基于平衡计分卡的公立医院增值型内部审计评价体系研究

本文研究了增值型内部审计在公立医院的实施途径,借助平衡计分卡的方法建立起公立医院增值性内部审计评价体系,确保增值性内部审计在公立医院的运行更加持续、有效。     

浙江省居民医疗服务满意度研究——基于对大医院、私人门诊和社区医院的调查

医疗服务的总体满意度与个体的真实感受差距较大,本文分别就大医院、私人门诊和社区医院的医疗服务对浙江省城乡居民开展满意度问卷调查,结果显示,不同类别的医院居民满意和不满意的方面差别较大,且近一半的居民都选择去大医院接受医疗服务,大医院的医疗服务满意度对总体满意度的影响最大,社区医院满意度对总体满意度影响不显著。     

新形势下医院经济管理的创新

我国医疗制度的不断完善以及市场环境的不断变化,对医院的经济管理在带来发展机遇的同时也带来了挑战。医院要想在激烈的竞争当中据优势位置,就要不断地创新其经济模式,提高其综合实力,进一步增强医院的经济管理能力,从而满足我国经济建设发展的需求。基于此,论文简要分析了新形势下医院经济管理的创新对策。     

Measuring Productivity and Quality Changes Using Data Envelopment Analysis: An Application to Catalan Hospitals

This paper focuses on hospital performance using Data Envelopment Analysis (DEA) and Malmquist index numbers. We present a new approach that restricts achievement in productivity if quality is reduced. Results present an apparent negative evolution in productivity. The decomposition on the Malmquist index shows a clear improvement in technical quality, a convergence in efficiency between frontier and non-frontier hospitals and a theoretical fall in technical change (drop of the best practice frontier between years). The conclusions present reasoning justifying these results and propose the use of this methodology for the appraisal of effectiveness in the public sector.     

全面预算管理应用于公立医院之我见

随着市场环境的变化及公共医疗市场的开放,公立医院面临的竞争日益激烈,寻找一种新的、完善的且在医院中能够广泛应用的预算管理制度已迫在眉睫。公立医院在全面预算管理的实施过程中,应做好全面预算管理目标的确定,全面预算的编制,全面预算执行与控制,全面预算的核算,全面预算差异分析与调整,全面预算的考评等方面工作。     

Rural hospital performance and its correlates

The cost, technical, allocative and scale efficiencies of a sample of rural U.S. hospitals are calculated via linear programming models. Tobit analysis is used to assess possible correlates of each of the efficiency measures. A large amount of dispersion in operating efficiency is found within our data set; the majority of the dispersion is due to technical inefficiency. In general, for-profit hospitals are found to outperform not-for-profit and public hospitals. Demand characteristics, quality of care, and the mix of services offered are also found to influence performance.     

The role of for-profit hospitals in medical expenditures: Evidence from aggregate data in China

The health care delivery system in China, which is dominated by state hospitals, is being increasingly challenged by public concerns: it is too expensive and too inaccessible, a complaint commonly phrased as “kai bin nan, kan bin gui” in Chinese. As the penetration of for-profit hospitals has gradually increased, there is a growing need for policy research to assess their impact on medical spending from the patient perspective. Using panel data at the provincial level in China, this paper examines the impact of the penetration of for-profit hospitals on average medical expenditures for both outpatient and inpatient services in public general hospitals. Based on fixed-effect model estimates, the study shows that the penetration of for-profit hospitals has lowered the average medical expenditures for both inpatient and outpatient services across regions, especially for pharmaceuticals. Together with other results, this study finds no evidence that private for-profit hospitals drive up average medical expenditures while serving their profit-maximization objectives. Rather, they help increase the market supply of health care, which in turn better serves the increasing demand.     

How does people’s liberation army related business closure affect the local economy?

People’s Liberation Army (PLA) related business was rampant in China in the 1980s and 1990s, and they significantly disrupted the local economy. However, due to limited data about PLAs, this issue is rarely investigated and thus the negative impact is hardly measured. In this paper we introduce a new proxy for measuring the approximate level of PLA related business in a specific city, PLA hospital score, to identify cities that are more affected by PLA related business closure. We then employ a difference-in-differences (DID) framework and show that PLA related business closure does bring positive effects to China’s local economy, about a 2% increase in GDP growth per year. We also find that this effect is more significant in cities with median economic size and cities that rely more on secondary and tertiary sectors. We finally provide a possible channel of this effect, which mainly works through providing a more efficient and competitive market to local private firms as well as an investment-friendly environment that attracts foreign investments.