Jones S B
Blackley Memorial Hospital, Cochran, GA, USA.
J Healthc Qual. 1995 Sep-Oct;17(5):11-3; quiz 13, 48. doi: 10.1111/j.1945-1474.1995.tb00796.x.
The philosophy of W.E. Deming suggests that continuous quality improvement efforts, when properly applied, ultimately will lead to financial dividends and will help ensure business longevity. Reducing hospital charges can be exciting for the participants and can provide an impetus for expanding quality improvement efforts. Americans, however, tend to demand almost instant gratification and have limited patience for longer-term results. This factor, coupled with minimal knowledge of actual operational costs and inaccurate charge accounting systems, may lead hospital managers to misinterpret the potential net long-term effects of their quality improvement efforts. In the approaching environment of capitated reimbursement, such mistakes may have serious consequences.
W.E.戴明的理念表明，持续质量改进工作若应用得当，最终将带来经济收益，并有助于确保企业长久发展。降低医院收费对参与者而言可能令人振奋，还能为扩大质量改进工作提供动力。然而，美国人往往追求几乎即时的满足感，对长期成果的耐心有限。这一因素，再加上对实际运营成本了解甚少以及收费核算系统不准确，可能导致医院管理者误解其质量改进工作潜在的长期净效应。在即将到来的按人头付费报销环境中，此类错误可能会产生严重后果。
