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某院医保结算清单与病案首页一体化闭环管理实践  期刊论文  

  • 编号:
    F67D7E335C649CEB8469C78295DE16C7
  • 作者:
    李瑞佳#[1]冉君;史莲;胡牧;石艺;
  • 地址:
    云南省医疗保障局医药服务管理处,昆明 650200;昆明市延安医院病案管理科,昆明 650051;北京大学第三医院医疗保险办公室,北京 100191;
  • 语种:
    中文
  • 期刊:
    中华医院管理杂志 ISSN:1000-6672 2026 年 2 期 (119 - 124)
  • 收录:
  • 关键词:
  • 摘要:

    To address the issues of data fragmentation and redundant collection in the management of medical insurance settlement lists and medical record front pages, a hospital explored and established an integrated closed-loop management mode for medical insurance settlement lists and medical record front pages. By conducting comparative analysis of the homogeneity and differences between the two datasets, the hospital identified key points for data integration. The PDCA cycle management tool was introduced to achieve continuous improvement in data quality and closed-loop control, effectively breaking the " information silo" and enabling " one-time collection, multi-party utilization" of medical record data. This approach not only significantly enhanced data quality but also drived the transformation of data management from " static assembly" to " dynamic evolution", providing data support for hospital precision management and DRG payment reform.

  • 推荐引用方式
    GB/T 7714:
    李瑞佳,冉君,史莲, 等. 某院医保结算清单与病案首页一体化闭环管理实践 [J].中华医院管理杂志,2026(2):119-124.
  • APA:
    李瑞佳,冉君,史莲,胡牧,&石艺.(2026).某院医保结算清单与病案首页一体化闭环管理实践 .中华医院管理杂志(2):119-124.
  • MLA:
    李瑞佳, et al. "某院医保结算清单与病案首页一体化闭环管理实践" .中华医院管理杂志,2(2026):119-124.
  • 入库时间:
    2026/8/30 21:31:21
  • 更新时间:
    2026/8/31 4:00:56
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