医院信息化中收费问题的研究

Research on Issues of Fee Charging in Informatized Hospital

目的:研究医疗收费过程中遇到的问题,主要是如何自动区分缴费主体。方法:基于"军卫一号"软件实际应用情况,分析了国内医疗收费的现状,设计了单病种收费机制和能普遍适应各种医保政策的收费机制,并描述其费用分解流程。结果:费用分解流程能够很好地适应国内各地不同的医疗支付政策,具备高度的灵活性,并在解放军总医院新版门诊收费系统中获得成功应用。结论:解决了医疗收费中常见的主要问题,其费用分解流程在国内各地区复杂多变的支付政策环境下具有普遍适应性。

Objective To discuss the issues encountered in fee charging, mainly the automatic recognition of charging agent. Methods Based on No.I Military Medical Project, the present status of fee charging in the hospital was analyzed. The single disease payment system and charging system adapting to all kinds of medical insurance policies were designed, whose payment decomposition flow was introduced, Results The payment decomposition flow, compatible with all medical payment regulations in China, was applied in the outpatient department charging system of General Hospital of PLA. Conclusion The payment decomposition flow, is gifted with universal validity for complicated charging conditions in China.