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韩国国立大学医院成功管理的竞争战略

Competitive Strategy for Successful National University Hospital Management in the Republic of Korea.

作者信息

Lee Munjae

机构信息

School of Health Policy and Management, College of Health Science, Korea University, Seoul, Korea.

出版信息

Osong Public Health Res Perspect. 2016 Jun;7(3):149-56. doi: 10.1016/j.phrp.2016.02.002. Epub 2016 Feb 17.

DOI:10.1016/j.phrp.2016.02.002
PMID:27413645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4927664/
Abstract

OBJECTIVES

This study provides information to aid decision making for managers and the staff of national university hospitals through analyzing their financial statements.

METHODS

In order to analyze the finances of national university hospitals, this study used the report of final accounts announced by each hospital from 2009 to 2012 as baseline data. The research participants were 10 national university hospitals.

RESULTS

According to the results of the analysis, most hospitals (except for a few) had medical expenses exceeding their medical revenues, resulting in a net deficit; however, there were significant differences amongst the hospitals. The result of adjustments based on a standard size of 100 beds showed that most hospitals had medical revenue deficits, and there were significant differences between hospitals in terms of medical revenues and medical costs.

CONCLUSION

It is not clear whether an expansion of national university hospitals is always beneficial for increasing net revenues, and it is necessary to establish a differentiation strategy to increase profitability by securing financial soundness instead of externally-oriented growth.

摘要

目的

本研究通过分析国立大学医院的财务报表,为医院管理人员和工作人员提供有助于决策的信息。

方法

为分析国立大学医院的财务状况,本研究将各医院2009年至2012年公布的决算报告作为基础数据。研究对象为10所国立大学医院。

结果

根据分析结果,大多数医院(除少数外)医疗支出超过医疗收入,导致净亏损;然而,各医院之间存在显著差异。以100张床位的标准规模进行调整的结果表明,大多数医院存在医疗收入赤字,各医院在医疗收入和医疗成本方面存在显著差异。

结论

国立大学医院的扩张是否总能增加净收入尚不清楚,有必要制定差异化战略,通过确保财务稳健而非外向型增长来提高盈利能力。

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引用本文的文献

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What Would Be a Better Strategy for National University Hospital Management?国立大学医院管理的更佳策略会是什么?
Osong Public Health Res Perspect. 2016 Jun;7(3):139-40. doi: 10.1016/j.phrp.2016.05.003. Epub 2016 May 24.

本文引用的文献

1
Financial Analysis of National University Hospitals in Korea.韩国国立大学医院的财务分析
Osong Public Health Res Perspect. 2015 Oct;6(5):310-7. doi: 10.1016/j.phrp.2015.10.007. Epub 2015 Nov 3.
2
Using hospital mortality rates to judge hospital performance: a bad idea that just won't go away.利用医院死亡率来评判医院绩效:一个挥之不去的糟糕想法。
BMJ. 2010 Apr 20;340:c2016. doi: 10.1136/bmj.c2016.
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A strategy for enhancing financial performance: a study of general acute care hospitals in South Korea.
Health Care Manag (Frederick). 2008 Oct-Dec;27(4):288-97. doi: 10.1097/HCM.0b013e31818c806e.
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Hospital financial performance in the United States of America: a follow-up study.美国医院的财务绩效:一项跟踪研究。
East Mediterr Health J. 2006 Sep;12(5):670-8.
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Public reporting and pay for performance in hospital quality improvement.医院质量改进中的公开报告与绩效薪酬
N Engl J Med. 2007 Feb 1;356(5):486-96. doi: 10.1056/NEJMsa064964. Epub 2007 Jan 26.
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Relationship between Medicare's hospital compare performance measures and mortality rates.医疗保险医院比较绩效指标与死亡率之间的关系。
JAMA. 2006 Dec 13;296(22):2694-702. doi: 10.1001/jama.296.22.2694.
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Comparing mission statement content in for-profit and not-for-profit hospitals: does mission really matter?比较营利性医院与非营利性医院的使命宣言内容:使命真的重要吗?
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Health Aff (Millwood). 2005 Jul-Aug;24(4):1150-60. doi: 10.1377/hlthaff.24.4.1150.
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Does publicizing hospital performance stimulate quality improvement efforts?公布医院绩效是否会刺激质量改进工作?
Health Aff (Millwood). 2003 Mar-Apr;22(2):84-94. doi: 10.1377/hlthaff.22.2.84.
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Measuring comparative hospital performance.衡量医院的相对绩效。
J Healthc Manag. 2002 Jan-Feb;47(1):41-57.