Schwantes V D
St. Mary's Medical Center, Duluth, MN.
Health Care Superv. 1994 Dec;13(2):58-68.
Good resource allocation is essential to effective hospital cost management. Yet current allocation methods are weak, and the damage done by bad allocations cannot be undone with utilization fine-tuning. The three traditional methods are resource-allocation-by-momentum (RAM); resource-allocation-by-physician (RAP); and resource-allocation-to-survive (RAS). As hospitals change, a new allocation method is needed: resource-allocation-in-response-to-need (RARN). To determine appropriate allocations, RARN analyzes each activity based upon community need, hospital response, and economics. RARN balances cost management emphasis of doing things right (utilization) with doing the right things (allocation).
良好的资源分配对于有效的医院成本管理至关重要。然而，当前的分配方法存在缺陷，不良分配造成的损害无法通过调整利用率来弥补。三种传统方法分别是：惯性资源分配（RAM）；按医生资源分配（RAP）；以及生存资源分配（RAS）。随着医院的变革，需要一种新的分配方法：按需资源分配（RARN）。为了确定适当的分配，RARN会根据社区需求、医院反应和经济情况对每项活动进行分析。RARN在正确做事（利用率）的成本管理重点与做正确的事（分配）之间取得平衡。
