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The research of system of hospital financial management and
 
Summary: The purpose is construction platform with hospital information system, use the computer and network communication technology, realize informatization of hospital finance affairs. The method uses advanced and agile computer programming language tool, development is based on the financial database of C/S(Client/Server) structure and client end. The result is controlled to the budget through making financial informatization OK have auxiliary effect, the characteristic of HIS network makes systematic safety performance enough get ensuring, not only went to the lavatory estimated monitoring, and the working intensity that reduced financial staff. This system moves conclusion stable, on the safe side, satisfied the need of financial department. Keyword: Budgetary control; Hospital information system; System of database hospital financial management is the main component of hospital information system, get financial data well and truly, supervisory control is estimated use, it is very important to financial department and decision-making layer. But in working actually, the informatization that a lot of hospitals work to finance affairs takes seriously not quite, produced a series of problems. The financial system that the network system of 1.1 height informatization mixes 1 main problem to lag behind simply coexists the development as computer network and database technology, hospital informatization, network in each large hospital gains ground already basically. Much informatization work is enclothed was in medical treatment respect, be like hospital information system (Hospital Information System, HIS) , image memory and transmission system (Picture Archiving And Communications System, PACS) wait. These systems improved the efficiency of clinical work and level of management greatly. But financial system is in most hospital is the change of manual charge to an account from before only the means that prints to computer memory, did not enter informatization period truly. This kind of condition forms bright contrast with the informatization of hospital height, the enormous waste that also is off-the-peg to the hospital in-house network resource (graph 1A) . So, the inevitable requirement that raises the informatization degree of financial system to become a hospital to improve level of management (graph 1B) . Graph the network develop that 1 financial system blends in HIS system around attacks graph (slightly) note: A: The financial system of mutual independence and network of hospital information system; B: The budgetary control shift that financial system adds network of hospital information system to 1.2 strict budgets plan and lag behind coexists the competition of medical treatment market is more and more intense, hospital must reasonable the fund that uses oneself, these come true through the budget. Because decision-making layer understanding is estimated importance, annual budget making job is very meticulous and so strict. But be in at ordinary times in financial work, control method is not perfect however. For instance, what loan uses is paper receipt for a loan, achieve leasehold balance through deducting a fixed course, the case is used according to loan again when returning borrow or lend money, deduct in the budgetary item of debit. This covers flow itself and do not have what mistake, but clear to the end of the year all when returning borrow or lend money, funds of the rest in often sending existing budgetary item is already insufficient refund, but funds had been used, be forced to think method fill finally these Zhang Wu. Because the budgetary course of an unit may have about a hundred kinds, the accountant is mixed originally by Zhang receipt for a loan is the circumstance that cannot discover the budget overspends in time. So backward executive step is obvious with estimated original meaning photograph is contradictory (2B) of 2A seeing a picture, graph. Must offer more advanced method gift so circumstance of funds of purpose of family of budget of quite timely response. 1.3 strict examination and backward information feedback coexist estimated executive circumstance should be transparent to running supervisory department. Management department should the condition that can know corresponding budget subject at any time. At present most hospital basically is to pass data of financial department statistic to form forms for reporting statistics to give ranking office, not only increased workload to financial department, and information feedback also cannot be accomplished very seasonable. 2 systems are overall the requirement is aimed at this a series of problem, on original financial system basis, new system should achieve the requirement of the following respects: Loan information can at any time the situation that statistic prevents to loan gives out because of the budget and cannot repay; Inadequacy of budgetary pay remaining sum calls the police in time; Budgetary course is different administrative levels statistic; Implementation electron Zhang this, wash out vintage funds this; Convenient network consults budgetary message; Data security. The financial data of hospital of 3 systems structural frame follows HIS data same, belong to data of hospital interior business, security is very important. The HIS system of the hospital is to move on independent network commonly, with Internet be physical segregation. For instance my courtyard has two networks system, one is campus net, join Internet, another is HIS net, with campus net be independence. The computer in HIS network has rigid system and powerful technical measure to undertake controlling to