CN109636647A - Recognition methods, device, terminal and the computer readable storage medium of abnormal purchase medicine - Google Patents
Recognition methods, device, terminal and the computer readable storage medium of abnormal purchase medicine Download PDFInfo
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- CN109636647A CN109636647A CN201811530841.8A CN201811530841A CN109636647A CN 109636647 A CN109636647 A CN 109636647A CN 201811530841 A CN201811530841 A CN 201811530841A CN 109636647 A CN109636647 A CN 109636647A
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- 239000003814 drug Substances 0.000 title claims abstract description 425
- 230000002159 abnormal effect Effects 0.000 title claims abstract description 160
- 238000000034 method Methods 0.000 title claims abstract description 65
- 229940079593 drug Drugs 0.000 claims description 67
- 238000003745 diagnosis Methods 0.000 claims description 17
- 230000006399 behavior Effects 0.000 description 12
- 238000004891 communication Methods 0.000 description 7
- 238000010586 diagram Methods 0.000 description 7
- 230000006870 function Effects 0.000 description 4
- 241000208340 Araliaceae Species 0.000 description 3
- 235000005035 Panax pseudoginseng ssp. pseudoginseng Nutrition 0.000 description 3
- 235000003140 Panax quinquefolius Nutrition 0.000 description 3
- 235000008434 ginseng Nutrition 0.000 description 3
- 238000011176 pooling Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 239000002699 waste material Substances 0.000 description 1
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q40/00—Finance; Insurance; Tax strategies; Processing of corporate or income taxes
- G06Q40/08—Insurance
Abstract
The invention discloses recognition methods, device, terminal and the computer readable storage mediums of a kind of abnormal purchase medicine.The recognition methods of abnormal purchase medicine obtains the purchase medicine number of the insured people within a preset time comprising steps of when the medical insurance account settlement of insured people purchases medicine bill；Judge whether the purchase medicine number is greater than or equal to preset times；When the purchase medicine number is greater than or equal to preset times, by the medical insurance account labeled as abnormal purchase medicine object.In above-mentioned technical proposal, medicine behavior is purchased by the exception for judging whether the purchase medicine number of insured people within a preset time is greater than preset times to judge that insured people purchases medicine with the presence or absence of repetition, and when the purchase medicine number of insured people within a preset time is greater than preset times by the medical insurance account of insured people labeled as abnormal purchase medicine object so that medical insurance management unit can the recognition methods of abnormal purchase medicine through the embodiment of the present invention identify the abnormal purchase medicine behavior of abnormal purchase medicine object in time and take corresponding measure.
Description
Technical field
The present invention relates to medical insurance field more particularly to a kind of recognition methods, device, terminal and the calculating of abnormal purchase medicine
Machine readable storage medium storing program for executing.
Background technique
In medical insurance field, there are medical in multiple medical institutions in many frauds, such as insured people one day
And it repeats to purchase medicine or after a medical institutions are medical, purchase medicine is being repeated several times with same prescription list, then will repeat
The drug of purchase medicine is resell to other people, is therefrom made a profit, this will lead to the waste of social security outpatient service risk-pooling fund.
Summary of the invention
The main purpose of the present invention is to provide a kind of recognition methods of abnormal purchase medicine, device, terminals and computer-readable
Storage medium and computer readable storage medium, it is intended to identify that insured people repeats to purchase the behavior of medicine.
To achieve the above object, the present invention provides a kind of recognition methods of abnormal purchase medicine, comprising steps of
When the medical insurance account settlement of insured people purchases medicine bill, the purchase medicine of the insured people within a preset time is obtained
Number；
Judge whether the purchase medicine number is greater than or equal to preset times；
When the purchase medicine number is greater than or equal to preset times, by the medical insurance account labeled as abnormal purchase medicine object.
Preferably, the step of purchase medicine record for obtaining the insured people within a preset time includes:
The purchase medicine record of the insured people within a preset time is obtained from the management system of each medical institutions；
Purchase medicine number of the insured people in the preset time is counted according to the purchase medicine record.
Preferably, the recognition methods of the abnormal purchase medicine further comprises the steps of:
When the purchase medicine number is greater than or equal to preset times, the purchase medicine bill of purchase medicine every time is obtained；
It judges whether there is in the purchase medicine bill of preset times purchase medicine comprising same drug；
When including same drug in the purchase medicine bill for having preset times purchase medicine, step is executed: by the medical insurance account
Family is labeled as abnormal purchase medicine object.
