银川市中医院合理医疗监控监督系统的设计与实现

发布时间：2018-05-20 02:03

本文选题：合理医疗 + Tapestry　；参考：《电子科技大学》2015年硕士论文

【摘要】：医保病人医疗费用的快速增长以及医疗机构的不合理医疗行为已经成为阻碍医疗改革健康发展,医患关系矛盾加剧的关键,本次课题研究的重点是对医疗保险住院病人的费用增长现状及其原因以及医生行医行为的合理性进行分析,结合银川市中医院目前的管理现状,提出“事前监控”、“事后监督”、“双管齐下”的方针,对“开贵药”、“滥用抗生素”、“医保基金利用率低”等问题利用信息化的手段进行有效的监控。从就医的开始环节通过对医生进行政策的指导、对科主任进行监管的把关、对监管机构提高监控的三条措施,以降低目前不合理的医疗行为导致就医难的问题。本课题通过对医生的用药品种数及抗生素使用量进行统计分析判断医生是否存在滥用抗生素的情况及多开药的情况;通过对患者的平均非医保费用比例等分析患者费用是否呈上升趋势;通过对医疗机构的科室医保费用的定额监督来提高医疗机构的医疗保险基金使用效率;通过对医生的用药、检查的是否合理提高就医规范,降低医疗机构的不合理行医行为发生率。实现医院与医疗保险机构互相配合,相互促进,充分发挥医院主动参与、积极管理对控制医疗费用不合理增长的关键作用,同时为医保管理部门提供医保基金调节和改革完善付费方式的依据。本文介绍了J2EE平台及B/S架构的优越性,介绍目前比较流行的Web开发框架,对各层的框架进行了比较以及每层框架需要实现的功能。采用基于Tapestry5.0+Spring3.0+Ibatis2.3的框架进行系统的构建,它的优势在于系统的结构层次清晰,层与层之间的耦合度减低,在开发过程中层与层之间的实现代码几乎完全是独立的,极大地提高了整个系统的开发效率。同时也提高了整个系统的可重用性、可扩展性和灵活性,为日后系统的后续升级提供了极大地便利。系统还整合了Jasper Report组件以报表的样式展现指标数据,整合了quartz调度框架进行业务数据的提取,为课题的实现提供统计分析数据来源。
[Abstract]:The rapid growth of medical expenses of medical insurance patients and the unreasonable medical behavior of medical institutions have become the key to hinder the healthy development of health care reform and intensify the contradiction between doctors and patients. The focus of this research is to analyze the current situation and reasons of medical insurance inpatients' expense growth and the rationality of doctors' medical practice, combining with the current management situation of Yinchuan traditional Chinese Medicine Hospital, to put forward the "pre-monitoring". The policy of "supervision after the event" and "two-pronged approach", such as "prescribing expensive medicine", "abusing antibiotics" and "low utilization rate of medical insurance fund", are effectively monitored by means of information technology. From the beginning of medical treatment, through the guidance of policy to doctors, the supervision of department directors, and the three measures to improve the supervision of supervision agencies, the current unreasonable medical behavior will lead to the difficulty of seeking medical treatment. Through the statistical analysis of the number of kinds of drugs and the amount of antibiotics used by doctors, this topic determines whether the doctors are abusing antibiotics and prescribing more drugs. Through the analysis of patients' average non-medical insurance expense ratio and so on, whether the patient's cost is on the rise; through the quota supervision of the medical department's medical insurance cost of the medical institution to improve the medical insurance fund's utilization efficiency of the medical institution; by using the medicine to the doctor, Check whether to improve the standard of medical treatment, reduce the incidence of unreasonable medical practice in medical institutions. To realize the cooperation and mutual promotion between hospitals and medical insurance institutions, to give full play to the active participation of hospitals, and to actively manage the key role of controlling the unreasonable growth of medical expenses, At the same time for the medical insurance management department to provide insurance fund regulation and reform to improve the basis of payment. This paper introduces the advantages of J2EE platform and B / S architecture, introduces the popular Web development framework, compares the frameworks of each layer and the functions that need to be realized in each layer framework. The frame based on Tapestry5.0 Spring3.0 Ibatis2.3 is used to construct the system. Its advantage is that the structure of the system is clear, the coupling degree between the layers is reduced, and the implementation code between the middle and the layers in the development process is almost independent. The development efficiency of the whole system is greatly improved. At the same time, it improves the reusability, extensibility and flexibility of the whole system, and provides great convenience for the subsequent upgrade of the system. The system also integrates the Jasper Report component to display the index data in the style of the report, and the quartz scheduling framework to extract the business data, which provides the source of the statistical analysis data for the implementation of the project.
【学位授予单位】：电子科技大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：TP311.52

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