Loop F D
Cleveland Clinic Foundation, OH 44195, USA.
Ann Thorac Surg. 1995 Nov;60(5):1509-12. doi: 10.1016/0003-4975(95)00684-D.
Shifts in medical reimbursement dictate that physicians become knowledgeable about resource consumption. Price drives cost. The patient is now a cost center. Various models of physician-hospital integration are presented. A completely integrated staff in the hospital has the greatest potential for economic efficiency. The best method of cost accounting will include activity-based costs in a format that is understandable for physician education. Hospital cost management involves human resources, ordering practices, length of stay, purchasing, capital requirements, and benchmark targets. As health reform takes shape, physicians should be fully cognizant of cost, understand healthcare issues, and commit to improving the environment in which they practice medicine. The purpose of these activities is to improve the value of healthcare delivery for all patients.
医疗报销政策的变化要求医生了解资源消耗情况。价格推动成本。如今患者已成为成本中心。文中介绍了多种医生与医院整合的模式。医院完全整合的员工队伍在经济效率方面具有最大潜力。最佳的成本核算方法应采用基于活动的成本核算,其形式应便于医生理解。医院成本管理涉及人力资源、订购做法、住院时间、采购、资本需求和基准目标。随着医疗改革的成形,医生应充分认识成本,理解医疗保健问题,并致力于改善他们行医的环境。这些活动的目的是提高为所有患者提供医疗服务的价值。