CN104992263A - Wireless-network-based medical insurance management system and method - Google Patents

Wireless-network-based medical insurance management system and method Download PDF

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Publication number
CN104992263A
CN104992263A CN201510281968.0A CN201510281968A CN104992263A CN 104992263 A CN104992263 A CN 104992263A CN 201510281968 A CN201510281968 A CN 201510281968A CN 104992263 A CN104992263 A CN 104992263A
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medical insurance
user
medical
information
interface
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CN201510281968.0A
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汪洋
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Wuhan Guangmian Network Technology Media Co Ltd
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Wuhan Guangmian Network Technology Media Co Ltd
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Priority to CN201510281968.0A priority Critical patent/CN104992263A/en
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Abstract

A wireless-network-based medical management system includes a user terminal, a management client and a cloud server. The user is in communicational connection with the cloud server through WIFI or a cell phone network. The management client is in communicational connection with the cloud server through a network interface. The user terminal includes a first control module, a first storage module, a user operation interface and a first communication module. The cloud server includes a server host, a man-machine operation interface, a second storage module and a second communication module that are in mutual communicational connection. According to the invention, medical insurance information is managed in a form of cell phone APP. A traditional life way is changed and a new medical insurance management idea is provided to a user. The user can check medical insurance payment condition at any time and can obtain latest medical insurance information or other important information released officially through an official new releasing functional interface, so that economic loss caused by not knowing newest government policy and the resulting time cost brought can be avoided.

