过渡性资金：改变安大略省的全球预算系统。
Transitional funding: changing Ontario's global budgeting system.
作者信息
Lave J R, Jacobs P, Markel F
机构信息
University of Pittsburgh, Graduate School of Public Health, PA 15261.
出版信息
Health Care Financ Rev. 1992 Spring;13(3):77-84.
Abstract
In 1988, Ontario introduced transitional funding, a collaborative process between the Ministry of Health and the hospitals to modify Ontario's global budgeting system. The goals are to achieve greater equity; encourage hospital efficiency, and promote a shift from inpatient to outpatient services. To implement these goals, inpatient care is being measured in terms of case-mix groups, i.e., a classification system comparable to the diagnosis-related groups. However, since there is no patient level cost data, cost weights are being derived from patient-level data from New York State. Transitional funding draws attention to both positive and negative aspects of global budgeting.
摘要
1988年，安大略省引入了过渡性资金，这是卫生部与医院之间的一个合作过程，旨在修改安大略省的整体预算系统。目标是实现更大的公平性；鼓励医院提高效率，并促进从住院服务向门诊服务的转变。为了实现这些目标，住院护理是根据病例组合分组来衡量的，即一种类似于诊断相关分组的分类系统。然而，由于没有患者层面的成本数据，成本权重是从纽约州的患者层面数据中得出的。过渡性资金让人们关注到了整体预算的积极和消极方面。
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