解放军医院管理杂志
解放軍醫院管理雜誌
해방군의원관리잡지
HOSPITAL ADMINISTRATION JOURNAL OF CHINESE PEOPLE'S LIBERATION ARMY
2013年
11期
1013-1016
,共4页
医疗保险%费用管理%信息系统
醫療保險%費用管理%信息繫統
의료보험%비용관리%신식계통
medical insurance%expenses management%information system
本文在保障患者享受合理的医疗服务,落实医保政策的相关规定,发挥主观能动性的前提下,着手构建一套行之有效的信息系统。利用信息化手段加强医保费用管理,提高管理部门工作效率和监管力度,适度控制参保人员的医疗费用,最终达到控制医保费用不合理增长的目的。
本文在保障患者享受閤理的醫療服務,落實醫保政策的相關規定,髮揮主觀能動性的前提下,著手構建一套行之有效的信息繫統。利用信息化手段加彊醫保費用管理,提高管理部門工作效率和鑑管力度,適度控製參保人員的醫療費用,最終達到控製醫保費用不閤理增長的目的。
본문재보장환자향수합리적의료복무,락실의보정책적상관규정,발휘주관능동성적전제하,착수구건일투행지유효적신식계통。이용신식화수단가강의보비용관리,제고관리부문공작효솔화감관력도,괄도공제삼보인원적의료비용,최종체도공제의보비용불합리증장적목적。
The authors intended to construct a set of effective information system of medical insurance ex -penditure management under the premise of safeguarding the patients enjoying reasonable medical service , carrying out relevant insurance policy , and elaborating hospital's initiatives.The information system were established to im-prove the work efficiency, intensify supervision, appropriately control the medical expenditures of insured person , control the unreasonable increase of medical cost eventually .