| 引用本文: | | 贺 蕾,陈郝琳,沈冰颖,朱佳俊,孙 燕*.[cn_title][J].[journal_cn_name],2025,[volume]([issue]):997-999.[点击复制] |
| | HE Lei,CHEN Haolin,SHEN Bingying,ZHU Jiajun,SUN Yan*.[en_title][J].[journal_en_name],2025,[volume]([issue]):997-999.[点击复制] |
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| 摘要: |
| 分析某三级医院通过数智应用促进医院医保基金监管提质增效的实践，为其他医疗机构提升医保基金监管效能、实现高质量发展提供思路及经验。总结该医院在医保基金监管过程中利用数智应用赋能的多维度、多层次管理的具体措施，探讨数智应用在促进医院医保基金监管中的管理侧重点。 |
| 关键词: 医保基金监管 智能监管 公立医院 精细化管理 |
| DOI： |
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| 基金项目:江苏省医院协会2024年度医院管理创新研究课题（JSYGY-3-2024-297） |
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| Digital Intelligence Applications Promote Quality and Efficiency Enhancement in Health Insurance Fund Supervision at a Class-A Tertiary Hospital△ |
| HE Lei,CHEN Haolin,SHEN Bingying,ZHU Jiajun,SUN Yan* |
| (Medical Insurance Office，Jiangsu Province Official Hospital) |
| Abstract: |
| To analyze the practice of a certain tertiary hospital in promoting the quality and efficiency improvement of medical insurance fund supervision through digital intelligence applications，and to provide ideas and experiences for other medical institutions to enhance the efficiency of medical insurance fund supervision and achieve high-quality development. Summarize the specific measures of multi-dimensional and multi-level management empowered by digital intelligence applications in the process of medical insurance fund supervision in this hospital，and explore the management focus of digital intelligence applications in promoting the supervision of medical insurance funds in hospitals. |
| Key words: Medical Insurance Fund Supervision Intelligent Supervision Public Hospital Refined Management |
