中国医疗保险
中國醫療保險
중국의료보험
CHINA HEALTH INSURANCE
2013年
7期
19-21
,共3页
刘京玉%高向慧%刘然%顾维高
劉京玉%高嚮慧%劉然%顧維高
류경옥%고향혜%류연%고유고
医疗保险%医疗服务监控系统%监控规则%应用成效
醫療保險%醫療服務鑑控繫統%鑑控規則%應用成效
의료보험%의료복무감공계통%감공규칙%응용성효
medical insurance%medical insurance service monitoring system%monitoring rules%application effect
青岛市医疗保险医疗服务信息监控系统于2012年6月上线运行。近一年来,在界定过度检查的准确性、发现和筛查过度用药行为、确定过度治疗的审核重点、充分发挥基金使用效率等方面初显技术支撑效力,成为提升医疗监控能力、医保服务能力和决策分析能力的有效科技手段。
青島市醫療保險醫療服務信息鑑控繫統于2012年6月上線運行。近一年來,在界定過度檢查的準確性、髮現和篩查過度用藥行為、確定過度治療的審覈重點、充分髮揮基金使用效率等方麵初顯技術支撐效力,成為提升醫療鑑控能力、醫保服務能力和決策分析能力的有效科技手段。
청도시의료보험의료복무신식감공계통우2012년6월상선운행。근일년래,재계정과도검사적준학성、발현화사사과도용약행위、학정과도치료적심핵중점、충분발휘기금사용효솔등방면초현기술지탱효력,성위제승의료감공능력、의보복무능력화결책분석능력적유효과기수단。
Qingdao Medical insurance service monitoring system was implemented in june 2012. Nearly a year since running, it emerged more and more technology supporting effect on medical practice such as defining excessive diagnosis, discovery and screening overdose, auditing excessive treatment and improving efficiency of medical insurance fund. It became an effective technological measure of enhancing the ability of medical insurance monitoring, medical insurance service, decision-making and analyzing.