病案信息在医疗保险中的作用

医疗保险机构实施诊断相关分组（DRGs）付费改革后,病案也是医疗保险机构支付医院医疗费用的重要依据,直接关系到医院的经济利益。实现病案首页、主要诊断、病程记录的书写质量及病案的完整性在医疗保险中具有重要作用。在医保管理及医疗活动中应强化病案质量意识,协调好医院、患者、医疗保险机构三方的利益,才能保证医疗质量和医疗安全。

The Effect of Medical Record Information in the Medical Insurance

Medical record plays an important role in patient’s legal rights and hospital’s benefits.Medical record is an important basis for medical insurance institutions to pay for hospital medical expenses.The front sheet of medical records,the main diagnosis,course record writing quality,and the integrity of the medical record are important in medical insurance.We should strengthen medical record quality consciousness in medical insurance management and medical activities,and coordinate the interests of the hospital,patients,health insurance agencies,ensure medical quality and medical safety.