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医院规模经济与成本函数研究进展 总被引:1,自引:0,他引:1
规模与平均成本呈U形函数关系,U形左边部显示了规模经济,U形右边部显示了规模不经济,对应于U形底部的规模范围是企业达到成本最小化的最佳范围。医院行业也存在规模经济。当医院达到规模经济时其平均成本最低,将以最低成本向居民提供相同质量的医疗服务。规模经济的研究关键是建立合理稳定的成本函数。成本函数研究主要集中在美欧等国家,研究内容主要集中在成本函数形式、长期与短期成本函数的选择、估计技术、变量处理等方面。1980’S以来医院成本函数的实证研究结果各不相同,有些研究结果发现了规模经济的证据,认为医院最优产出水平是150-900张病床数不等,有些研究没有发现规模经济或较弱的规模经济。 相似文献
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现行成本核算方法的比较研究 总被引:1,自引:0,他引:1
为规范医疗服务成本测算,上海申康医院发展中心于2009年2月下发了“市级医院成本核算办法(试行)”,对医院成本核算的组织机构和相关部门职责、成本范围和成本项目、成本核算对象与单位、成本归集和分摊、成本核算和成本分析、成本控制等相关工作做了比较具体的部署。同时,卫生部规划财务司为掌握全国医疗服务成本变动情况,采用卫生部卫生经济研究所研制的“医院医疗服务成本测算办法”,在全国选取了12个省96所省、市、县级医院作为全国医疗机构成本监测点, 相似文献
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冯彩萍 《中华现代医院管理杂志》2005,3(5):458-459
成本核算和成本管理的关系极为密切,成本核算是成本管理的一个组成部分,为成本管理提供必要的核算资料,是医院经济管理的基础工作。成本管理包含成本核算,二者相辅相成、互相促进,其根本任务是共同为降低医疗服务成本服务。成本核算工作的深度和层次直接影响医院成本管理的成效,而开展成本管理和核算应以财务会计成本核算为主。只有严格按照财会制度归集、分摊成本,才能保证医院财务成本的真实性、合法性和可比性。强化科室成本核算与管理亦是医院经济管理的基础。在此,本文针对我国医院医疗成本核算的方法、医疗成本核算的重点及医院成本核算存在的问题做些相关的探讨。 相似文献
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我国医疗成本管理的现状与改革思路 总被引:11,自引:1,他引:10
许仙忠 《中国卫生事业管理》2000,16(9):528-529
任何一种经济管理理论和方法都是一定经济体制的产物,并服务于这种经济体制,我国医疗成本管理现况也是如此。随着卫生经济体制改革力度的不断加大,医院市场化程度越来越高,目前医疗成本管理现状已不能很好适应客观形势的要求,必须进行改革。文章结合本市各医院医疗成本管理的现状,全面分析了当前医院医疗成本管理存在的问题,并对今后如何加强和完善医疗成本管理提出了改革思路。 相似文献
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组建医疗集团利弊分析 总被引:1,自引:0,他引:1
医院集团,是指三个或三个以上医院为了特定目的组成的统一管理体。在目前宏观政策环境下,医院集团化是医院兼顾自身短期利益和长期发展,发挥品牌和规模效应,降低医疗成本,增强综合竞争能力,拓展医疗市场的有效途径之一,也是我国医院管理探索的方向。而在医院集团化改革实践中,当医院自身价值 相似文献
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张云 《中国卫生质量管理》2007,14(2):23-25
群众“看病贵、看病难”是当前人们普遍关注的社会热点问题之一。文章介绍了陕西省肿瘤医院在开展医院管理年活动中,采取加强经济管理、控制运营成本、规范医疗行为等有力措施减轻患者经济负担的作法,并对如何从根本上解决群众“看病贵,看病难”问题提出了看法。 相似文献
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医院服务成本是指医院在提供医疗服务过程中所发生的各种耗费的货币表现。加强医疗服务成本决策与控制对降低医疗服务成本,提高医院经济效益起着重要作用。 相似文献
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Quinn MM 《American journal of public health》2003,93(4):526
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J E Fielding 《Health services research》1987,22(4):441-452
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Dr. John M. Heath MD Karen S. Lucic BSc David Hollifield BS John R. Kues PhD 《Journal of community health》1991,16(4):197-203
The motivations and health beliefs of adults who participate in community-based health promotion were studied through a survey of 303 adults attending five community health fairs. Subjects were predominately female (69.9%), over age 60 (66.8%), and had at least yearly contact with a family physician (85.3%). Obtaining laboratory testing services was the sole reason for attendance for 47% of participants, was thought to be of much greater importance than health educational materials also offered at the health fair, and identified as providing a sense of control over personal health care. Receiving their own normal test results was perceived as assuring a healthy future for 86% of participants and few used these results to support erroneous health beliefs. A theme of positive health feedback, identified through factor analysis of survey responses, may prove useful for family physicians to incorporate into more directed and useful health promotion efforts for enhanced patient participation and satisfaction.John M. Heath, MD is Research Assistant Professor Department of Family Medicine, State University of New York Health Science Center at Syracuse. Karen S. Lucic, BSc is a Research Assistant, University of Cincinnati. David Hollifield, BS was a Medical Student, University of Cincinnati. John R. Kues, PhD is Assistant Professor, Department of Family Medicine, University of Cincinnati.This research was conducted during the senior author's faculty development fellowship training at the University of Cincinnati Department of Family Medicine and supported in part by US Dept. H.H.S. Grant #PE85025. 相似文献
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The study of ecosystem health is a relatively recent discipline that has already provided new insights into numerous aspects of environmental management. One of the most interesting fields of study is the one investigating the relationships between ecosystem and human heath. In this paper some basic terms of reference are given in order to help the understanding of this new approach. One definition of ecosystem health is given, possible causes of degradation are indicated and links with human health are addressed. The ecosystem approach to human health stresses the importance of cultural and social values in shaping the concept of health, both at human and at ecosystem level. Two case-studies showing man-ecosystem interactions are described: mining activities, that provide a suitable field of application of the ecosystem approach, and the case of malaria and DDT, that shows the risks of certain policies neglecting basic human expectations such as health. As a conclusion, some suggestions for possible research activities are given and a few recommendations for sound public health policies are indicated. 相似文献
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