Langabeer J
Business Affairs Division, University of Texas Medical Branch, Galveston, USA.
Acad Med. 1996 Nov;71(11):1244-6. doi: 10.1097/00001888-199611000-00022.
To describe the economics of teaching hospitals in an increasingly price-conscious managed care marketplace by determining the relationships between a teaching hospital's operations and cost per discharge.
A quantitative correlational regression analysis was undertaken of 1993 operational and financial data from the Health Care Financing Administration for a national sample of 100 major urban, non-federal teaching hospitals. The sample was systematically selected from membership in the Association of American Medical Colleges' Council of Teaching Hospitals.
The analysis indicated that the new economics of managed competition requires teaching hospitals to focus on reducing costs through five main areas: decreasing poorly utilized beds, increasing the numbers of discharges, renovating facilities to modernize and streamline patient flow, utilizing fewer employees and thus boosting productivity, and improving the internal financing of operations and investments through working-capital management.
Achieving efficiency in operations in each of the five main areas will help teaching hospitals to survive the turbulence of market evolution toward managed care.
通过确定教学医院的运营与每次出院成本之间的关系，来描述在价格意识日益增强的管理式医疗市场中教学医院的经济状况。
对来自医疗保健财务管理局的1993年运营和财务数据进行了定量相关回归分析，样本为100家主要城市非联邦教学医院的全国性样本。该样本是从美国医学院协会教学医院理事会的成员中系统选取的。
分析表明，管理式竞争的新经济要求教学医院通过五个主要领域来专注于降低成本：减少利用不足的床位、增加出院人数、翻新设施以使患者流程现代化和简化、减少员工使用从而提高生产率，以及通过营运资金管理改善运营和投资的内部融资。
在五个主要领域中的每个领域实现运营效率，将有助于教学医院在向管理式医疗的市场演变的动荡中生存下来。
