Hospital Competition with Soft Budgets

We study the incentives for quality provision and cost efficiency for hospitals with soft budgets, where the payer can cover deficits or confiscate surpluses. While a higher bailout probability reduces cost efficiency, the effect on quality is ambiguous. Profit confiscation reduces both quality and cost efficiency. First‐best is achieved by a strict no‐bailout and no‐profit‐confiscation policy when the regulated price is optimally set. However, for suboptimal prices, a more lenient bailout policy can be welfare‐improving. When we allow for heterogeneity in costs and qualities, we also show that a softer budget can raise quality for high‐cost patients.     

Hospital Mergers with Regulated Prices

We study the effects of a hospital merger in a spatial competition framework where semi‐altruistic hospitals choose quality and cost‐containment effort. Whereas a merger always leads to higher average cost efficiency, the effect on quality provision depends on the strategic nature of quality competition, which in turn depends on the degree of altruism and the effectiveness of cost‐containment effort. If qualities are strategic complements, then a merger leads to lower quality for all hospitals. If qualities are strategic substitutes, then a merger leads to higher quality for at least one hospital, and might also yield higher average quality provision and increased patient utility.     

医院计算机管理系统

本文基于医院计算机系统设计原则,结合医院网络建设的网络配置技术,提出了网络建设的方案,并对其运行环境及日常管理进行了分析。     

关于医院成本核算的若干思考

随着社会主义市场经济的深入开展,以及群众“看病难,看病贵”现象的日益突出,国家医疗卫生事业改革的步伐加快。两会刚刚闭幕。新的医改方案也正在酝酿当中,并将其纳入2007年政府工作重心之一,可见国家的决心。在严峻的市场挑战面前,医院要生存发展就必须加强医院内部建设,走优质、高效、低耗的质量效益型发展道路．为了使医院改革减少被动性,增强主动性,减少盲目性,增强理智性。应用现代企业成本学来管理医院,加强医院成本核算力度,是医院走上质量效益发展之路的必然选择。     

民营医院生态素描

策划前言：民营医院在中国起步30年,经历了20多年的实质性发展,在最近10多年才雨后春笋般出现。目前全国已拥有7068家民营医院,超过全国医院总数的1/3。民营医院的兴起,壮大了医疗机构总量,有助于缓解百姓看病难的矛盾。他们所带来的＂鲶鱼效应＂,也让整个卫生体制焕发新的生机。但这段看似褒义的评述,     

医院病理科的质量管理

为加强医院病理科的质量管理,提高病理诊断水平,保证医疗质量,促进临床工作。     

完善公立医院补偿机制的思考

公立医院的社会功能是公立医院存在的社会基础,也是公立医院获得政府财政补助、免税政策的依据。公立医院公益性淡化是当前看病难、看病贵的一个重要原因,而财务管理体制、财政补偿机制不健全又致使其公益性淡化。政府对公立医院的财政补偿应在区域卫生规划的指导下进行,以进一步完善医疗服务价格机制,加强医疗服务行为监管,控制不合理的医疗行为。     

Public Hospital Costs in Two Australian States

This study examines the long-run and short-run behaviour of public hospital average costs in two Australian States: Victoria and Queensland. Using adjusted weighted inlier-equivalent separations as a measure of hospital output, and floor area as a measure of capacity, the study finds a hump- or '∩'-shaped long-run average cost curve at the 5 per cent significance level in both data sets. The study also finds a saucer- or '∪'-shaped relationship between capacity utilisation and short-run average cost at the 5 per cent level.     

医院内部审计与风险管理

内部审计在医院运行中发挥重要的监控作用,已逐步由账项审计、制度审计、管理审计延伸到风险控制和风险管理,对风险及风险管理进行简要阐述,并对医院内部审计在风险控制和风险管理中的作用及如何参与风险管理进行了初步探讨。     

医院全面预算管理研究路径设计

借鉴企业全面预算管理的先进经验,结合医院的特点,设计医院全面预算“编制、执行、考核、改进”的PDCA流程,构建以全面预算管理为核心的医院内控体系,探索医院全面预算管理的一般规律,逐步建立全员参与、全面覆盖、全程跟踪的医院全面预算管理模式。