Preferably, the recognition methods of the abnormal purchase medicine further comprises the steps of:
When the purchase medicine number is less than preset times, count what the insured people was purchased in the preset time respectively
The purchase medicine total amount of every kind of drug；
Judge whether there is drug purchases the research on maximum utilized quantity that medicine total amount is more than the preset duration of the drug；
When there is the purchase medicine total amount of drug to be more than the research on maximum utilized quantity of the drug preset duration, the medical insurance account is marked
Medicine object is purchased to be abnormal.
Preferably, the recognition methods of the abnormal purchase medicine further comprises the steps of:
When the purchase medicine number is less than preset times, obtain the insured people's from the management system of each medical institutions
Diagnosis records；
Judge whether there is diagnosis records of the consultation time in the preset time；
Diagnosis records of the consultation time in the preset time if it does not exist, then by the medical insurance account labeled as abnormal
Purchase medicine object.
Preferably, after the described the step of medical insurance account is purchased medicine object labeled as exception, the abnormal purchase medicine
Recognition methods further comprises the steps of:
The medical insurance account is recorded labeled as the number of the abnormal purchase medicine object；
Judge whether the medical insurance account is greater than or equal to preset times labeled as the number of the abnormal purchase medicine object；
If the medical insurance account is greater than or equal to preset times labeled as the number of the abnormal purchase medicine object, suspend institute
State medical insurance account.
Preferably, after the described the step of medical insurance account is purchased medicine object labeled as exception, the abnormal purchase medicine
Recognition methods further comprise the steps of:
Information warning is sent to medical institutions according to predetermined manner.
The present invention also provides a kind of identification devices of abnormal purchase medicine, comprising:
Module is obtained, the module that obtains is used to obtain the ginseng when the medical insurance account settlement of insured people purchases medicine bill
The purchase medicine number of guarantor within a preset time；
Judgment module, the judgment module is for judging whether the purchase medicine number is greater than or equal to preset times；
Mark module, the mark module are used for when the purchase medicine number is greater than or equal to preset times, by the doctor
Account is protected labeled as abnormal purchase medicine object.
The present invention also provides a kind of terminal, the terminal includes processor, memory and is stored on the memory
And the recognizer for the abnormal purchase medicine that can be executed by the processor, wherein the recognizer of the abnormal purchase medicine is by the processing
When device executes, the step of as above described in any item exceptions purchase the recognition methods of medicines is realized.
The present invention also provides a kind of computer readable storage mediums, which is characterized in that the computer readable storage medium
On be stored with the recognizer of abnormal purchase medicine, wherein being realized when the recognizer of family end purchase medicine extremely is executed by processor
As above the step of recognition methods of medicine, is purchased at described in any item family ends extremely.
In technical solution of the present invention, when the medical insurance account settlement of insured people purchases medicine bill, the insured people is obtained pre-
If the purchase medicine number in the time；Judge whether the purchase medicine number is greater than or equal to preset times；When the purchase medicine number is greater than
Or when being equal to preset times, by the medical insurance account labeled as abnormal purchase medicine object, by judging insured people within a preset time
Purchase medicine number whether be greater than preset times to judge insured people with the presence or absence of the abnormal purchase medicine behavior for repeating purchase medicine, and insured
The medical insurance account of insured people is made labeled as abnormal purchase medicine object when the purchase medicine number of people within a preset time is greater than preset times
Medical insurance management unit can the recognition methods of abnormal purchase medicine through the embodiment of the present invention identify abnormal purchase medicine object in time
Abnormal purchase medicine behavior simultaneously takes corresponding measure.
Detailed description of the invention
Fig. 1 is the hardware structural diagram of terminal involved in the embodiment of the present invention；
Fig. 2 is the flow diagram of the recognition methods first embodiment of the abnormal purchase medicine of the present invention；
Fig. 3 is the flow diagram of the recognition methods second embodiment of the abnormal purchase medicine of the present invention；
Fig. 4 is the flow diagram of the recognition methods 3rd embodiment of the abnormal purchase medicine of the present invention；
Fig. 5 is the flow diagram of the recognition methods fourth embodiment of the abnormal purchase medicine of the present invention；
Fig. 6 is the flow diagram of the 5th embodiment of recognition methods of the abnormal purchase medicine of the present invention.
The embodiments will be further described with reference to the accompanying drawings for the realization, the function and the advantages of the object of the present invention.
Specific embodiment
It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, it is not intended to limit the present invention.
