摘要
综合5所综合性附属医院在实施"上海市总量控制、结构调整"新政策后的全部资料,分析医院从"要我控制"转换到"我要控制"外在动力和内在因素;探索医院自我控制医疗费用的主要力点分布,并从时间与力度控制关系、医疗服务自变量和力度的内在联系等方面作了对比研究。结果表明:医院自我控制医疗费用的角色转换与相对动力平衡有关,突破口是对药品的控制,研究医院自控的力点和力度不仅有利于控制医疗费过快增长,同时也有利增强信心,调整策略,强化管理,为平稳过渡到新的医疗保险制度打下了基础。
A summary is made on a11 the experiences from five attached general hospitals which carried out Shanghai new policy of Work rescheduling and organization restracturing.The external pressure and internal motive of the change from'compulsory rescheduling'to'voluntary rescheduling' are analyzed.A search for the distribution of the points for attack on the problem of hospital control of medical cost is made.A comparative study is conducted on the relationship between time and the inten- sity of the control,the inner relationship between the independent variables and the intensity of control. The conclusion shows the change of the hospital's control role to the voluntary one has something to do with the equalibrium of relative forces.The point for breakthrough lies at the control of drugs.A search for the points for attack on the problem of hospital control of medical cost is not only necessary for arresting the rocketing of medical cost,but also helpful for capturing the confidence of the concerned and strengthening hospital management,thus laying a good foundation for a stable transition to a new healthcare insurance program.
出处
《中华医院管理杂志》
北大核心
1996年第3期129-133,共5页
Chinese Journal of Hospital Administration
关键词
医疗费
控制
结构调整
Medical cost
Control
Organization restructuring
