Fraud Prevention Strategy With A Medicolegal Approach in Electronic-Based Data Collection of the Health System: A Systematic Review

A. Suwandono, A. Probandari, R. Febrinasari
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Abstract

Background: This form of fraud in the health system was not a new thing. The impact of fraud in health services has the potential to harm the state health budget. In addition, things that cannot be avoided can reduce the quality or quality of the health service itself. Regulation was an essential in one of the efforts to prevent fraud. This was used to provide clear standards to distinguish actions that are categorized as fraud or not. This study aimed to examine and analyze fraud prevention strategies in the health system with a medicolegal approach. Subjects and Method: This study was a systematic review conducted using PRISMA flow diagram. Online articles from 2020 to 2021 were searched from databases, including PubMed, Science Direct, Scopus, and Springer Link. The PICO was as follows. Population: Health facilities. Intervention: An electronic-based health system. Comparison: Without electronic-based health system. Outcome: Fraud.
在医疗系统电子数据收集中采用医学法律方法预防欺诈策略:系统综述
背景:卫生系统中的这种形式的欺诈并不是什么新鲜事。卫生服务欺诈的影响有可能损害国家卫生预算。此外,无法避免的事情可能会降低卫生服务本身的质量或质量。在防止欺诈的努力中,监管是必不可少的。这是用来提供明确的标准,以区分哪些行为被归类为欺诈或非欺诈。本研究旨在检查和分析欺诈预防策略在卫生系统与医学法律的方法。对象和方法:本研究采用PRISMA流程图进行系统综述。从数据库中检索了2020年至2021年的在线文章,包括PubMed, Science Direct, Scopus和施普林格Link。PICO如下。人口:保健设施。干预措施:以电子为基础的卫生系统。比较:没有电子医疗系统。结果:欺诈。
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