Description

A kind of medical insurance management system based on wireless network and management method
Technical field
The present invention relates to communication field, be specifically related to a kind of medical insurance management system based on wireless network and management method.
Background technology
Medical insurance system refers to that a country is solve the system that Medical Benefits Fund was raised, and distributed and used to resident's problem of preventing and curing diseases according to insurance principle.It is effective funding mechanism of residents medical care public health work, and being a kind of relatively more progressive system forming social security system, is also apply quite general a kind of Health Service Expenditure management mode in the world at present.
The pattern that China advances the basic medical insurance system of China's Considerations of Medical Insurance System Construction implementation overall social planning to combine with personal account.The funds of basic medical insurance carries out prefecture-level pool in principle.Basic medical insurance covers all employing units in cities and towns and worker thereof; All enterprises, state administrative organs, public institution and other unit and worker thereof must fulfil the obligation paying basic medical insurance expense.At present, the Proportion of payment of employing unit is about 6% of gross pay, and individual Proportion of payment is 2% of my wage.The basic medical insurance expense part that unit pays is for setting up risk-pooling fund, and a part puts personal account under; The basic medical insurance expense that individual pays counts personal account.Risk-pooling fund and personal account bear different medical care cost responsibilities respectively.Risk-pooling fund is mainly used in paying in hospital and the expense of part chronic disease treat-and-release, and risk-pooling fund has been provided with pays standard, the highest payment limit; Personal account is mainly used in paying general ambulatory expenses.
Existing medical insurance management system is comparatively complicated, and for general user, goes for medical information or other some medical insurance problems and new information, very difficult, for the use of medical insurance user to medical insurance brings much inconvenience.
Summary of the invention
The present invention obtains the more difficult shortcoming of information in order to the complex management that solves the above-mentioned existing medicare system mentioned and exist and user, a kind of medical insurance management system based on wireless network is provided, medical insurance management system can incorporate among mobile phone A PP by it, user is obtained information easily, and medicare system is managed.
Concrete, the invention provides a kind of medical insurance management system based on wireless network, it comprises user side, administrative client and Cloud Server, and described user side is by WIFI or cell phone network is connected with described Cloud Server communication, described administrative client is connected with described Cloud Server communication by network interface;
The first memory module, user interface and the first communication module that described user side comprises the first control module and is connected with described first control module difference communication;
Described Cloud Server comprises server host, man machine operation interface, medical insurance data capture unit, the second memory module and the second communication module that communication each other connects, described server host is for transferring or write the data in described second memory module, and described medical insurance data capture unit obtains the medical insurance information of user from HI center by networking with internet and stores;
Described administrative client comprises management host, bookkeeping interface and the 3rd communication module, keeper is by bookkeeping interface input relevant information or instruction, relevant information or instruction are sent to described Cloud Server by the 3rd communication module by described management host, and the second memory module stores relevant information or instruction;
User enters corresponding function interface and the information of input for obtaining at user interface, and the first control module transfers the medical insurance information that stores in the relevant information or medical insurance data capture unit that the second memory module stores by the first communication module and the second communication module.
Preferably, described user interface comprises medical insurance query function interface, function interface, the friendly function interface of health, authoritative issuing function interface and medical magazine function interface are answerred questions in medical red-black list function interface, function interface of seeking medical advice and medicine, medical insurance.
Preferably, described user side is mobile phone or other mobile devices, and described user interface is touch operation interface.
Preferably, described user side is also provided with GPS navigation module, for obtaining the geographic position of medical insurance fixed hospital and medical insurance fixed point retail pharmacies.
Preferably, described server host is provided with Information Authentication unit, verifies during the medical insurance information obtaining oneself for needing user to the identity information of user's input.
Preferably, described Cloud Server setting data backup units and network firewall, described data backup unit is used for regularly medical insurance information and other information being carried out arrangement backup, and described network firewall is used for protecting Cloud Server.
Preferably, the relevant information that the management host of described administrative client is uploaded is obtained by the network port, and described relevant information comprises up-to-date medical insurance information, medical insurance policies, medical magazine and other medical insurances or medically-related information.
Preferably, described first communication module and the second communication module carry out communication by internet, and use UDP communication protocol.
Preferably, user can input medical insurance or medical care problem at user interface, and is uploaded to Cloud Server by the first communication module and the second communication module, and answer is stored in Cloud Server after answering relevant issues by administrative client, checks for user.
Preferably, the present invention also provides based on the above-mentioned medical insurance management method mentioning medical insurance management system, and it comprises the following steps:
S1, medical insurance data capture unit obtain the medical insurance information of user from HI center by networking with internet and store, the management host of administrative client obtains up-to-date medical insurance information, medical insurance policies, medical magazine and other medical insurances or medically-related information by the network port, and being uploaded to Cloud Server by the 3rd communication module, the second memory module stores relevant information;
S2, user are registered by user interface, and management host is verified log-on message, verify qualified after, complete and register and obtain corresponding authority, the log-on message of the first memory module to user stores;
