Mevellec P
Soc Sci Med. 1985;21(10):1107-12. doi: 10.1016/0277-9536(85)90167-4.
In the field of health, the increasing gap between technical possibilities and financial resources has led us to search for new instruments of control in the evolution of the hospital system. These new criteria, which have an economic basis, raise many problems and are far from being solved. In this paper, we will study the dual quality of cost indicator, i.e. its quality as a scientific instrument of measure and its quality as an instrument capable of influencing the hospital actors' behaviour. The main variants of cost concept are then correlated with management problems in a study carried out inside a biochemical laboratory.
在卫生领域,技术可能性与财政资源之间日益扩大的差距促使我们在医院系统的发展中寻找新的控制手段。这些基于经济的新标准引发了诸多问题,且远未得到解决。在本文中,我们将研究成本指标的双重性质,即其作为科学测量工具的性质以及作为能够影响医院相关人员行为的工具的性质。随后,在一家生化实验室内进行的一项研究中,将成本概念的主要变体与管理问题联系起来。