基于大数据的医保用药及诊疗行为合理性分析与费用控制  

Rationality Analysis and Cost Control on Drug Delivery and Treatment of Medical Insuranee Based on Big Data Technology

作　　者：陈嵩[1] 胡志坚[1] CHEN Song;HU Zhi-jian(Fujian Medical University Union Hospital,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属协和医院信息管理处,福建福州350000

出　　处：《海峡药学》2021年第12期234-236,共3页Strait Pharmaceutical Journal

摘　　要：医保资金管理力度逐年增强,制度逐步规范,要求医院要转变管理方式,充分利用信息化技术力量,实现精细化管理,在事前事中事后为医护人员、管理人员提供贯穿全流程的医保资金管理服务。本文通过详细梳理福建省医保资金监管政策,结合大数据运算技术,为医院提供了实现事前事中事后监管的信息支持。Medical insurance fund management has been strengthened year by year,and the system has been gradually standardized.Hospitals are required to change the management mode,make full use of the power of information technology,realize fine management,and provide medical insurance fund management services throughout the whole process for medical staff and managers.This paper provides information support for the hospital to realize whole process supervision by combing the medical insurance fund supervision policies of Fujian Province and the big data computing technology.

关 键 词：医保资金监管 诊疗行为合理性 医保用药 

分 类 号：R969.4[医药卫生—药理学]