医学教育管理 ›› 2020, Vol. 6 ›› Issue (1): 70-72,82.doi: 10.3969/j.issn.2096-045X.2020.01.016

• 医院管理 • 上一篇    下一篇

新形势下公立医院加强成本管理的思考

杨 莉, 张 霄, 吴群育, 王国玮   

  1. 首都医科大学附属北京中医医院,北京 100010
  • 收稿日期:2019-09-11 出版日期:2020-02-20 发布日期:2020-03-12
  • 通讯作者: 王国玮

Thoughts on strengthening cost management in public hospitals in the era of new medical reform

Yang Li, Zhang Xiao, Wu Qunyu, Wang Guowei   

  1. Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China
  • Received:2019-09-11 Online:2020-02-20 Published:2020-03-12

摘要: 新医改给医院带来了机遇和挑战,面对部分医疗服务成本价格倒挂、财政拨款不足、分级诊疗及医保付费政策的影响,公立医院面临的运营环境越来越复杂,财务环境越来越艰难。从公立医院开展成本管理的必要性和重要性入手,结合目前公立医院成本管理中存在的问题,提出加强公立医院成本管理的途径和建议。笔者认为建立公立医院全面成本管理体系,通过科学有效的成本管理,提高医院资源的使用效益,从而提升医疗服务成本的自我补偿能力,实现医院财务收支的平衡是保持医院可持续发展的一项有效途径。

关键词: 新医改, 公立医院, 成本管理, 可持续, 发展

Abstract: The era of new medical reform brings opportunities and challenges to hospitals, faced with the impact of some medical services cost price inversion, insufficient financial allocation, grading diagnosis and treatment and medical insurance payment policies, the operating environment and the financial environment of public hospitals are increasingly complicated and difficult. This paper starts with the necessity and importance of cost management in public hospitals, then proposes ways and suggestions to strengthen the cost management of public hospitals, to solve the problems existing in the cost management. The author believes that the establishment of a comprehensive cost management system for public hospitals, through the scientific and effective cost management, can improve the use of hospital resources, improve the self-compensation ability of medical service costs, achieve the balance of hospital financial revenue and expenditure, proving a effective ways for sustainable development of hospitals.

Key words: new medical reform ,  public hospitals ,  cost management ,  sustainable ,  development

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