By the medical insurance query function interface on user interface, medical red-black list function interface, function interface of seeking medical advice and medicine, medical insurance, S3, user answer questions that function interface, the friendly function interface of health, authoritative issuing function interface and medical magazine function interface can enter medical insurance inquiry, medical red-black list respectively, seek medical advice and medicine, medical insurance is answerred questions, healthy friend, authority issues or medical magazine carries out checking or downloading, when carrying out medical insurance inquiry, Information Authentication unit needs to verify the identity information of user;
S4, user enter corresponding function interface at user interface, the information of input for obtaining, first control module transfers the relevant information of the second memory module storage by the first communication module, as user needs to search medical insurance fixed hospital and medical insurance fixed point retail pharmacies, input title, address or the map of corresponding medical insurance unit can be obtained from Cloud Server, or obtained the geographic position of user by GPS navigation module, thus search apart from the nearest medical insurance fixed hospital of user and medical insurance fixed point retail pharmacies;
S5, user can input medical insurance or medical care problem at user interface, and are uploaded to Cloud Server by the first communication module and the second communication module, and answer is stored in Cloud Server after answering relevant issues by administrative client, checks for user.
Advantage of the present invention is as described below: medical insurance information manages with the form of mobile phone A PP by the present invention, user by mobile phone or other smart machines as user side, by verifying the identity information of oneself, after medical insurance Information Authentication, and obtain registered user's qualification, after logging in, can by the medical insurance query function interface on user interface, the red-black list function interface of medical treatment, to seek medical advice and medicine function interface, medical insurance is answerred questions function interface, the friendly function interface of health, authority issuing function interface and medical magazine function interface can enter medical insurance inquiry respectively, the red-black list of medical treatment, seek medical advice and medicine, medical insurance is answerred questions, the friend of health, authority issues or medical magazine carries out checking or downloading, that it changes traditional needs in the enterprising life style of protecting and checking of practising medicine of webpage, for user provides a kind of brand-new medical insurance management philosophy, user can inquire about by medical insurance the situation obtaining at any time and oneself pay medical insurance on the one hand, on the other hand, also up-to-date medical insurance information or other important informations of official's issue is obtained by authoritative issuing function interface, avoid the economic loss brought to oneself because not understanding up-to-date government policy and the time cost therefore produced, and other multiple information can be known.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention;
Fig. 2 is structural schematic block diagram of the present invention;
Fig. 3 is workflow schematic diagram of the present invention;
Fig. 4 is one of using state schematic diagram of the present invention; And
Fig. 5 is using state schematic diagram two of the present invention.
Embodiment
Below in conjunction with the drawings and the specific embodiments, structure and working principle of the present invention is further explained:
Concrete, the invention provides a kind of medical insurance management system based on wireless network, as shown in Figures 1 and 2, it comprises user side 1, Cloud Server 2 and administrative client 3, and described user side 1 is by WIFI or cell phone network is connected with the communication of described Cloud Server 2, described administrative client 3 is connected with the communication of described Cloud Server 2 by network interface.
The first memory module 12, first communication module 13 and user interface 14 that user side 1 comprises the first control module 11 and is connected with the first control module 11 communication respectively; Cloud Server comprises server host 21, second memory module 22, second communication module 23 that communication each other connects, man machine operation interface 24 and medical insurance data capture unit 25, and medical insurance data capture unit 25 obtains the medical insurance information of user from HI center by networking with internet and stores; Server host 21 is for transferring or write the data in the second memory module 22.
User side 1 is mobile phone or other mobile devices, and user interface 14 is touch operation interface.User side 1 is also provided with GPS navigation module 15, for obtaining the geographic position of medical insurance fixed hospital and medical insurance fixed point retail pharmacies.
The data in the second memory module 22 are transferred or write to server host 21; Administrative client 3 comprises management host 31, the 3rd communication module 33, bookkeeping interface 34, keeper inputs relevant information or instruction by bookkeeping interface 34, relevant information or instruction are sent to Cloud Server 2 by the 3rd communication module 33 by management host 31, and the second memory module 22 pairs relevant information or instruction store;
User enters corresponding function interface and the information of input for obtaining at user interface 14, and the first control module 11 transfers the medical insurance information that stores in the relevant information or medical insurance data capture unit that the second memory module 22 stores by the first communication module 13 and the second communication module 23.First communication module 13 and the second communication module 23 carry out communication by internet, and use UDP communication protocol.
User interface 14 comprises medical insurance query function interface, the red-black list function interface of medical treatment, to seek medical advice and medicine function interface, medical insurance is answerred questions function interface, the friendly function interface of health, authority issuing function interface and medical magazine function interface, user enters medical insurance query function interface, the red-black list function interface of medical treatment, to seek medical advice and medicine function interface, medical insurance is answerred questions function interface, the friendly function interface of health, authority issuing function interface and medical magazine function interface, various operation can be carried out, obtain the information needed, such as at the friendly function interface of health, user can seek advice from many diseases, and obtain relevant answer according to the condition of oneself, the life had great convenience for the user.
At the red-black list function interface of medical treatment, user can obtain the evaluation state of Major medical mechanism doctor, and can make an appraisal to doctor voluntarily, facilitates user to select suitable medical institutions and outstanding doctor to treat.
Issue interface authority, user can obtain up-to-date official's data, conveniently carries out very first time assurance to national policy, saves financial cost and time cost.
