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农村和城市医院的管理策略与财务绩效。

Management strategies and financial performance in rural and urban hospitals.

作者信息

Wang B B, Wan T T, Falk J A, Goodwin D

机构信息

National Defense Medical Center, Taiwan.

出版信息

J Med Syst. 2001 Aug;25(4):241-55. doi: 10.1023/a:1010775104091.

DOI:10.1023/a:1010775104091
PMID:11463201
Abstract

This study identifies the difference in financial performance between rural and urban hospitals and examines whether or not that difference may be attributed to the emphasis of revenue enhancement over cost management strategies. Hospitals in Virginia were included in this study except for the two state university medical centers. Rural and urban hospitals were compared on 10 performance indicators grouped into four categories: revenues, costs, profits, and productivity. The results suggest that rural hospital profitability is dependent on cost management. Since rural hospitals achieved lower cost, better efficiency and productivity level than urban hospitals in Virginia, they demonstrate a significant higher level of profit.

摘要

本研究确定了农村医院和城市医院在财务绩效方面的差异,并考察了这种差异是否可能归因于收入增长策略优于成本管理策略。除了两所州立大学医学中心外,弗吉尼亚州的医院都纳入了本研究。农村医院和城市医院在分为四类的10项绩效指标上进行了比较:收入、成本、利润和生产率。结果表明,农村医院的盈利能力取决于成本管理。由于弗吉尼亚州的农村医院比城市医院实现了更低的成本、更高的效率和生产率水平,它们的利润水平显著更高。

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本文引用的文献

1
Networks and the fiscal performance of rural hospitals in Oklahoma: are they associated?
J Rural Health. 1998 Fall;14(4):327-37. doi: 10.1111/j.1748-0361.1998.tb00638.x.
2
A structural equation model of physician productivity.医生生产力的结构方程模型。
J Health Care Mark. 1988 Dec;8(4):37-45.
3
A comparative analysis of revenue and cost-management strategies of not-for-profit and for-profit hospitals.非营利性医院与营利性医院收入及成本管理策略的比较分析
Hosp Health Serv Adm. 1997 Spring;42(1):117-34.
4
Medicare prospective payment without separate urban and rural rates.医疗保险预期支付,无城乡差别费率。
Health Care Financ Rev. 1992 Winter;14(2):31-47.
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Horizontal and vertical integration-diversification in rural hospitals: a national study of strategic activity, 1983-1988.
J Rural Health. 1993 Spring;9(2):99-119. doi: 10.1111/j.1748-0361.1993.tb00502.x.
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Competitive strategy for successful hospital management.成功医院管理的竞争策略。
Hosp Health Serv Adm. 1992 Spring;37(1):53-69.
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America's rural hospitals: a selective review of 1980s research.美国的乡村医院:20世纪80年代研究的选择性综述。
J Rural Health. 1990 Oct;6(4):437-66. doi: 10.1111/j.1748-0361.1990.tb00682.x.
8
Rural health care: the future of the hospital.农村医疗保健:医院的未来。
Med Care Rev. 1990 Spring;47(1):33-73. doi: 10.1177/107755879004700104.
9
Factors influencing high and low profitability among hospitals.影响医院高利润率和低利润率的因素。
Health Care Manage Rev. 1993 Spring;18(2):15-26.
10
Assessing the impact of continuous quality improvement/total quality management: concept versus implementation.评估持续质量改进/全面质量管理的影响:概念与实施
Health Serv Res. 1995 Jun;30(2):377-401.