Novosibirsk State University Journal of Information Technologies
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Research of the Process of Control Quality of Medical Service in the Scope of Compulsory Health Insurance Program
Maksim Alekseyevich Taranik, Georgy Dmitriyevich Kopanitca

National Research Tomsk Polytechnic University
UDC code: 005

The aim of the paper isto present a problem identification and effective decision making process for healthcare providers on the stage of medical documetns control in the scope of medical insurance program.Via use of system analisys’s methods the formal model of the process of control of volume, duration, quality and conditions of medical service was built. Decomposed subprocessed was presented using sequence diagrams. Based on the detected problems it was concluded that there is a necessity of intellectual information system development for health records estimation concerning insurance payments. As an inference engine is offered to use fuzzy logic and case-based reasoning.

Key Words
system analysis, intellectual information systems, medical insurance, fuzzy logic, case-based reasoning

How to cite:
Taranik M. A., Kopanitca G. D. Research of the Process of Control Quality of Medical Service in the Scope of Compulsory Health Insurance Program // Vestnik NSU Series: Information Technologies. - 2016. - Volume 14, Issue No 1. - P. 103-114. - ISSN 1818-7900. (in Russian).

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Publication information
Main title Vestnik NSU Series: Information Technologies, Volume 14, Issue No 1 (2016).
Parallel title: Novosibirsk State University Journal of Information Technologies Volume 14, Issue No 1 (2016).

Key title: Vestnik Novosibirskogo gosudarstvennogo universiteta. Seriâ: Informacionnye tehnologii
Abbreviated key title: Vestn. Novosib. Gos. Univ., Ser.: Inf. Tehnol.
Variant title: Vestnik NGU. Seriâ: Informacionnye tehnologii

Year of Publication: 2016
ISSN: 1818-7900 (Print), ISSN 2410-0420 (Online)
Publisher: Novosibirsk State University Press
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