基于商务智能的医院医保业务决策支持系统的研究

利用商务智能技术为医院医保业务的科学管理和决策提供支持。本文首先利用数据抽取、转换及装载工具获取有效数据,并通过建立多维模型和数据分析、数据挖掘方法生成各种分析、统计报表及图形。然后,建立智能的医院医保业务决策支持系统架构和数据仓库模型,并对医保病人的医疗费总额、药费比、自费比等进行多维度、多角度分析。结果表明,该智能系统在控制过度医疗、控制医保支出等方面提供了科学管理和决策依据。

Research on Decision Support Systems of Hospital Health Insurance Based on Business Intelligence

To provide intelligent support for scientific management and decision-making of hospital health insurance with business intelligence technology.To obtain valid data with extracting,transformation and loading,analysis report,statistical report and various graphics are established by use of various methods such as multi dimension model,data analysis and data mining etc.To establish decision support system architecture of hospital health insurance operation and data warehouse model,the total medical expenses、ratio of drug expenses、ratio of own expenses for insurance patients are analyzed on multi-dimension and multi-angle conditions.Intelligent System provides support of scientific management and decision-making,which can control over-treatment and insurance spending.