Tong D A, Jones P L
Greater Southeast Community Hospital, Washington, D.C.
Healthc Financ Manage. 1990 Jan;44(1):21-2, 24, 26 passim.
A case-mix management system relies on the skills of physicians, nurses, and financial managers to devise cost effective treatment plans and product line initiatives. By merging financial and clinical data, one hospital used the approach to identify practice patterns that were inflating expenses. Its case-mix management program--which consists of presenting economic studies of certain cases, profiling physician practice patterns, and budgeting by product lines--is designed to conserve resources while ensuring quality care.
病例组合管理系统依靠医生、护士和财务经理的技能来制定具有成本效益的治疗方案和产品线计划。通过整合财务和临床数据,一家医院采用这种方法来识别导致费用增加的医疗模式。其病例组合管理计划——包括展示某些病例的经济研究、分析医生的医疗模式以及按产品线编制预算——旨在节约资源,同时确保优质护理。