影响医院医保管理绩效的因素与对策

【摘要】 目的分析讨论影响医院医保管理绩效的因素,同时提出相应的解决对策,让医院医保管理绩效水平得到有效提升。方法对我院2012~2013年的医保管理绩效资料进行回顾性分析,同时对下列几方面进行分类描述,包括组织管理、规章制度、政策宣传、知识学习、审核监督和奖惩机制。结果医保管理绩效中组织管理、规章制度、政策宣传等工作基本到位,而参与知识学习的人数中护士人数最多,医生较少;在审核监督中违规事件较多;而奖惩机制中受罚较多,受奖较少。结论在医院的医保管理绩效中,会有多种因素对其水平造成影响,只有对内部管理加强,加强政策的宣传和知识的学习,采取积极有效的奖惩机制和加强对外联络,才能让医院的医保管理绩效水平得到有效提升。更多还原

【Abstract】 Objective To analyze and discuss the factors influencing the performance of hospital management, and puts forward corresponding countermeasures, make the performance level of hospital medical insurance management effectively. Methods The medical insurance management performance data in our hospital from 2012 to 2013 were retrospectively analyzed, and classifi ed and described in the following aspects, including the organizational management, rules and regulations,policy advocacy, knowledge learning, audit supervision and punishment mechanism. Results The organization of health care management performance management, rules and regulations, policy advocacy workbasically in place, but the number of participants in the most number ofnurses knowledge learning, the doctor less; more violations in the auditsupervision; and the mechanism of rewards and punishments in punishedmore less, alumni. Conclusion In the performance management of medical insurance hospital, will have the effects of various factors on the level ofcause, only to strengthen internal management, to strengthen the policy advocacy and knowledge learning, take positive and effective reward and punishment mechanism and strengthen communication, to make health care management to effectively enhance the performance level of the hospital.更多还原