浅谈智慧医保系统在医院管理中的应用  

Discussion on the Application of Intelligent Medical Insurance System in Hospital Management

作　　者：阮宏昌 RUAN Hong-chang(Anqing Municipal Hospital,Anqing,Anhui 246003,China)

机构地区：[1]安庆市立医院,安徽省安庆市246003

出　　处：《现代医院管理》2023年第5期98-101,共4页Modern Hospital Management

摘　　要：在深化医保支付方式改革的形势下,医疗乱象层层出现,过度检查、过度用药、过度收费等问题频频发生,为规范医疗收费行为,控制医疗费用不合理增长,增强患者就医体验感和获得感,提高患者满意度,安庆市立医院引进了智慧医保系统项目。该项目可以优化医疗资源配置,推动医疗资源合理发展,有效控制医疗费用不合理增长,促进医院的高质量发展。In the context of deepening the reform of medical insurance payment methods,medical chaos has emerged layer by layer with frequent problems such as excessive examination,excessive medication,and overcharging.In order to standardize medical charging behavior,control unreasonable growth of medical expenses,enhance patients’medical experience and sense of gain,and improve patient satisfaction,Anqing Municipal Hospital has introduced a smart medical insurance system project.This project can optimize the allocation of medical resources,promote the rational development of medical resources,effectively control the unreasonable growth of medical expenses,and promote the high-quality development of hospitals.

关 键 词：智慧医保 病种控费 医保违规 医疗资源配置 

分 类 号：R197[医药卫生—卫生事业管理]