摘要
运用定性和定量研究方法,对信息系统在基本医疗保险中的监管作用进行分析。利用该系统可以合理设置科室医保控制标准,对医生的处方行为和医保运行情况采用实时监控,及时了解全院医保费用使用情况,保障本机构医保总量控制的规范运行。对照组只能事后对处方违规进行人工监控,费时费力。利用该系统可以从根本上对医保运行实施监管,使有限的医疗资源得到合理使用。
The qualitative and quantitative research methods were applied to research the information system＇s effect on basic medical insurance. The reasonable medical insurance standard was set by using this system. This system can real-time monitor the prescription behavior,medical insurance＇s running situation and protect the standardized operation of medical insurance. The control group only monitor the irrational prescription by staff. This system can monitor the running of medical insurance and improve the rational use of limited medical resources.
出处
《中国初级卫生保健》
2010年第9期1-2,共2页
Chinese Primary Health Care
基金
国家卫生部卫生统计信息中心立项资助(2008)
关键词
基本医疗保险
监测管理
效果
basic medical insurance
monitor
effectiveness