The present embodiments relate to the recognition methods of abnormal purchase medicine be mainly used in terminal, which can be PC, just
Take the terminal that computer, mobile terminal etc. have display and processing function.
Referring to Fig.1, Fig. 1 is terminal structure schematic diagram involved in the embodiment of the present invention.In the embodiment of the present invention, eventually
End may include processor 1001 (such as CPU), communication bus 1002, user interface 1003, network interface 1004, memory
1005.Wherein, communication bus 1002 is for realizing the connection communication between these components；User interface 1003 may include display
Shield (Display), input unit such as keyboard (Keyboard)；Network interface 1004 optionally may include that the wired of standard connects
Mouth, wireless interface (such as WI-FI interface)；Memory 1005 can be high speed RAM memory, be also possible to stable memory
(non-volatile memory), such as magnetic disk storage, memory 1005 optionally can also be independently of aforementioned processor
1001 storage device.
It will be understood by those skilled in the art that the restriction of the not structure paired terminal of hardware configuration shown in Fig. 1, can wrap
It includes than illustrating more or fewer components, perhaps combines certain components or different component layouts.
With continued reference to Fig. 1, the memory 1005 in Fig. 1 as a kind of computer readable storage medium may include operation system
The recognizer of system, network communication module and abnormal purchase medicine.
In Fig. 1, network communication module is mainly used for connecting server, carries out data communication with server；And processor
1001 can call the recognizer of the abnormal purchase medicine stored in memory 1005, and execute following operation:
When the medical insurance account settlement of insured people purchases medicine bill, the purchase medicine number of insured people within a preset time is obtained；
Judge to purchase whether medicine number is greater than or equal to preset times；
When purchasing medicine number more than or equal to preset times, by medical insurance account labeled as abnormal purchase medicine object.
Further, obtaining the step of purchase medicine of insured people within a preset time records includes:
The purchase medicine record of insured people within a preset time is obtained from the management system of each medical institutions；
The purchase medicine number of insured people within a preset time is counted according to purchase medicine record.
Further, processor 1001 can call the recognizer of the abnormal purchase medicine stored in memory 1005, and hold
The following operation of row:
When purchasing medicine number more than or equal to preset times, the purchase medicine bill of purchase medicine every time is obtained；
It judges whether there is in the purchase medicine bill of preset times purchase medicine comprising same drug；
When including same drug in the purchase medicine bill for having preset times purchase medicine, step is executed: by medical insurance account mark
It is denoted as abnormal purchase medicine object.
Further, processor 1001 can call the recognizer of the abnormal purchase medicine stored in memory 1005, and hold
The following operation of row:
When purchasing medicine number less than preset times, the purchase for every kind of drug that insured people is purchased within a preset time is counted respectively
Medicine total amount；
Judge whether there is drug purchases the research on maximum utilized quantity that medicine total amount is more than the preset duration of drug；
When there is the purchase medicine total amount of drug to be more than the research on maximum utilized quantity of drug preset duration, by medical insurance account labeled as abnormal purchase
Medicine object.
Further, processor 1001 can call the recognizer of the abnormal purchase medicine stored in memory 1005, and hold
The following operation of row:
When purchasing medicine number less than preset times, the medical note of insured people is obtained from the management system of each medical institutions
Record；
Judge whether there is the diagnosis records of consultation time within a preset time；
The diagnosis records of consultation time within a preset time if it does not exist, then by medical insurance account labeled as abnormal purchase medicine pair
As.
Further, after the step of by medical insurance account labeled as abnormal purchase medicine object, processor 1001 can be called and be deposited
The recognizer of the abnormal purchase medicine stored in reservoir 1005, and execute following operation:
Medical insurance account is recorded labeled as the number of abnormal purchase medicine object；
Judge whether medical insurance account is greater than or equal to preset times labeled as the number of abnormal purchase medicine object；
If medical insurance account is greater than or equal to preset times labeled as the number of abnormal purchase medicine object, suspend medical insurance account.
Further, after the step of by medical insurance account labeled as abnormal purchase medicine object, processor 1001 can be called and be deposited
The recognizer of the abnormal purchase medicine stored in reservoir 1005, and execute following operation:
Information warning is sent to medical institutions according to predetermined manner.
Based on the hardware configuration of above-mentioned terminal, each embodiment of the recognition methods of the abnormal purchase medicine of the present invention is proposed.
The present invention provides a kind of recognition methods of abnormal purchase medicine.
