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医院自助医保结算系统的构建与应用

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因国家在政策上持续推进全民参保、跨省异地医保结算,区内外大多数医院客观上都存在医保结算窗口外患者排长队,窗口压力大,人力资源紧张的问题;主观上,群众希望有更多的医保结算途径和方式。本文以群众自助医保结算需求为导向,探索欠发达地区医保结算新模式,优化智慧医院服务流程,以实现"一站式"自助医保结算系统的构建与应用,为居民的就医结算提供便利。
Construction and Application of Hospital Self-service Medical Insurance Settlement System
As the country continues to promote universal participation in insurance and cross-province and cross-region medical insurance settlement in policy,most hospitals in and outside the region objectively have problems of long queues of patients outside the medical insurance settlement window,high pressure on the window,and shortage of human resources;subjectively,the masses want more ways and means of medical insurance settlement.Guided by the needs of self-help medical insurance settlement of the masses,this paper explores the new mode of medical insurance settlement in underdeveloped areas,optimizes the service process of smart hospitals,and realizes the construction and application of"one-stop"self-help medical insurance settlement system.

Self-service medical insurance settlementSmart hospital servicesProcess optimizationMedical insurance payment

周志彬、张刚、杨贵雄、吴志锦、吴晖湖

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贵港市人民医院信息科,广西 贵港 537100

贵港市人民医院财务科,广西 贵港 537100

自助医保结算 智慧医院服务 流程优化 医保支付

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(3)
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