Institutional design and the closure of public facilities in transition economies

As part of the reforms of their systems for financing and delivering health care, many transition economies, particularly in central and eastern Europe, have adopted national insurance funds that are institutionally separate from ministries of health. Most of these countries have also grappled with the problem of restructuring the delivery system, especially the need to reduce hospital capacity. Although improving the performance of medical care providers through a shift from passive budgeting to explicitly incentive mechanisms is important, why this change in financial relations between the government and providers could not be implemented simply by reforming the role of health ministries is not obvious. This paper presents an explicit rationale for the separation of powers between the regulator (the ministry of health) and the financing body (the insurance fund), based on the inability of a single agency to commit to closing hospitals. JEL classification: L51, P20, P35, I18.     

Measuring Hospital Performance in the Presence of Quasi-Fixed Inputs: An Analysis of Québec Hospitals

This research proposes an approach to measure hospital performance based on a generalization of Banker and Morey (1986) and Førsund (1996). This approach considers quasi-fixed inputs explicitly, calculates their implicit cost, and quantifies returns to scale. The performance measure is decomposed into allocative and technical inefficiencies. Based on a very complete data set of Québec hospitals, we find that significant inefficiencies of up to 17% ($700 CAN million) could have been saved through improved performance. Postestimation analyses that include qualitative measures of care suggest that differences in performance are attributable to differences in management or unobservable quality of care rather than patient case mix.     

浅谈医院无形资产的管理

在当今时代，无形资产已成为一项重要的经济资源。本文探讨了医院无形资产的性质、特征及核算内容等，指出医院管理者应提高对无形资产的认识，采取具体有效的管理措施，充分发挥无形资产的巨大威力。     

完善医院财务核算提高经济管理意识

医院财务部门受传统观念和体制的影响与束缚,只偏重于日常经济业务的记账、算账和报账,经济管理意识相对淡漠。提高医院财务部门的经济管理意识,应转变财务部门的职能,建立与医院业务活动相适应的成本核算方法和体系,规范财务工作,提高财务人员的素质和财务部门的管理水平。     

Examining the relationship between strategic HRM and hospital employees’ work attitudes: an analysis across occupational groups in public and private hospitals

Abstract

As human resource challenges have increased, strategic human resource management (SHRM) in hospitals has evolved into an important management task. Accompanying its growing relevance, there is an evolving research stream on the impact of SHRM on organizational and individual-level outcomes in the hospital context. We aim to address two remaining research gaps by investigating variations in the use of SHRM across organizations (public vs. private ownership types) and differences in the relationship between SHRM and employee attitudes within organizations (for the occupational groups of nurses and physicians). This study is based on a sample of 179 German acute care hospitals. We employ ANOVA and logistic regression analyses, and our results corroborate previous research findings showing that SHRM has positive effects on employee attitudes. However, the effects vary in significance and magnitude, depending on whether nurses or physicians are targets. Further, we reveal significant SHRM differences in public- vs. private-sector organizations.     

做好医院内部审计工作的几点思考

目前,随着我国社会经济的高速发展,医疗产业发展与经营形式的不断变化,医疗资源紧缺与群众就医需求的矛盾凸显,对医疗机构的内控管理提出了更高的要求。完善内部审计机制,优化内控管理的整体质量,不仅是新时期医院实现自我监督的改革路径,同时也是提升医疗资源配置形式,协调不同工作部门责任关系的关键内容。在此基础上,建立现代化内部审计机制,结合医院新时期发展特征,不断调整内控机制中不适应发展需求的部分,已经成为当前阶段医疗机构满足内部发展需求,创新财务管理模式的首要任务。     

新形势下医院内审范围及内容的思考

本文主要介绍了新形势下医院内审的范围及内容,并针对审计工作范围及内容扩大这一情况,提出了相应的解决对策。     

加强医院财务管理的对策分析

随着医疗改革的逐步深入,医院市场化竞争越来越激烈,财务管理作为医院管理的重要组成部,其重要作用越来越明显。在市场经济条件下,医院应当通过各种有效途径强化医院财务管理,如加强成本核算、降低消耗水平,使医院得到可持续发展。     

浅谈医院信息系统的安全维护

医院信息系统（HIS）在当今医院管理中发挥着不可替代的作用。该系统的广泛应用,给医院带来了巨大的经济效益。然而,一旦HIS系统运行出现问题,将给医院带来不可估量的损失,因此必须从中心机房、网络设备、服务器及数据库管理、病毒防范等方面采取相应的安全维护措施,以保障HIS系统的安全运行。