探讨PDCA循环在医院医保管理中的应用

摘要

目的：评价PDCA管理工具在医院医保管理中的应用效果和意义。方法运用PDCA循环法对全院进行医保医疗服务质量的管理与控制。结果医保医疗服务质量显著提高，医疗费用得到有效控制，医务人员政策知晓率及患者满意度显著提高。结论运用PDCA循环法进行医院医保管理能显著提高医保医疗服务质量和效率，并有效控制费用。%Objective:To evaluate the utilizing significance and effect of PDCA management tool in the hospital medical insurance management. Method:Management and control over medical service quality covered in medical insur-ance with PDCA is practiced in the whole hospital. Result:Medical service quality covered in medical insurance was signif-icantly improved;medical expenses got effective control,while medical workers’ policy awareness and patients’ satisfac-tion increased dramatically. Conclusion:Medical service quality and efficiency covered in medical insurance can be greatly improved and the expenses be effectively controlled with PDCA management in hospitals.