Methods for judging abnormal hospitalization behavior and related products

Abstract

The present application discloses a method for judging abnormal hospitalization behavior and related products. The method is applied to electronic equipment. The method includes: obtaining hospitalization data of insured persons from a medical database of a medical institution; extracting various expense information in the hospitalization data, the various expense information including drug expense, operation expense, postoperative reexamination expense, preoperative examination expense and total hospitalization expense; calculating a first ratio, a second ratio, a third ratio and a fourth ratio between the drug cost, the surgical cost, the postoperative reexamination cost, the preoperative examination cost and the total hospitalization cost, respectively; according to the first proportion, the second proportion, the third proportion and the fourth proportion, the judgment result of the insured person's hospitalization behavior is obtained, and the judgment result is sent to the terminal equipment of the medical institution to display the judgment result on the display interface of the terminal equipment of the medical institution. The embodiment of that present application is advantageous in solving the probability of arbitrage medical insurance funds to purchase medicines.

Description

technical field [0001] This application relates to the technical field of data analysis, in particular to a method for judging abnormal hospitalization behavior and related products. Background technique [0002] With the continuous strengthening of the national basic medical insurance system, more and more people join the ranks of medical insurance. When the insured person sees a doctor, the Medical Insurance Coordination Foundation will reimburse the insured person for a large number of medical expenses. However, the current medical insurance system is still not perfect, resulting in There are many interest issues in the reimbursement process. In many cities, medical examination items are not included in the reimbursement category of the medical insurance pooling fund, and the medical examination expenses of insured persons can only be reimbursed individually. However, for the insured, as long as the hospitalization expenses meet the deductible line and other conditions, ...

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Problems solved by technology

Moreover, sell the purchased medicines at high prices to make huge profits

[0003] The existing method of confirming whether the insured person is

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