Referring to Fig. 2, in an embodiment of the present invention, the abnormal recognition methods for purchasing medicine the following steps are included:
S101: when the medical insurance account settlement of insured people purchases medicine bill, the purchase medicine of insured people within a preset time is obtained
Number；
The recognition methods of abnormal purchase medicine in the embodiment of the present invention can be executed by terminal, terminal can with server into
Row data communication, server are connect with the management system of each medical institutions, and the management system of medical institutions has each history
The purchase medicine record of outpatients and corresponding purchase medicine bill.Insured people purchases medicine bill using medical insurance account settlement in medical institutions
When, terminal first obtains the personal information of insured people, and then terminal is according to the personal information of insured people, by server from each doctor
The management system for treating mechanism obtains the purchase medicine record of insured people within a preset time, counts insured people pre- further according to purchase medicine record
If the purchase medicine number in the time.
Preset time can be arranged by medical insurance management unit, can set preset time to the effective time of prescription list.For example,
The effective time for the prescription list that outpatient service is issued is 1 day, therefore can be set preset time to 1 day.Certainly, in other embodiments
In, preset time is not limited to 1 day, can be arranged according to the actual situation.
S102: judge to purchase whether medicine number is greater than or equal to preset times；
Preset times can be provided to be arranged by medical insurance management unit according to medical insurance.By judging insured people within a preset time
Whether purchase medicine number is greater than preset times to judge insured people with the presence or absence of the abnormal purchase medicine behavior for repeating purchase medicine.
S103: when purchasing medicine number more than or equal to preset times, by medical insurance account labeled as abnormal purchase medicine object.
Since there may be the medical level gap due to each medical institutions, insured people tosses about the case where mostly seeing a doctor,
Such case is not belonging to repeat to purchase medicine.Such as there cannot be within a preset time 2 purchase medicine records to decide that this is insured in insured people
People purchases medicine extremely.Therefore one preset times is set, preset times are natural number greater than 2, when insured people within a preset time
Purchase medicine number when being greater than or equal to preset times, by the medical insurance account of the insured people labeled as abnormal purchase medicine object so as to medical insurance
Staff has found the abnormal purchase medicine behavior of the insured people in time.For example, preset time may be configured as 1 day, preset times can be set
It is set to 5 times, when purchase medicine number of the insured people in 1 day is greater than or equal to 5 times, by the medical insurance account of the insured people labeled as different
Often purchase medicine account.Certainly, in other embodiments, preset time is not limited to 1 day, and preset times are also not necessarily limited to 5 times, medical insurance management
Unit can be provided according to medical insurance and specific actual conditions setting.
It should be noted that referring to when the above-mentioned purchase medicine bill using medical insurance account settlement and needing medical insurance reimbursement part purchase medicine
The case where bill, the case where purchasing medicine bill using the personal account account in arrear in medical insurance account not comprising insured people.It that is to say
It says, if insured people purchases medicine bill using the personal account account in arrear in medical insurance account, does not need to execute above-mentioned abnormal purchase medicine
Recognition methods the step of.
In the recognition methods of above-mentioned abnormal purchase medicine, when the medical insurance account settlement of insured people purchases medicine bill, insured people is obtained
Purchase medicine number within a preset time；Judge to purchase whether medicine number is greater than or equal to preset times；When purchase medicine number is greater than or waits
When preset times, by medical insurance account labeled as abnormal purchase medicine object, by judging the purchase medicine of insured people within a preset time
Whether number, which is greater than preset times, is purchased the abnormal purchase medicine behavior of medicine to judge insured people with the presence or absence of repetition, and in insured people default
By the medical insurance account of insured people labeled as abnormal purchase medicine object when purchase medicine number in time is greater than preset times, so that medical insurance pipe
Reason unit can the recognition methods of abnormal purchase medicine through the embodiment of the present invention identify the abnormal purchase medicine of abnormal purchase medicine object in time
Behavior simultaneously takes corresponding measure.
Based on the above embodiment, the recognition methods of abnormal purchase medicine further comprises the steps of:
S104: when purchasing medicine number more than or equal to preset times, the purchase medicine bill of purchase medicine every time is obtained；
Step S104 is executed after step s 102, before step S103.Terminal executes the abnormal purchase of the embodiment of the present invention
When the recognition methods of medicine, it can be obtained by server from the management system of each medical institutions according to the personal information of insured people
Insured people purchases the purchase medicine bill of medicine every time.
