Ford R L
Hosp Health Serv Adm. 1987 Aug;32(3):399-407.
If hospital administrators are to monitor and improve productivity, they must first develop a common, accurate measure of work output. Previously used output measures have failed in one of three ways: 1. By measuring only inpatient (discharges) or outpatient (visits) data. 2. By measuring the process of patient care rather than output (as is the case with occupancy or patient days statistics). 3. By mixing an output variable like discharges with a charge strategy variable like outpatient revenue to develop a mongrel statistic such as equivalent discharges. This article proposes a new statistic, the Composite Patient Encounter (CPE), which equates outpatient care to inpatient care by measuring the production cost associated with each. The composite patient encounter statistic was derived from actual data and tested against other variables to determine which was most suitable as an overall output measure. The results indicate that CPEs are most accurate in reflecting overall hospital activity.
如果医院管理人员要监控并提高生产率，他们首先必须制定一个通用、准确的工作产出衡量标准。以前使用的产出衡量标准在以下三种方式中的一种上失败了：1. 仅衡量住院患者（出院人数）或门诊患者（就诊次数）数据。2. 衡量患者护理过程而非产出（如占用率或患者住院天数统计情况）。3. 将诸如出院人数这样的产出变量与诸如门诊收入这样的收费策略变量混合，以形成诸如等效出院人数这样的混合统计数据。本文提出了一种新的统计数据，即综合患者诊疗量（CPE），它通过衡量与每种诊疗相关的生产成本，使门诊护理等同于住院护理。综合患者诊疗量统计数据源自实际数据，并与其他变量进行对比测试，以确定哪个最适合作为整体产出衡量标准。结果表明，CPE在反映医院整体活动方面最为准确。
