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通过在病案管理中遇到的几种新农合参合患者冒名顶替或未参合患者冒用参合患者身份住院的问题,分析新型农村合作医疗管理中存在的诸多漏洞,如新农合无完善的信息系统、医院住院处无二代身份证识别系统、医师法制观念淡薄、新农合监管部门监管力度不够等。解决上述问题需要加快新农合医疗信息系统的开发利用、强化医院对住院处工作人员的管理力度、强制使用二代身份证识别系统并增加指纹识别功能,增强临床医师、病案室工作人员及广大农牧民的法制观念、提高新农合管理人员素质并加强医院与新农合管理部门的合作等,使新农合能更加健康稳定的发展,为广大农牧民提供更高的医疗保障。
This paper analyzes the many loopholes in the management of new rural cooperative medical system through several inpatient management cases of new rural cooperative medical patients encountered as impostors or unmerged patients fraudulent use of participating patients, such as NRCMS imperfect information System, the hospital hospital without second-generation ID card identification system, doctors weak legal concept, supervision of the new NCMS lack of supervision and so on. To solve the above problems, it is necessary to speed up the development and utilization of NRCMS, strengthen the management of hospital staff in hospitals, force the use of second-generation ID card identification system and increase the fingerprint identification function, enhance the clinicians, medical staff and the majority Improve the quality of NRCMS managers and strengthen the cooperation between hospitals and NRCM management departments so that NCMS can develop healthier and more steadily and provide higher medical security for farmers and herdsmen.