Research Article
Application and Management of Big Data in Medical Payment
@INPROCEEDINGS{10.4108/eai.23-2-2024.2345904, author={Qiue Li and Hui Wang and Xingcun Jia and Zixuan Lu}, title={Application and Management of Big Data in Medical Payment}, proceedings={Proceedings of the 4th International Conference on Informatization Economic Development and Management, IEDM 2024, February 23--25, 2024, Kuala Lumpur, Malaysia}, publisher={EAI}, proceedings_a={IEDM}, year={2024}, month={5}, keywords={big data; drg medical insurance payment; medical quality}, doi={10.4108/eai.23-2-2024.2345904} }- Qiue Li
Hui Wang
Xingcun Jia
Zixuan Lu
Year: 2024
Application and Management of Big Data in Medical Payment
IEDM
EAI
DOI: 10.4108/eai.23-2-2024.2345904
Abstract
Medical insurance payment is a key mechanism to ensure that the masses get high-quality medical services and improve the efficiency of fund use. We summarize the connotation and value of DRG medical insurance payment mode, and sort out the experience of DRG medical insurance payment mode reform in representative countries in the world. Combining the process and future development goals of China's DRG medical insurance payment mode reform, we explained the problems and challenges that China's DRG medical insurance payment mode reform may face. On this basis, we also put forward countermeasures and suggestions to further improve the reform of DRG medical insurance payment mode. Our research helps to deepen the understanding of DRG medical insurance payment mode, and has important practical significance for promoting the smooth progress of DRG medical insurance payment mode reform.