S105: it judges whether there is in the purchase medicine bill of preset times purchase medicine comprising same drug；
When the purchase medicine number in preset time is greater than or equal to preset times, it may be possible in the prescription list of insured people
There are many medicine, every kind of medicine needs different medical institutions to buy.In order to avoid the medical insurance account of this kind of insured people is labeled as
Abnormal purchase medicine object.After determining that purchase medicine number is greater than or equal to preset times, medicine is purchased by judging whether there is preset times
Purchase medicine bill in include same commodity to determine whether there is the abnormal purchase medicine behavior for repeating purchase medicine.For example, when default
Time is 1 day, when preset times are 3 times, if purchase medicine number of the insured people in 1 day is 5 times, wherein the purchase medicine of 4 purchase medicines
Include drug A in bill, is then determined in the purchase medicine bill of preset times purchase medicine comprising same drug；If insured people
Purchased medicine number 5 times in one day, wherein 2 times purchase medicine purchase medicine bill in comprising drug A, 1 time purchase medicine drug bill in include
Drug B, it purchases for 1 time in the drug bill of medicine and purchases in the drug bill of medicine comprising drug C, 1 time comprising drug D, then determine not pre-
If it includes same drug in the purchase medicine bill of medicine that number, which is purchased,.
When including same drug in the purchase medicine bill for having preset times purchase medicine, illustrate the insured people in preset time
It is interior to repeat purchase medicine, then follow the steps S103: by medical insurance account labeled as abnormal purchase medicine object.When the purchase medicine account of Non-precondition number
When Dan Zhongjun includes same drug, then do not need the medical insurance account of the insured people labeled as abnormal purchase medicine object.
Referring to Fig. 4, based on the above embodiment, the abnormal recognition methods for purchasing medicine further comprises the steps of:
S106: when purchasing medicine number less than preset times, every kind of medicine that insured people is purchased within a preset time is counted respectively
The purchase medicine total amount of product；
When terminal executes the recognition methods of abnormal purchase medicine of the present embodiment, terminal can be by server from each therapeutic machine
The management system of structure obtains the purchase medicine bill that the insured people purchases medicine every time within a preset time, further according to the purchase medicine account of each purchase medicine
Single purchase medicine total amount for counting every kind of drug of insured people respectively.
S107: judge whether there is drug purchases the research on maximum utilized quantity that medicine total amount is more than the preset duration of drug；
The maximum duration for the dosage that preset duration prescription according to as defined in medical insurance policies can be issued is set.Such as
General out patient service most multipotency opens one week medicine, can set preset duration to 7 days.Every kind of drug has the dosage of regulation unit time,
Such as one day 4-6 piece of certain drug.The research on maximum utilized quantity of the preset duration of drug is determining.When one of purchase medicine bill drug
1 one days dosages are 4-6 piece, which has 24, when preset time is 7 days, then the maximum of the drug preset duration
Dosage is 2 boxes, if the purchase medicine total amount of the drug is greater than 2 box, the purchase medicine total amount for being determined with drug is more than the default of drug
The research on maximum utilized quantity of duration.When the purchase medicine total amount of every kind of drug in purchase medicine bill within a preset time is not above the pre- of drug
If when the research on maximum utilized quantity of duration, then determining that the purchase medicine total amount of not drug is more than the research on maximum utilized quantity of the preset duration of drug.
When there is the purchase medicine total amount of drug to be more than the research on maximum utilized quantity of drug preset duration, step S103 is executed: by medical insurance account
Family is labeled as abnormal purchase medicine object, so that the medical insurance work personnel of medical insurance management unit identify the repetition of the insured people in time
Purchase medicine purchase medicine behavior extremely.When a certain drug purchase medicine total amount be more than drug preset duration research on maximum utilized quantity when, then do not need by
The medical insurance account of the insured people is labeled as abnormal purchase medicine object.
Referring to Fig. 5, based on the above embodiment, the abnormal recognition methods for purchasing medicine further comprises the steps of:
S108: when purchasing medicine number less than preset times, insured people is obtained just from the management system of each medical institutions
Examine record；
For insured people when medical institutions use medical insurance account settlement medical bills, terminal first obtains the personal letter of insured people
Breath, then terminal is obtained and the ginseng by server from the management system of each medical institutions according to the personal information of insured people
The diagnosis records of guarantor.
S109: the diagnosis records of consultation time within a preset time are judged whether there is；
Although there may be purchase medicine numbers to be less than preset times, what the prescription of purchase medicine was applied alone every time is false prescription list
The case where.When only there are diagnosis records, prescription list is just had.It can be sentenced by judging whether to have diagnosis records in preset time
It is disconnected whether to there is prescription list, and then judge whether abnormal purchase medicine.