its, fall poison of feeling catch a disease and the odds that destroy artificially to lowest, maintain the safety of HIS network. If financial system moves on HIS network, not only there is safeguard more than Internet on security, and fall in the favorable environment of HIS system computer room, the normal movement of the equipment such as system and data server also gets good assurance. Such, not only make financial system realized network, enlarged the scope of application of financial system, and security also got sufficient safeguard. The HIS system of my courtyard is based on ORACLE database, and what old financial management system uses also is ORACLE database, accordingly, the financial management system with new development can make full use of the function of a few advantages of old system, need not build new database example, need to undertake adjustment to expressing a space only, such not only can reduce development work, and because be to use ORACLE database, to the technology the management of personnel won't create additional pressure. On the connection structure that follows a database in the client, basically have two kinds of kind, namely Clients/Server (C/S) and Brower/Server (B/S) . C/S namely client computer / server structure, every client computer must install a client to carry software, the client carries software to follow database join directly, read the content in writing a database according to the program that weaves beforehand. The advantage of C/S is the processing ability that can develop a client adequately to carry the computer, a lot of jobs can carry processing hind to refer a server again in the client. Corresponding advantage is a client end answers speed fast. B/S structure, namely browser / server structure, this structure as Internet technology arisen, it is the composition that perhaps improves to a kind of change of C/S structure. Below this kind of structure, user interface comes true completely through Www browser, logic of one part general affairs comes true in front, but logic of main general affairs carries implementation in the server, form alleged 3 structures. B/S structure basically is the Www browser technology that used ceaseless maturity, a variety of Script languages that combine a browser (VBScript, JavaScript) with ActiveX technology, came true to need the powerful function that ability of complex and special software realizes so with general browser, managing develop cost, it is technology of a kind of brand-new software construction of system. Its biggest advantage is to facilitate safeguard, revise and upgrade convenient [1 ~ 4] . According to systematic characteristic, the member that accountant client carries use person is less, use place is fixed, input output is more frequent, and requirement database reaction is sharp, use C/S structure so more reasonable; And the electronic Zhang Wu that average user inquires him, use place spreads all over each computer that HIS system covers, the member that and make servantchoose a person for a job is much, structure of reason use B/S is relatively convenient. 4 systems analysis should make programming press close to works actually, make the structure of the database can be satisfied even at the same time ask and science is reasonable, must the function with labor more subtle system, scale gives systematic flow chart, such ability carry tiring-room database and client organic ground union rises, accomplish the security that improves a system and dependability while the work efficiency of system of give attention to two or morethings: (1) the budgetary number that the system needs to type every budget course, the budget can be joined in the beginning of the year, also can undertaking increase and decreasing at ordinary times according to actual condition, all operations have a record to be able to be examined. (2) every time the accountant is dealt with submit an expense account when waiting for formalities, the system can be calculated automatically budgetary remaining sum, if remaining sum can call the police not quite,remind an accountant. (3) use electron receipt for a loan, tie loan and some budget course rise surely (2C seeing a picture) , the amount that binds the same amount that decides budgetary course is frozen while when every brushstroke loan borrows, till reimbursement when restore again automatically, the situation that prevented loan amount to be more than budgetary remaining sum so appears. (4) loan is OK group by group amortize, at the same time system can conveniently statistical loan circumstance, examine the receipt for a loan that expires to was not returned. (5) the system calculates those who give all the most meticulous headings in an account book to borrow first, borrow and can wait for data with remaining sum, again the logistic relation statistic of code of according to course all sorts of administrative levels are estimated use circumstance, form forms for reporting statistics. (6) the accountant is OK and free custom-built statistic course, build stencil of course of statistical forms for reporting statistics, convenient in the future groovy statistic works. (7) average user can be according to his account and password on any computers of HIS system inquire to oneself the budget uses a case. Graph 2 budgets use the sketch map with loan (slightly) note: A: Without the budget of loan; B: Have borrow or lend money but the budget that did not tie calm course; C: Tie loan because system of my courtyard HIS is,5 systems realize the circumstance after deciding budgetary course army defend a system, what this system uses is Oracle database, if we choose Oracle database, can reduce the pressure of technical personnel and workload greatly, and the each respect