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DIP背景下公立医院医保信息化管理策略分析OA

Strategic Analysis of Medical Insurance Informatization Management in Public Hospitals Under DIP Background

中文摘要英文摘要

DIP支付模式下公立医院如何平稳运行是其目前面临的现实问题.在支付模式改革背景下,怎样利用医保信息化手段助力公立医院的医保管理工作至关重要.本研究结合医院实际,对DIP改革过程中医院医保资金回款所面临的问题和必要性进行梳理,探讨如何利用信息化手段实现对医院回款工作的精细化管理,并在医院取得的实际价值基础上分析潜在不足后提出对策.

How to run smoothly in public hospitals under the DIP payment mode is a realistic problem.Under the background of payment mode reform,how to use medical insurance informatization means to help the medical insurance management of public hospitals is very important.Based on the actual situation of the hospital,this study sorts out the problems and necessity of the return of medical insurance funds in the process of DIP reform,discusses how to use information technology to realize the fine management of the return of medical insurance funds in the hospital,and puts forward countermeasures after analyzing the potential deficiencies based on the actual value obtained by the hospital.

石芷牟

首都医科大学附属北京安贞医院南充医院/南充市中心医院医疗保险管理办公室,四川 南充 637000

管理科学

DIP医院信息化建设医保支付率

DIPHospital informatization constructionMedical insurance payment rate

《医学信息》 2026 (6)

84-88,5

南充市社科研究"十四五"规划2024年度项目(编号:NC24B043)

10.3969/j.issn.1006-1959.2026.06.014

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