The diagnosis records of consultation time within a preset time if it does not exist execute step S103: medical insurance account are labeled as
Abnormal purchase medicine object.
If not meeting medical insurance reimbursement rule without effective prescription list when purchasing medicine, belong to abnormal purchase medicine, if ginseng
When guarantor purchases medicine bill with medical insurance account settlement, within a preset time without diagnosis records, then there is no prescription list or place centainly
Side is single out of date, violates medical insurance reimbursement rule, by the medical insurance account labeled as abnormal purchase medicine object so as to medical insurance work personnel
The abnormal purchase medicine behavior of the insured people is found in time.For example, the validity period of general out patient service is 1 day, then can set preset time
It is set to 1 day, if the medical insurance account settlement of insured people purchases medicine bill, is not found from the management system of each medical institutions
Diagnosis records in 1 day, then by the medical insurance account of the insured people labeled as abnormal purchase medicine behavior.If there is effective when purchasing medicine
Prescription list meets medical insurance reimbursement rule, and medical insurance account can be used normally to purchase medicine for insured people.
Referring to Fig. 6, based on the above embodiment, after step S103, the abnormal recognition methods for purchasing medicine is further comprised the steps of:
S110: number of the record medical insurance account labeled as abnormal purchase medicine object；
After every time by medical insurance account labeled as abnormal purchase medicine object, the medical insurance account is recorded labeled as abnormal purchase medicine object
Number, such as after a certain medical insurance account is marked for the first time to purchase medicine object, record the abnormal purchase medicine number of the medical insurance account
It is 1, when the medical insurance account is labeled as abnormal purchase medicine object next time, then the abnormal purchase medicine number for recording the medical insurance account is 2.
S111: judge whether medical insurance account is greater than or equal to preset times labeled as the number of abnormal purchase medicine object；
Preset times can be set by medical insurance management unit, if medical insurance account labeled as abnormal purchase medicine object number compared with
It is more, then illustrate that medical insurance account purchase medicine number extremely is more, can take corresponding measure that the medical insurance account is avoided to continue abnormal purchase
Medicine.It can determine whether the number in 1 year by the medical insurance account labeled as abnormal purchase medicine object is greater than or equal to preset times, this
Sample only considers the abnormal purchase medicine number in 1 year, avoids abnormal purchase medicine record processed before as judgment basis.
For example, preset times can be set to 3 times, obtained if the number that 1 year internal standard of medical insurance account is denoted as abnormal purchase medicine object is greater than
Equal to 3 times, then corresponding measure can be performed to avoid the medical insurance account and continue abnormal purchase medicine.
S112: if medical insurance account is greater than or equal to preset times labeled as the number of abnormal purchase medicine object, suspend medical insurance
Account.
If the medical insurance account is greater than or equal to preset times labeled as the number of abnormal purchase medicine object, in order to avoid the doctor
It protects account and continues abnormal purchase medicine, the medical insurance account can be suspended.For example, when preset times are 3 times, if medical insurance account is labeled as
The number of abnormal purchase medicine is greater than or equal to 3 times, then freezes the medical insurance account.It should be noted that preset times are not limited to 3
It is secondary, in other embodiments, it can be configured according to the actual situation.
Based on the above embodiment, after step S103, the abnormal recognition methods for purchasing medicine is further comprised the steps of:
Information warning is sent to medical institutions according to predetermined manner.
Inform that medical institutions, medical insurance management unit have discovered that abnormal purchase medicine behavior in time in this way.If medical institutions
Ignorant, information warning can play the role of prompting, if medical institutions know that abnormal purchase medicine still allows for the medical insurance account perfectly well
Family clearing, information warning can play a warning role.
Predetermined manner can be the modes such as mail, pop-up.For example, information warning can be sent to medical treatment by way of mail
The relevant departments of mechanism, or the interface of the management system of medical institutions can be shown in by way of pop-up.Certainly, at other
In embodiment, predetermined manner is not limited to aforesaid way, can also select suitable warning way according to the actual situation.
In addition, the present invention also provides a kind of identification devices of abnormal purchase medicine.The knowledge of the abnormal purchase medicine of any of the above-described embodiment
Other method can realize that the abnormal identification device for purchasing medicine includes: by the identification device of the abnormal purchase medicine of the present embodiment
Module is obtained, module is obtained and is used to obtain insured people pre- when the medical insurance account settlement of insured people purchases medicine bill
If the purchase medicine number in the time；
Judgment module, judgment module purchase whether medicine number is greater than or equal to preset times for judging；
Mark module, mark module are used to be labeled as medical insurance account when purchasing medicine number more than or equal to preset times
Abnormal purchase medicine object.
