Kohli R, Tan J K, Piontek F A, Ziege D E, Groot H
Department of Management, University of Notre Dame, South Bend, IN, USA.
Top Health Inf Manage. 1999 Aug;20(1):80-95.
Changes in health care delivery, reimbursement schemes, and organizational structure have required health organizations to manage the costs of providing patient care while maintaining high levels of clinical and patient satisfaction outcomes. Today, cost information, clinical outcomes, and patient satisfaction results must become more fully integrated if strategic competitiveness and benefits are to be realized in health management decision making, especially in multi-entity organizational settings. Unfortunately, traditional administrative and financial systems are not well equipped to cater to such information needs. This article presents a framework for the acquisition, generation, analysis, and reporting of cost information with clinical outcomes and patient satisfaction in the context of evolving health management and decision-support system technology. More specifically, the article focuses on an enhanced costing methodology for determining and producing improved, integrated cost-outcomes information. Implementation issues and areas for future research in cost-information management and decision-support domains are also discussed.
医疗服务提供方式、报销方案和组织结构的变化,要求卫生组织在维持高水平临床和患者满意度结果的同时,管理提供患者护理的成本。如今,如果要在健康管理决策中实现战略竞争力和效益,尤其是在多实体组织环境中,成本信息、临床结果和患者满意度结果必须得到更充分的整合。不幸的是,传统的行政和财务系统并不足以满足此类信息需求。本文提出了一个框架,用于在不断发展的健康管理和决策支持系统技术背景下,获取、生成、分析和报告成本信息以及临床结果和患者满意度。更具体地说,本文着重介绍一种强化成本核算方法,用于确定和生成改进的、整合的成本-结果信息。还讨论了成本信息管理和决策支持领域的实施问题及未来研究方向。