医学信息2024,Vol.37Issue(3) :73-77,82.DOI:10.3969/j.issn.1006-1959.2024.03.014

医院自助医保结算系统的构建与应用

Construction and Application of Hospital Self-service Medical Insurance Settlement System

周志彬 张刚 杨贵雄 吴志锦 吴晖湖
医学信息2024,Vol.37Issue(3) :73-77,82.DOI:10.3969/j.issn.1006-1959.2024.03.014

医院自助医保结算系统的构建与应用

Construction and Application of Hospital Self-service Medical Insurance Settlement System

周志彬 1张刚 1杨贵雄 1吴志锦 1吴晖湖2
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作者信息

  • 1. 贵港市人民医院信息科,广西 贵港 537100
  • 2. 贵港市人民医院财务科,广西 贵港 537100
  • 折叠

摘要

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.

Abstract

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.

关键词

自助医保结算/智慧医院服务/流程优化/医保支付

Key words

Self-service medical insurance settlement/Smart hospital services/Process optimization/Medical insurance payment

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出版年

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
参考文献量20
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