Further, obtaining module includes:
Acquiring unit, acquiring unit are used to obtain insured people within a preset time from the management system of each medical institutions
Purchase medicine record；
Statistic unit, statistic unit are used to count the purchase medicine number of insured people within a preset time according to purchase medicine record.
Further, it obtains module to be also used to when purchasing medicine number more than or equal to preset times, obtains every time purchase medicine
Purchase medicine bill；
Judgment module is also used to judge whether there is in the purchase medicine bill of preset times purchase medicine comprising same drug；
When mark module is also used in the purchase medicine bill for having preset times purchase medicine comprising same drug, by medical insurance account
Family is labeled as abnormal purchase medicine object.
Further, the identification device of abnormal purchase medicine further include:
Statistical module, statistical module are used to count insured people respectively when default when purchasing medicine number less than preset times
The purchase medicine total amount of the interior every kind of drug purchased；
Judgment module be also used to judge whether there is drug purchase medicine total amount be more than drug preset duration research on maximum utilized quantity；
Mark module is also also used to when the purchase medicine total amount for having drug is more than the research on maximum utilized quantity of drug preset duration, by medical insurance
Account is labeled as abnormal purchase medicine object.
Further, module is obtained to be also used to when purchasing medicine number less than preset times, from the management of each medical institutions
System obtains the diagnosis records of insured people；
Judgment module is also used to judge whether there is the diagnosis records of consultation time within a preset time；
Mark module is also used to when the diagnosis records of consultation time within a preset time are not present, then by medical insurance account mark
It is denoted as abnormal purchase medicine object.
Further, the identification device of abnormal purchase medicine further include:
Logging modle, logging modle are used to record medical insurance account labeled as the number of abnormal purchase medicine object；
It is default that judgment module is also used to judge whether medical insurance account is greater than or equal to labeled as the number of abnormal purchase medicine object
Number；
Execution module, execution module are used to be greater than or equal in medical insurance account labeled as the number of abnormal purchase medicine object default
When number, then suspend medical insurance account.
Further, the identification device of abnormal purchase medicine further include:
Alarm module, alarm module are used to send information warning to medical institutions according to predetermined manner.
Wherein, the function of modules realizes the identification side with above-mentioned abnormal purchase medicine in the identification device of above-mentioned abnormal purchase medicine
Each step is corresponding in method embodiment, and function and realization process no longer repeat one by one here.
In addition, the present invention also provides a kind of computer readable storage mediums.
The recognizer of abnormal purchase medicine, computer readable storage medium are stored on computer readable storage medium of the present invention
On be stored with the recognizer of abnormal purchase medicine, wherein realizing such as above-mentioned when the recognizer of abnormal purchase medicine is executed by processor
The step of recognition methods of the abnormal purchase medicine of one embodiment.
Wherein, the recognizer of abnormal purchase medicine, which is performed realized method, can refer to the identification of abnormal purchase medicine of the invention
Each embodiment of method, details are not described herein again.
It should be noted that, in this document, the terms "include", "comprise" or its any other variant are intended to non-row
His property includes, so that the process, method, article or the system that include a series of elements not only include those elements, and
And further include other elements that are not explicitly listed, or further include for this process, method, article or system institute it is intrinsic
Element.In the absence of more restrictions, the element limited by sentence "including a ...", it is not excluded that including being somebody's turn to do
There is also other identical elements in the process, method of element, article or system.
The serial number of the above embodiments of the invention is only for description, does not represent the advantages or disadvantages of the embodiments.
Through the above description of the embodiments, those skilled in the art can be understood that above-described embodiment side
Method can be realized by means of software and necessary general hardware platform, naturally it is also possible to by hardware, but in many cases
The former is more preferably embodiment.Based on this understanding, technical solution of the present invention substantially in other words does the prior art
The part contributed out can be embodied in the form of software products, which is stored in one as described above
In storage medium (such as ROM/RAM, magnetic disk, CD), including some instructions are used so that terminal device (it can be mobile phone,
Computer, server, air conditioner or network equipment etc.) execute method described in each embodiment of the present invention.