performance of this database system is very excellent, so we the tiring-room database of this system also uses Oracle database. Although Oracle can open many example on same table server, run many databases. But the importance of the pressure that considers HIS system and financial data, we install the system on an independent server, the means that uses cold backup and data file to be used will ensure the complete backup of data. The field is set in the network, sound program is fictitious local area network (Vlan) , make full use of use Vlan technology, can keep apart broadcast not only, raise network rate, still can strengthen network safety and convenient management. Although financial database server follows numerous HIS server deploy is in network computer room, and go up in core switching equipment repeatedly continuously, but through using Vlan technology, can make they belong to different network on logic, because be in,reduce same a broadcast region and the mutual interference of generation. PB is powerful, agile database develops a tool, suit to develop the program of C/S structure especially. In the development that carries in financial client, the data window technology of a large number of use PB, such doing can improve development efficiency, make develop personnel to be able to throw more energy to the functional respect of the program. 6 systems effect the development of this system is completely come according to the requirement of financial department, each function module passes what operate personnel and development staff actually to try to use and be revised repeatedly, it is a very economic system so (see a picture 3) . Graph sketch map of flow of function of 3 systems part (slightly) besides, the structure of this system and software have a lot of advantages: (1) financial department can cast off the funds that uses before formalities of this charge to an account, departmental door also needs to use funds no longer this. Turn every funds into a piece of magnetic card originally, apply for reimbursement through using magnetic card to be dealt with in financial department, loan. (2) because the database server of this system is to receive network of hospital HIS system, so each unit can use in-house network and computer to examine his funds to use a case, and management department can in time get corresponding funds uses information as much related the hospital. The client end of original moving HIS should install software to be able to inquire budgetary situation only, turn financial client into end, and the hospital need not add any equipment for this. (3) use electron receipt for a loan joins paper receipt for a loan, calm budget course is tied on electronic receipt for a loan. Such not only information of loan of the case that can in time examine receipt for a loan conveniently, statistic, and still can be in loan while deduct automatically from inside binding decided budget, avoided to did not return borrow or lend money for long, continue to use a budget again, discover to the end of the year budgetary remaining sum is insufficient reimbursement and overspent circumstance. (4) can the need according to financial department, form corresponding funds automatically to use monthly magazine count, reduced greatly before the job of forms for reporting statistics of month of accountant handiwork statistic. On the network platform of system of 7 discussion HIS besides can run financial system, still can run a series of in-house informatization systems such as the OA, this kind of advantage is in a lot of units are done not have. Because the network of major unit receives Internet, the important data such as internal finance affairs, business considers safe element cannot be received quite. And the network that the HIS system of the hospital is special laid more, following Internet is physical isolation, this had congenital advantage in safe respect. If control the computer that receives HIS network strictly, plus whole system and technical measure, can strengthen the safe and confidential sex of inside information further. This also is hospital interior relevant personnel examines a budget through the computer of HIS network the circumstance replaces traditional funds with use magnetic card this corporeal foundation. Some units had realized magnetic card to replace funds this, but the safe network environment that the problem depends on neither one interior, the funds that cannot examine oneself conveniently on the computer uses a case, very no-go. Because of this the HIS system of financial system and hospital is in same a network is medium, can on the computer that software of the relevant and financial software HIS, handling of goods of medicines and chemical reagents installs financial department, go to the lavatory the statistic of pair of capital and goods and materials and management; The relevant financial data in HIS is called in also be true henceforth financial now system at the same time, comprehensive implementation digitlized a hospital to provide corporeal basis. Bibliographical reference 1 Yang Li, yang Mingyuan, shi Xijun. The hospital should carry out financial concentration actively to manage mode. China hospital runs a magazine, 2005;21:343-345.2 Li Zengxiao, zhang Huiying. Hospital financial management looks I of mark fixed position see. China hospital runs a magazine, 2006;22:96-97.3 Zhou Rui, zhao Yizhen. Hospital interior finance affairs controls the discussion of crucial link. China hospital runs a magazine, 2005;21:668-670.4 Huang Manli, wang Hong. Built-in control system studies hospital finance affairs. China hospital runs a magazine, 2005;21:384-386. (www.my-paper.info my paper)

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