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一种计算机辅助的医疗保健成本管理系统。

A computer-assisted health care cost management system.

作者信息

Burton W N, Hoy D A, Stephens M

机构信息

First National Bank of Chicago, IL 60670-0006.

出版信息

J Occup Med. 1991 Mar;33(3):268-71.

PMID:2030422
Abstract

To our knowledge, First Chicago has developed and implemented the first operational integrated health data computer system that includes the traditional occupational medicine data base together with medical claims and health risk appraisal data. OMNIS has combined medical claims, personnel, disability, employee assistance program, wellness program participation, administrative functions, laboratory, periodic health evaluation data, and health risk appraisal data in a single system. OMNIS provides data that are being used to more accurately predict health care and disability costs and design intervention strategies. Clearly, the integrated health data computer system provides information to manage increasingly complex issues of health care quality and cost. For companies concerned about the quality as well as the cost of health care, an integrated health data computer system (OMNIS) may be a valuable tool to objectively assess quality of care. For example, a company could evaluate how effectively various providers (eg, health maintenance organizations, preferred provider organizations, indemnity plan) control medical conditions such as hypertension. Integrated health data management systems have the potential to assist in the selection of the highest quality and most cost-effective health care plans.

摘要

据我们所知,第一芝加哥银行已开发并实施了首个可运行的综合健康数据计算机系统,该系统将传统职业医学数据库与医疗理赔和健康风险评估数据整合在一起。OMNIS系统将医疗理赔、人事、残疾、员工援助计划、健康计划参与情况、行政职能、实验室、定期健康评估数据以及健康风险评估数据整合到了一个单一系统中。OMNIS系统所提供的数据正被用于更准确地预测医疗保健和残疾成本,并设计干预策略。显然,综合健康数据计算机系统为管理日益复杂的医疗质量和成本问题提供了信息。对于关注医疗质量和成本的公司而言,综合健康数据计算机系统(OMNIS)可能是客观评估医疗质量的宝贵工具。例如,公司可以评估各类医疗服务提供者(如健康维护组织、优选医疗服务提供者组织、赔偿计划)对高血压等病症的控制效果。综合健康数据管理系统有潜力协助选择质量最高且最具成本效益的医疗保健计划。

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