The above is only a preferred embodiment of the present invention, is not intended to limit the scope of the invention, all to utilize this hair
Equivalent structure or equivalent flow shift made by bright specification and accompanying drawing content is applied directly or indirectly in other relevant skills
Art field, is included within the scope of the present invention.
Claims (10)
1. a kind of recognition methods of abnormal purchase medicine, which is characterized in that comprising steps of
When the medical insurance account settlement of insured people purchases medicine bill, the purchase medicine number of the insured people within a preset time is obtained；
Judge whether the purchase medicine number is greater than or equal to preset times；
When the purchase medicine number is greater than or equal to preset times, by the medical insurance account labeled as abnormal purchase medicine object.
2. the recognition methods of abnormal purchase medicine according to claim 1, which is characterized in that described to obtain the insured people pre-
If the step of purchase medicine in the time records includes:
The purchase medicine record of the insured people within a preset time is obtained from the management system of each medical institutions；
Purchase medicine number of the insured people in the preset time is counted according to the purchase medicine record.
3. the recognition methods of abnormal purchase medicine according to claim 1, which is characterized in that the recognition methods of the abnormal purchase medicine
It further comprises the steps of:
When the purchase medicine number is greater than or equal to preset times, the purchase medicine bill of purchase medicine every time is obtained；
It judges whether there is in the purchase medicine bill of preset times purchase medicine comprising same drug；
When including same drug in the purchase medicine bill for having preset times purchase medicine, step is executed: by the medical insurance account mark
It is denoted as abnormal purchase medicine object.
4. the recognition methods of abnormal purchase medicine according to claim 1, which is characterized in that the recognition methods of the abnormal purchase medicine
It further comprises the steps of:
When the purchase medicine number is less than preset times, every kind that the insured people is purchased in the preset time is counted respectively
The purchase medicine total amount of drug；
Judge whether there is drug purchases the research on maximum utilized quantity that medicine total amount is more than the preset duration of the drug；
When there is the purchase medicine total amount of drug to be more than the research on maximum utilized quantity of the drug preset duration, by the medical insurance account labeled as different
Often purchase medicine object.
5. the recognition methods of abnormal purchase medicine according to claim 1, which is characterized in that the recognition methods of the abnormal purchase medicine
It further comprises the steps of:
When the purchase medicine number is less than preset times, the medical of the insured people is obtained from the management system of each medical institutions
Record；
Judge whether there is diagnosis records of the consultation time in the preset time；
Diagnosis records of the consultation time in the preset time if it does not exist, then by the medical insurance account labeled as abnormal purchase medicine
Object.
6. the recognition methods of abnormal purchase medicine according to claim 1-5, which is characterized in that described by the medical insurance
After the step of account is labeled as abnormal purchase medicine object, the recognition methods of the abnormal purchase medicine is further comprised the steps of:
The medical insurance account is recorded labeled as the number of the abnormal purchase medicine object；
Judge whether the medical insurance account is greater than or equal to preset times labeled as the number of the abnormal purchase medicine object；
If the medical insurance account is greater than or equal to preset times labeled as the number of the abnormal purchase medicine object, suspend the doctor
Protect account.
7. the recognition methods of abnormal purchase medicine according to claim 1-5, which is characterized in that described by the doctor
It protects after the step of account is labeled as abnormal purchase medicine object, the recognition methods of the abnormal purchase medicine further comprises the steps of:
Information warning is sent to medical institutions according to predetermined manner.
8. a kind of identification device of abnormal purchase medicine characterized by comprising
Module is obtained, the module that obtains is used to obtain the insured people when the medical insurance account settlement of insured people purchases medicine bill
Purchase medicine number within a preset time；
Judgment module, the judgment module is for judging whether the purchase medicine number is greater than or equal to preset times；
Mark module, the mark module are used for when the purchase medicine number is greater than or equal to preset times, by the medical insurance account
Family is labeled as abnormal purchase medicine object.
9. a kind of terminal, which is characterized in that the terminal includes processor, memory and is stored on the memory simultaneously
The recognizer for the abnormal purchase medicine that can be executed by the processor, wherein the recognizer of the abnormal purchase medicine is by the processor
When execution, the step of exception described in any one of claims 1 to 7 purchases the recognition methods of medicine is realized.
10. a kind of computer readable storage medium, which is characterized in that be stored with abnormal purchase on the computer readable storage medium
The recognition methods program of medicine, wherein when the recognition methods program of the abnormal purchase medicine is executed by processor, realize claim 1 to
Exception described in any one of 7 purchases the step of recognition methods of medicine.
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