基于商务智能的医院医保业务决策支持系统的研究.pdfVIP

20 10 9 JISUANJI YU X IAN DA IHUA 181 : 20 10) 090 13203 ( 解放军第 309 医院信息科, 北京 100091) : 利用商务智能技术为医院医保业务的科学管理和决策提供 持本文首先利用数据抽取转换及装载工具获取有 效数据, 并通过建立多维模型和数据分析数据挖掘方法生成各种分析统计报表及图形然后, 建立智能的医院医保业 务决策 持系统架构和数据仓库模型, 并对医保病人的医疗费总额药费比自费比等进行多维度多角度分析结果表 明, 该智能系统在控制过度医疗控制医保 出等方面提供了科学管理和决策依据 : 商务智能; 数据分析; 数据挖掘; 医保业务; 医院管理 : T P393. 1 : A doi: 10. 3969 / j. i n. 20 10. 09. 038 R esea rch on D ecision Support System s of H o sp ital H ealth In surance Ba sed on Busin ess In telligence LIN Jinan ( Departm ent of Information, The 309 th H o pital of PLA, Be ijing 10009 1, Ch ina) A b stract: T o prov ide intelligent upport for cientificm anagem ent and dec i ionm ak ing of ho pital health in urancew ith bu ine intelligence technology. T o obtain valid dataw ith ex tracting, tran formation and load ing, analy i report, tati tical report and va r iou graph ic are e tabli hed by u e of variou m ethod uch a mu lti d mi en ion m odel, data analy i and datam ining etc. T o e tabli h dec i ion upport y tem arch itecture of ho p ital health in urance operation and dataw arehou em odel, the totalmed ical ex pen e ratio of drug expen e ratio of own expen e for in u rance patien t are analy zed on m ultidmi en ion and mu lti angle condi tion . Intelligent Sy tem prov ide upport of c ientificm anagement and deci ionm ak ing, w hich can control overtreatm ent and in urance pending. K ey w ords: bu ine intelligence; data analy i; data m ining; health in urance operation; ho p ital managem ent , 0 , , , , 2009