新农合“单病种”实时结算系统的设计与实现.pdfVIP

葬斤织合象病种察时结算案统的设升写实现 李~二E 肖鸥1) 林豆忠于 陈加强x 刘怡君* 摘要 目的: 通过边立基于HIS的新农合单病种实时结算系统，实现新农合单病种怠者实时结算.方法: 在收费 系统基础上，建立与新农合中心的数据交丘，实现实时结算.结果:实现HIS系统与新农合接口的无缝连接和新农合单捕 种的实时结算.结论:该系统的实现在一定程度上解决了农民看病难、看病货的问题，有效减轻农民医疗负担，简化 新农合单病种报销流程. 关键词 医院信息系统单病种数据交互实时结算 Doi:l0.3969/j.issn . 1673- 7571.20 15. 1.015 l ft 回分类号) R3 19 [文献标识码) A Design and Development of the New R lIral Cooperative Single Di.sca.se R eal-time Serùement / Ll Jing, X IAO Oll , L1N Ya-zhong, ct a1/ /China Digita1 Medi cinl. -2015 10(1): 49 to 51 Abstract Objectivc: Through th l establìshment of new rural cooperative based HI S single disease real-time settlement system , thl! new rural coopcrative single disease paticnts in our hospitals real- time settlemc llt. M ethods: Based on the charge systcm in ollr hospital and medica1 center , established the data interaction , real- timc settlcment. ReslIlts: Real time settlemcnt tO realìze the seamless connection and the new interfåce of HI S system in ollr hospitaJ and medicaJ sing1e diseasc. Conclusion: Implementation of the system to some extent solve the farmers difficll1t and cxpensive prob1em , effcctively redllcing the bllrdcn on famlers in the medicaJ aspec臼 of the parients farmers simplì马 the reimbll r.;ement process. Keywords hospital infonnation system , sing1e diseases , data interaction , real-time settlerncnt Fund proj ect Key SlIbjcct Project of Na叮ing Military Region (No. 1IZ023); Zhangzholl Natural Science Foundation Project (No. Z201 1009 , ZZ2013A02) Corr esponding author The 175th Hospital of PLA, Zhangzhou 3白3创)()， Fujian Provincc , P.R .C. 1 引言 为解决百姓看病难，看病卖问题，卫生部在全国范围内推行实施新型农村合作医疗政策，越来越多的农民加 入了新型农村合作医疗111。目前， 伴随着新型农村合作医疗在全国范围内持续开展，各地相继出台了各种提高农村居民医 疗保障水平的方案121 ， 2012年福建省制定了{福建省人民政府办公