医院医疗服务计费智能纠错系统研究与应用  

Research and application of intelligent error correction system for medical service pricing at public hospitals

作　　者：易懿[1] 阚军 郑万会[1] 孔德明[1] 王佾[1] Yi Yi;Kan Jun;Zheng Wanhui;Kong Deming;Wang Yi(The Ninth People′s Hospital of Chongqing, Chongqing 400700, China)

机构地区：[1]重庆市第九人民医院,400700

出　　处：《中华医院管理杂志》2019年第8期669-673,共5页Chinese Journal of Hospital Administration

基　　金：重庆市北碚区科学技术委员会一般项目(2018-25).

摘　　要：随着新医改的不断深入,医疗服务价格调整关系重大,加强医疗物价信息化管理势在必行.作者分析了当前公立医院医疗服务价格信息化管理存在的问题及原因,并以智能纠错为切入点,探讨公立医院医疗服务价格智能纠错系统的构建策略,即从软件流程、接口流程、项目规则、报表体系4个方面设计开发技术流程,使纠错系统实现住院患者费用查询,在院患者信息、物价调整分析、物价反馈记录统计及住院超限查询,住院费用漏计查询等自动查询功能.同时,探讨构建适合各级医院的能将物价政策知识转换为医疗服务价格知识库的平台,以提高医疗物价管理水平,提升医院运营管理效率,减轻患者负担.Deepening healthcare reform highlights the importance of medical services pricing adjustment, and the imperativeness to strengthen the informationized management of such pricing.With this concept in mind, the authors analyzed the problems and causes of the current management on medical service pricing informatization at public hospitals, and discussed the construction strategy of an intelligent error correction system in this regard.That is, to develop a technical process from the four aspects of software flow, interface flow, project rules, and reporting system.This system is designed with such functions as inpatient cost inquiry, inpatient information, price adjustment analysis, price feedback record statistics and inquiries over the hospitalization expense ceiling, as well as inpatient cost omission inquiry.This paper also discussed the construction of a platform to transform the knowledge of pricing policy into the knowledge base of medical service pricing, in order to improve the level of medical pricing management, promote the efficiency of hospital operation and management, and reduce the burden of patients.

关 键 词：医院 公立 财务管理 医院 医疗服务价格 智能纠错系统 信息化管理 

分 类 号：R197.3[医药卫生—卫生事业管理] TP311.52[医药卫生—公共卫生与预防医学]