摘要
通过对医疗保险管理者和医院管理者成本管理意识的调查分析,发现医疗保险管理者和医院管理者在医保对医院经济运行制约点、制约力度、制约结果的认识上存在差异;对医院成本管理的重要意义的认识趋同一致,并认为愈发重要;医院管理者中不同群体对医院成本管理的认识存在差异。指出:医保政策已经或者必须成为推进医院内部管理不断完善的强大外源力,医保环境下实施医院成本管理是改善医院营运状况的最佳出路,医院执行层和操作层对成本管理的认识亟待提高。
Contents of costs, benefits, effectiveness, efficiency are discussed from: separate and composite parts of health insurance, hospital management and administration, various social circles; making health services accessible to all, affordable for marginable families and individuals, and adaptable for meeting diversified demands, with these research efforts conceptualized from functional and structural perspectives in service delivery; shifting the goal of heal th care from the good produced by means of patient care to the maximising of health benefits related to prevention and health promotion at community level; improving disposition, management, development and use of services resources so as to ensure all health institutions, whether local GPs, Community clinics, or general hospitals, to be properly effective, competitive, working withe fine spirit of cooperation.
出处
《中国医院管理》
1999年第10期15-17,共3页
Chinese Hospital Management
关键词
医疗保险
成本管理
改革
医院管理
Health insurance Cost management Cost conception Hospital reform