基于粗糙集的军队医院地方医保基金运行监管系统研究

通过对医保政策的分析研究,建立了医保基金运行监管的指标体系,并采用计算机对各指标进行监控,从系统角度解决当前军队医院各层次人员在医保基金使用管理决策时存在的信息滞后、决策依据不足、决策信息不准及管理措施落后等问题;使医保基金得到了合理应用,实现了参保人、医院和医保管理机构三方满意的目标.

Research Based on Local Medical Insurance Fund Operation Supervisory System of Rough Set Military Hospital

Index system of medical insurance operation supervision is constructed through analysis and research of medical insurance policies and each index is monitored by computers. Problems such as information lag, lack of evidence in decision, incorrect of decision information and backward management measurements in using, managing and deciding of medical insurance fund by all levels of people of military hospital are solved from the angle of system. Medical insurance fund is therefore used reasonably, resulting in a tri-satisfying goal for the insured people, hospital and medical insurance management organization.