摘要:为了满足新农合医医疗保险业务发展的需要，按照其政策要求，明确政府相关部门、定点医疗机构加快合作医疗信息化建设，提高合作医疗管理能力，指明要加快合作医疗信息化建设，定点医疗机构采用信息技术开发出新农村合作医疗保险管理信息系统来对医疗保险业务进行管理。具体来讲，该系统具备的业务功能包括参保人员信息管理、相关信息查询、医疗保险费用征缴、医疗费用结算等业务功能，需要能够适应复杂而且动态的逻辑计算，完成具体的资金交易过程，使用范围适用于广大农村区域与复杂的环境，能够保证资金交易的可靠性与安全性。新农合医疗保险信息系统的研发过程中包括了可行性分析、医保人员工作的需求、系统内具体功能设计、程序调试及安装等过程，最终实现设定功能。经过测试该系统基本满足实际需求，在对农村居民医疗保险管理的工作中能够提升医疗保险的科学管理信息化水平，为农村居民提供有保障高品质的保险服务。62241

毕业论文关键字:农村居民医疗保险; 信息管理系统; 信息化

Analysis and Research of New Rural Cooperative Medical Insurance Management Information System

Abstract: In order to meet the need of new rural cooperative medical insurance needs of business, some relevant agencies decided to adopt computer technology for management of medical insurance business, so software engineers developed a new rural cooperative medical insurance management information system. The core ideas of this system include Data centralization, Service extends downward, information sharing through network. This system is aimed at achieving full information management of social security agencies at Fengxian District of Shanghai. During the whole process, it can store data reasonably and ensure the storage of original data is complete and integrated. Specifically, the system achieved many functions such as collecting medical insurance fees, paying medical insurance expenses, searching business-related information etc. In order to facilitate management and fully use storage resources. Data of all local insured persons is concentrated in the engine of the database server, all medical agencies connect to this server through the application to read relative data and handle all medical insurance business. The development process of new rural cooperative medical insurance information system experienced several stages, such as the study of feasibility, analysis of specific demands for software system, design of detailed functional, test of software and install process, and ultimately achieve these functions. After testing this system, it basically met the actual needs and played an important role in the work of the medical insurance management.

Keywords: Rural Cooperative Medical Insurance; Information Management; Software System

一、绪论 1

（一）研究背景 1

（二）研究目的 1

（三）研究方法 1

（四）核心概念 2

二、国内外研究评述 2

（一）国内研究状况综述 2

（二）国外研究状况综述 3

三、新农合医保管理系统需求分析 3

（一）整体需求分析 3

（二）系统需求介绍 4

（三）医保系统具体业务分析 4

四、医保系统设计分析 7

（一）系统设计目标