Can put question to medical insurance relevant issues at medical insurance function interface of answering questions, after administrative client answer, answer is stored in Cloud Server and check for user.
Seeking medical advice and medicine, function interface can be putd question to the relevant issues in medical, after administrative client doctor answer, answer is stored in Cloud Server and checks for user.
The function of mobile phone A PP provided by the invention includes but not limited to above several, according to the needs of medical insurance user, arbitrarily can add the function interface of needs, such as integration store or other function interfaces, the living needs had great convenience for the user, meet the primary demand of medical insurance user, have extremely large meaning to social development.
Server host 21 is provided with Information Authentication unit, when user needs the medical insurance information obtaining oneself, identity information for inputting user is verified, after being proved to be successful, user can obtain oneself medical insurance information data from medical insurance data capture unit 25.Medical insurance data are regularly carried out arrangement backup, are prevented medical insurance information dropout, and be provided with network firewall, protect when medical insurance data capture unit obtains medical insurance information to government website by Cloud Server setting data backup units.
Administrative client 3 obtains up-to-date medical insurance information, medical magazine or other information relevant to medical insurance or medical treatment by the network port, and is uploaded to Cloud Server 2, is stored in the second memory module 22, downloads check for user side 1.
The present invention also provides based on the above-mentioned medical insurance management method mentioning medical insurance management system, and as shown in Figure 3, it comprises the following steps:
S1, medical insurance data capture unit 25 obtain the medical insurance information of user from HI center by networking with internet and store, the management host of administrative client 3 obtains up-to-date medical insurance information, medical insurance policies, medical magazine and other medical insurances or medically-related information by the network port, and being uploaded to Cloud Server by the 3rd communication module 33, the second memory module 22 pairs relevant information stores;
S2, user are registered by user interface 14, and by the first communication module 13, authentication information is sent to the 3rd communication module 33, the log-on message of management host 31 couples of users is verified, verify qualified after, complete and register and obtain corresponding authority, the authentication information of the first memory module to user stores;
By the medical insurance query function interface on user interface 14, medical red-black list function interface, function interface of seeking medical advice and medicine, medical insurance, S3, user answer questions that function interface, the friendly function interface of health, authoritative issuing function interface and medical magazine function interface can enter medical insurance inquiry, medical red-black list respectively, seek medical advice and medicine, medical insurance is answerred questions, healthy friend, authority issues or medical magazine carries out checking or downloading; When user needs the medical insurance information obtaining oneself, verify for the identity information inputted user, after being proved to be successful, user can obtain oneself medical insurance information data from medical insurance data capture unit 25.
S4, user enter corresponding function interface at user interface, the information of input for obtaining, first control module transfers the relevant information of the second memory module 22 storage by the first communication module 13, as user needs to search medical insurance fixed hospital and medical insurance fixed point retail pharmacies, input title, address or the map of corresponding medical insurance unit can be obtained from Cloud Server 2, or obtained the geographic position of user by GPS navigation module 15, thus search apart from the nearest medical insurance fixed hospital of user and medical insurance fixed point retail pharmacies;
S5, user can input medical insurance or medical care problem at user interface 14; and be uploaded to Cloud Server by the first communication module 13 and the second communication module 23; answer is stored in Cloud Server, checks for user after answering by administrative client 3 pairs of relevant issues.
Concrete, as shown in Figures 4 and 5, it comprises following aspect:
1, user uses user side 1 to upload relevant enquirement about medical insurance, information is kept in the second memory module 22 by Cloud Server 2, keeper is obtained by administrative client 3 and puts question to, and makes answer by bookkeeping interface 34, and user side 1 accesses the result that Cloud Server 2 inquires about problem;
2, user is by the red-black list function interface of the medical treatment of user side 1, submit the evaluation to hospital and doctor to, keeper is audited by administrative client 3, and audit the evaluation passed through and will be stored in Cloud Server 2, user side 1 can check the evaluation record be in the past kept in Cloud Server 2.
Medical insurance information manages with the form of mobile phone A PP by the present invention, user by mobile phone or other smart machines as user side, by verifying the identity information of oneself, by medical insurance Information Authentication, and obtain registered user's qualification, after logging in, can by the medical insurance query function interface on user interface, the red-black list function interface of medical treatment, to seek medical advice and medicine function interface, medical insurance is answerred questions function interface, the friendly function interface of health, authority issuing function interface and medical magazine function interface can enter medical insurance inquiry respectively, the red-black list of medical treatment, seek medical advice and medicine, medical insurance is answerred questions, the friend of health, authority issues or medical magazine carries out checking or downloading, that it changes traditional needs in the enterprising life style of protecting and checking of practising medicine of webpage, for user provides a kind of brand-new medical insurance management philosophy, user can inquire about by medical insurance the situation obtaining at any time and oneself pay medical insurance on the one hand, on the other hand, also up-to-date medical insurance information or other important informations of official's issue is obtained by authoritative issuing function interface, avoid the economic loss brought to oneself because not understanding up-to-date government policy and the time cost therefore produced.
Last it is noted that above-described each embodiment is only for illustration of technical scheme of the present invention, be not intended to limit; Although with reference to previous embodiment to invention has been detailed description, those of ordinary skill in the art is to be understood that: it still can be modified to the technical scheme described in previous embodiment, or to wherein partly or entirely technical characteristic carry out equivalent replacement; And these amendments or replacement, do not make the essence of appropriate technical solution depart from the scope of various embodiments of the present invention technical scheme.

