Sweeney D R
Internist. 1986 Feb;27(2):35-6.
Containment of health care costs is a serious concern today for everyone, including the local, state and federal governments, industry and the private sector. Physicians are looked at as the "bad guys" in the cost containment battle as publicity focuses on the high cost of office visits, procedures, tests and hospital charges. When you add to that the additional image of the "rich doctor," it is easy to understand why so much attention is paid to the doctor as the perceived reason for the high costs of care. Medical practices are also guilty of fostering that image as patients perceive an inefficient approach about the business side of medicine. And, as an inefficient office usually adds to a practice's overhead, someone must be expected to cover that extra cost. That someone, unfortunately, is the patient--either by a direct payment of increased fees or by the added cost of the insurance premium. What follows are some basic items of good business management that should help cut your practice expenses, whether you are solo or part of a group practice. The streamlining of your practice should enable you to keep your costs--and your fees--in line. And, as medicine changes with health maintenance organizations and preferred provider organizations becoming more of a factor, it will be essential for your practice to be cost efficient to compete.
控制医疗成本如今是每个人都非常关心的问题,包括地方、州和联邦政府、企业以及私营部门。在成本控制之战中,医生被视为“坏人”,因为宣传聚焦于门诊、手术、检查和住院费用的高昂。再加上“富医生”的额外形象,就很容易理解为什么医生会被视为医疗成本高昂的明显原因而备受关注。医疗业务也难辞其咎,因为患者认为医疗行业在商业运作方面效率低下。而且,由于低效的诊所通常会增加业务开支,总得有人来承担这笔额外费用。不幸的是,这个人就是患者——要么直接支付增加的费用,要么承担保险费上涨的成本。以下是一些良好业务管理的基本要点,无论你是个体行医还是团体行医,都应有助于削减业务开支。简化业务流程应能使你控制成本——以及收费——保持合理。而且,随着医疗行业因健康维护组织和优选医疗机构的影响而发生变化,你的业务保持成本效益以参与竞争将至关重要。