Brown D
Peel Memorial Hospital, Brampton.
Leadersh Health Serv. 1994 Nov-Dec;3(6):20-4.
Hospitals are being forced to make strategic downsizing decisions at a rapid rate. Surgical services are frequently targeted as much of the related activity is deemed to be controllable. However, strategies that only focus on bed and operating room reductions do not always achieve desired results. This article describes the experience of one community hospital in controlling surgical costs over a five-year period. The keys to its success include evaluating and monitoring the outcome of strategic decisions, identifying and integrating the systems that comprise the surgical process, and ensuring the involvement of users in developing and implementing change.
医院正被迫迅速做出战略性缩减规模的决策。外科服务经常成为目标，因为许多相关活动被认为是可控的。然而，仅专注于减少床位和手术室的策略并不总能取得理想效果。本文描述了一家社区医院在五年内控制外科成本的经验。其成功的关键包括评估和监测战略决策的结果，识别和整合构成手术流程的系统，以及确保用户参与制定和实施变革。
