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Design and Implementation of a Remote Medical Management System for Wenzhou Medical Insurance Card

Abstract

随着国家十二五规划和人力资源和社会保障信息化的建设要求,基本医疗保险的市级统筹,实现全省、乃至全国范围的异地就医、一卡通用成为解决群众就医难的最为迫切的要求。但是,由于各地医疗保险统筹地区众多,各统筹区的缴费和待遇水平差距很大,医保结算实时性要求高,业务管理复杂,如何有效建立基本医疗保险异地就医“一卡通”系统显得非常重要。 目前,温州各医保统筹地区都已建有本地独立的医保实时结算系统,为实现对异地就医业务的传输,需建立一套独立于各统筹区之上的异地就医管理系统,由参保人所在参保地根据当地政策计算医保待遇后,将结果返回到就医地定点医疗机构实现异地就医业务;各县市系统通过本地县市前置接入系统接入温州...With the continuous expansion of the improvement of the level of social security and social security coverage, basic medical insurance for remote medical become an important task for the convenience of the insured and to improve the level of medical insurance services. Currently, the medical insurance remote medical treatment carried out in various municipalities Medicare "card" project is being i...学位:工程硕士院系专业:软件学院_工程硕士(软件工程)学号:X201223104

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