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大数据背景下公立医院医疗服务审计模型构建及应用*
引用本文:祝芳芳,余平,操礼庆,肖磊.大数据背景下公立医院医疗服务审计模型构建及应用*[J].中国卫生经济,2022,41(11):86-90.
作者姓名:祝芳芳  余平  操礼庆  肖磊
作者单位:1.中国科学技术大学附属第一医院 (安徽省立医院) 审计处 合肥 230001 2.安徽省心血管病研究所办公室 合肥 230001 3.安徽省审计厅社会保障审计处 合肥 230001
基金项目:中国卫生经济学会卫生健康经济管理第二十二批重点研究课题(CHEA2122040202)
摘    要:为构建大数据背景下公立医院医疗服务审计模型,文章以中国科学技术大学附属第一医院为样本医院,提出了审计模型设计思路,分别梳理了医疗服务价格、药品购销存、耗材购销存3类审计的相关规则和建模步骤,并应用所建模型对业务数据进行了分析处理,及时发现了医院潜在风险、业务疑点,提高了内部审计精准度、时效性以及风险预测能力,促进了医院精细化管理和高质量发展。

关 键 词:公立医院  审计模型  大数据

Construction and Application on the Medical Service Audit Model of Public Hospitals in the Context of Big Data
ZHU Fang-fang,YU Ping,CAO Li-qing,XIAO lei.Construction and Application on the Medical Service Audit Model of Public Hospitals in the Context of Big Data[J].Chinese Health Economics,2022,41(11):86-90.
Authors:ZHU Fang-fang  YU Ping  CAO Li-qing  XIAO lei
Affiliation:Audit Office, The First Affiliated Hospital of University of Science and Technology of China, Hefei, 230001 , China
Abstract:In order to construct the of medical service audit model of public hospitals in the context of big data, it takes the practical exploration of the First Affiliated Hospital of the University of Science and Technology of China as an example, proposes the audit model design ideas, and sorts out the rules and modeling steps related to medical service price, drug purchase and sale inventory, and consumables purchase and sale inventory, respectively. Using the above model to analyze and process business data, potential risks and business suspicions are discovered in time, improving the accuracy, timeliness and risk prediction ability of internal audit, and promoting fine management and high-quality development of the hospital.
Keywords:
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