Kåss E
Oslo Sanitetsforenings Revmatismesykehus.
Tidsskr Nor Laegeforen. 1991 Jan 10;111(1):71-4.
Medical knowledge is increasing and calls for a flexible public health service. The counties' responsibility for the public health service makes this difficult. A National Hospital Council would ensure that the decentralized public health services makes full use of the country's total resources, without the transfer of money between different administrative levels at additional cost to the patient during serious illness. The article discusses management and administration of hospitals. The DRG-System is compared with the system of payment for patients' stay in hospital. The previous nationally appointed district doctor arrangement is discussed in relation to the present local community doctor arrangement.
医学知识不断增长,这就需要一个灵活的公共卫生服务体系。各县对公共卫生服务的责任使得这一目标难以实现。成立一个国家医院委员会将确保分散的公共卫生服务能够充分利用国家的全部资源,避免在重病期间不同行政级别之间转移资金,从而不会给患者带来额外费用。本文讨论了医院的管理和行政问题。将疾病诊断相关分组(DRG)系统与患者住院付费系统进行了比较。文中还结合当前的社区医生安排,讨论了之前由国家任命地区医生的安排。