基于微服务+业务中台的医院医保支付系统研究
作者:
作者单位:

(1.邯郸市中心医院 邯郸 056000;2.中国医学科学院国家人口健康科学数据中心 北京 100730)

作者简介:

孙雷,高级工程师,发表论文3篇;通信作者:张胜发,博士,副研究员。〔基金项目〕 国家重点研发计划(项目编号:2023YFC2508801);河北省卫生健康委医学科学研究课题计划项目(项目编号:20231948);河北省医疗保障研究课题(项目编号:JYB240422)。

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基金项目:

国家重点研发计划(项目编号:2023YFC2508801);河北省卫生健康委医学科学研究课题计划项目(项目编号:20231948);河北省医疗保障研究课题(项目编号:JYB240422)。


Study on Hospital Medical Insurance Payment System Based on Micro-service Business Platform
Author:
Affiliation:

(1.Handan Center Hospital, Handan 056000, China;2.National Population Health Data Center, Chinese Academy of Medical Sciences, Beijing 100730, China)

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    摘要:

    目的/意义 实现医保支付服务一体化管理,满足患者多样化医保支付需求,提高支付效率。方法/过程 借助微服务+业务中台架构,创建统一医保支付平台,整合医保数据,重新规划医院医保支付流程。采用虚拟化服务器部署方式,通过标准接口与国家医保信息平台及院内业务系统对接。采取数据加密、访问控制和身份认证等措施保护数据安全。结果/结论 基于微服务+业务中台的医保支付系统实现了医保支付业务的整合与共享,可以提高医院医保支付比例,减少支付等待时间,优化就医体验。

    Abstract:

    Purpose/Significance To realize the integrated management of medical insurance payment services, to meet the diversified medical insurance payment needs of patients, and to improve payment efficiency. Method/Process With the help of micro-service business platform architecture, a unified medical insurance payment platform is built, medical insurance data are integrated, and the hospital medical insurance payment process is replanned. A virtualization server deployment method is adopted. Through the standard application programming interfaces, it can connect with the national medical insurance information platform and hospital business system. Data encryption, access control and identity authentication are adopted to protect data security. Result/Conclusion The medical insurance payment system based on micro-service business platform has achieved integration and sharing of medical insurance payment services, which can improve the proportion of hospital medical insurance payments, reduce payment waiting time, and optimize the medical experience.

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孙雷,闫春秒,罗葳,等.基于微服务+业务中台的医院医保支付系统研究[J].医学信息学杂志,2025,46(1):80-85

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  • 最后修改日期:2024-11-13
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  • 在线发布日期: 2025-02-12
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