浅谈医保病案管理中存在的问题及改善措施

Problems in Medical Insurance Case Management and Improvement Measures

病案是医院为患者建立的包括的病历信息、各阶段治疗情况以及治疗方法的一种档案,具有一定的隐私性.近年来,随着人民群众生活水平的提高,医疗体制改革的深入和医疗保险市场的迅速发展,全民参保比例逐年增加,病案作为重要的医疗凭证,不仅对医务人员、患者和医疗活动具有重要的意义,对医疗保险资金的支付和医疗费用的合理性监控也具有重要的价值.除此之外,病案也是医院进行医疗科研的重要材料,有利于提升医院对于各领域治疗技术的提升,更好的服务大众.但是,当前妇幼保健院的医保病案管理中仍存在一定的问题.文章简述了妇幼保健院医保病案管理中加强管理的重要意义,分析当前存在的问题并提出相应的改善措施,以供参考.

A case is a record of the patient's medical history,the stages of treatment,and the methods of treatment that the hospital has established for the patient.In recent years,with the improvement of people's living standard,the in-depth reform of the medical system and the rapid development of the medical insurance market,the proportion of universal participation in the insurance has increased year by year,and as an important medical certificate,the case is not only of great significance to medical personnel,patients and medical activities,but also of great value to the payment of medical insurance funds and the reasonable monitoring of medical expenses.In addition,the case is also an important material for medical research in hospitals,which is conducive to the improvement of the hospital's treatment technology in various fields and to better serve the public.However,there are still some problems in the management of medical cases in the current maternal and child health institutions.The article briefly describes the importance of strengthening management in the management of medical cases in maternal and child health hospitals,analyzes the current problems and proposes corresponding improvement measures for reference.