Читать статью 'Управление моральными рисками в медицинском страховании с точки зрения развития медицинской информатизации' в журнале Финансы и управление на сайте nbpublish.com
Рус Eng During last 365 days Approved articles: 1984,   Articles in work: 326 Declined articles: 602 
Library

Back to contents

Finance and Management
Reference:

Managing moral risks in medical insurance from the perspective of development of medical informatization

Li Wenzheng

Postgraduate student, the department of Risk and Insurance Management, M. V. Lomonosov Moscow State University

119991, Russia, Moskovskaya oblast', g. Moscow, ul. Leninskie Gory, 1

2106161085.@qq.com
Sun Yui

Postgraduate student, the department of Advertising and Public Relations, M. V. Lomonosov Moscow State University

119991, Russia, Moskovskaya oblast', g. Moscow, ul. Leninskie Gory, 1

135845291.@mail.ru

DOI:

10.25136/2409-7802.2020.2.32441

Review date:

04-04-2020


Publish date:

09-04-2020


Abstract.

The subject of this research is the methods of managing moral risks from the perspective of development of medical informatization, which allows maintain efficiency of medical insurance and lowering medical expenses. The authors meticulously examine the problem of growing medical expenses in China, concept of moral risk in medical insurance, as well as causes for emergence of moral risk in medical insurance. Analysis is conducted on the history of development of medical informatization and functionality of information system of medical insurance in China. The question as raised on application of general information system of gathering vast amounts of intersecting data in medical insurance. The article employs method of scientific cognition of theoretical and empirical levels. The theoretical base for this research is comprised of works of Chinese and foreign scholars on the issues of moral risks in medical insurance. The scientific novelty consists in development of a moral risk management model in medical insurance on the background of informatization of medical service. A conclusion is made that moral risks in medical insurance are tightly connected with the asymmetry of information in subjects of insuring. Medical informatization became a very important means for moral risk management in medical insurance and has great prospects for increasing efficiency of the work of medical facilities.

Keywords: model search, efficiency, function, medical informatization, China, medical insurance, reasons, moral hazard, state financial support, health care costs
This article written in Russian. You can find full text of article in Russian here .

References
1.
Lu Yun'(Lu Yuan). Obshchee planirovanie informatsionnoi sistemy sotsial'nogo meditsinskogo strakhovaniya. M.:Izdatel'stvo Yugo-Vostochnogo universiteta, 2013.-S.147-149.
2.
Tszin' Sin'chzhen(JinXinCheng), Shen' Tszytsyuan'(Shen Jiquan). Informatsionnaya sistema meditsinskogo strakhovaniya. M.: Narodnyi meditsinskii izdatel'skii dom, 2000.-S. 14-15.
3.
Khan Baomin'(Han Baomin). Analiz i proektirovanie sistemy meditsinskogo strakhovaniya. M.: Tszyansu Universitet, 2007.
4.
Van Guitszyuan'(Wang GuiJuan), Van Guilin(Wang GuiLing). Statisticheskii analiz ambulatornogo lecheniya khronicheskikh zabolevanii uchastnikov meditsinskogo strakhovaniya. Sin'tszyanskii meditsinskii zhurnal.-2003.-№33 (5).-S. 110-111.
5.
Gao Tszin(Gao Jing). Problemy i predlozheniya v protsesse informatizatsii meditsinskogo strakhovaniya. Chelovecheskie resursy i sotsial'noe obespechenie Shan'dun. 2010,-№12-S. 14-15.
6.
Lin' Tszin'ven(Lin JinWen), Chzhen Syaoyun(Chen XiaoYun). Prikladnye issledovaniya v oblasti informatsionnoi bazy dannykh meditsinskogo strakhovaniya. Kitaiskii meditsinskii zhurnal.-2011.-№1.-S.135-136.
7.
Teng Tsin(Teng Qing). Postroenie struktury upravleniya riskami predpriyatiya v Kitae. //Ekonomicheskii menedzhment.-2007-№3.-S.45-48.
8.
Tsin' Chun'lan'(Jin ChunLan). Analiz primeneniya kitaiskoi informatsionnoi bazy dannykh meditsinskogo strakhovaniya. Ekonomicheskii rynok tekhnologii.-2014.-№ 6.-S. 139-142.
9.
Chzhao Minyue(Zhao MingYue), U Tszin(Y Jing). Spisok nedorogikh lekarstv i ego primenenie v Tyan'tszine. Issledovanie politiki zdravookhraneniya Kitaya.-2014.-№ 7.-S. 13-18.
10.
Li Ven'chzhen, I.B.Kotlobovskii. Upravlenie moral'nymi riskami na rynke meditsinskogo strakhovaniya KNR. Strakhovoe delo.-2019.-№9.-S. 54-60.
11.
Yui Fen''yuan'(Yu Fengyuan). Issledovaniya po probleme i meram protivodeistviya moshennichestvu v sfere meditsinskogo strakhovaniya na osnove bol'shoi daty: magisterskaya dissertatsiya. Finansovyi universitet Shan'dun, Tszinan', 2018.
12.
Michael S, Taiki S, Hua CS, et al. Case Study: how to apply data mining techniques in a health care data warehouse. Journal of Health care Information Management.-2001.-№15 (2).-155.
13.
Gross H I, Reed S W, Higgs C L. Fraud can happen anywhere without prevention measures[J]. Indiana Lawyer, 2012.
14.
Vincke P. Waste, Fraud and Corruption in Healthcare: Global Strategies to Tackle a Global Problem[C]// World Congress on Public Health World Health Organization. 2012.
15.
Martin S. Reducing the Rapeutic Duplication Successful at the Dispensing Level [EB/OL]. 2015.-rezhim dostupa-URL:http: //www.managedcaremag. com/archives/0808/0808. medmg mt. html.
16.
Komissiya po zdorov'yu KNR. [Elektronnyi resurs].-URL:https://xw.qq.com/cmsid/20190524A036TQ00.(data obrashcheniya: 24.05.2018)
17.
Ma Syaovei(Ma Xiaowei). [Elektronnyi resurs].-Rezhim dostupa: http://www.xinhuanet.com/finance/2019-09/27/c_1210294535.htm(data obrashcheniya:29.09.2019 ).
18.
Tsentr issledovaniya razvitiya Gossoveta KNR. Obzor razvitiya Kitaya. 2005. №1.S.43.
19.
Zhen'min'van. [Elektronnyi resurs].-URL:http://legal.people.com.cn/n1/2019/1117/c42510-31459236.html(data obrashcheniya: 17.11.2019)
20.
Agentstvo Sin'khua.-[Elektronnyi resurs]-Rezhim dostupa-URL:http://www.gov.cn/xinwen/2019-10/21/content_5442921.htm (data obrashcheniya: 21.10.2019).