Claims (10)

1. the medical insurance management system based on wireless network, it is characterized in that: it comprises user side, administrative client and Cloud Server, described user side is by WIFI or cell phone network is connected with described Cloud Server communication, described administrative client is connected with described Cloud Server communication by network interface;
The first memory module, user interface and the first communication module that described user side comprises the first control module and is connected with described first control module difference communication;
Described Cloud Server comprises server host, man machine operation interface, medical insurance data capture unit, the second memory module and the second communication module that communication each other connects, described server host is for transferring or write the data in described second memory module, and described medical insurance data capture unit obtains the medical insurance information of user from HI center by networking with internet and stores;
Described administrative client comprises management host, bookkeeping interface and the 3rd communication module, keeper is by bookkeeping interface input relevant information or instruction, relevant information or instruction are sent to described Cloud Server by the 3rd communication module by described management host, and the second memory module stores relevant information or instruction;
User enters corresponding function interface and the information of input for obtaining at user interface, and the first control module transfers the medical insurance information that stores in the relevant information or medical insurance data capture unit that the second memory module stores by the first communication module and the second communication module.
2. the medical insurance management system based on wireless network according to claim 1, is characterized in that: described user interface comprises medical insurance query function interface, function interface, the friendly function interface of health, authoritative issuing function interface and medical magazine function interface are answerred questions in medical red-black list function interface, function interface of seeking medical advice and medicine, medical insurance.
3. the medical insurance management system based on wireless network according to claim 1, is characterized in that: described user side is mobile phone or other mobile devices, and described user interface is touch operation interface.
4. the medical insurance management system based on wireless network according to claim 3, is characterized in that: described user side is also provided with GPS navigation module, for obtaining the geographic position of medical insurance fixed hospital and medical insurance fixed point retail pharmacies.
5. the medical insurance management system based on wireless network according to claim 1, is characterized in that: described server host is provided with Information Authentication unit, verifies during the medical insurance information obtaining oneself for needing user to the identity information of user's input.
6. the medical insurance management system based on wireless network according to claim 1; it is characterized in that: described Cloud Server setting data backup units and network firewall; described data backup unit is used for regularly medical insurance information and other information being carried out arrangement backup, and described network firewall is used for protecting Cloud Server.
7. the medical insurance management system based on wireless network according to claim 1; it is characterized in that: the relevant information that the management host of described administrative client is uploaded is obtained by the network port, described relevant information comprises up-to-date medical insurance information, medical insurance policies, medical magazine and other medical insurances or medically-related information.
8. the medical insurance management system based on wireless network according to claim 7, is characterized in that: described first communication module and the second communication module carry out communication by internet, and use UDP communication protocol.
9. the medical insurance management system based on wireless network according to claim 7; it is characterized in that: user can input medical insurance or medical care problem at user interface; and be uploaded to Cloud Server by the first communication module and the second communication module; after administrative client is answered relevant issues; answer is stored in Cloud Server, checks for user.
10. the medical insurance management system based on wireless network according to the arbitrary claim of claim 1-9 carries out the method for medical insurance management, it is characterized in that: it comprises the following steps:
S1, medical insurance data capture unit obtain the medical insurance information of user from HI center by networking with internet and store, the management host of administrative client obtains up-to-date medical insurance information, medical insurance policies, medical magazine and other medical insurances or medically-related information by the network port, and being uploaded to Cloud Server by the 3rd communication module, the second memory module stores relevant information;
S2, user are registered by user interface, and management host is verified log-on message, verify qualified after, complete and register and obtain corresponding authority, the log-on message of the first memory module to user stores;
By the medical insurance query function interface on user interface, medical red-black list function interface, function interface of seeking medical advice and medicine, medical insurance, S3, user answer questions that function interface, the friendly function interface of health, authoritative issuing function interface and medical magazine function interface can enter medical insurance inquiry, medical red-black list respectively, seek medical advice and medicine, medical insurance is answerred questions, healthy friend, authority issues or medical magazine carries out checking or downloading, when carrying out medical insurance inquiry, Information Authentication unit needs to verify the identity information of user;
S4, user enter corresponding function interface at user interface, the information of input for obtaining, first control module transfers the relevant information of the second memory module storage by the first communication module, as user needs to search medical insurance fixed hospital and medical insurance fixed point retail pharmacies, input title, address or the map of corresponding medical insurance unit can be obtained from Cloud Server, or obtained the geographic position of user by GPS navigation module, thus search apart from the nearest medical insurance fixed hospital of user and medical insurance fixed point retail pharmacies;
S5, user can input medical insurance or medical care problem at user interface, and are uploaded to Cloud Server by the first communication module and the second communication module, and answer is stored in Cloud Server after answering relevant issues by administrative client, checks for user.
CN201510281968.0A 2015-05-28 2015-05-28 Wireless-network-based medical insurance management system and method Pending CN104992263A (en)

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CN111563193A (en) * 2020-04-29 2020-08-21 安徽靓马信息科技有限公司 Medical insurance fixed-point management system based on information technology
CN111563193B (en) * 2020-04-29 2023-04-18 安徽靓马信息科技股份有限公司 Medical insurance fixed-point management system based on information technology

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Application publication date: 20151021