical Informatics, Medical School of Nantong University, Nantong 226001, China;Department of Medical Informatics, Medical School of Nantong University, Nantong 226001, China;Department of Medical Informatics, Medical School of Nantong University, Nantong 226001, China;Department of Medical Informatics, Medical School of Nantong University, Nantong 226001, China;Department of Medical Informatics, Medical School of Nantong University, Nantong 226001, China
Abstract:The paper discusses the evidence-based decision-making framework for medical insurance reimbursement based on big data concept through expert consultation, defines the dimension of decision-making, analyzes the evidence-based decision-making steps in combination with big data resources, proposes suggestions on how to make full use of big data resources around medical insurance decision-making practice.
Keywords:Big data  Medical insurance reimbursement  Evidence-based decision-making  Framework
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