浅谈高校附属医院特色文化建设与研究——以三峡大学第二临床医学院为例

以医院文化建设作为医院管理的核心内容,构建具有"应用创新型"特色的医院文化。坚持"以人为本"、"以病人为中心"的管理和服务理念,充分发挥全体师生员工的积极作用,实施文化强院战略,促进学校和医院核心竞争力的提高,推动高校附属医院健康、和谐发展。     

我国公立医院法人治理结构模式探索

本文就我国医疗体制改革以来,对现阶段公立医院法人治理结构模式的几种探索进行比较研究,比较现有模式之间的优缺点及适用性。     

Public-private partnerships in health care services: Do they outperform public hospitals regarding quality and access? Evidence from Portugal

Public-private partnerships (PPPs) are widely spread long-term arrangements between governments and strategic private partner(s). One of their objectives is to reduce the financial pressure on the public treasury with regard to new investments. PPPs have been employed within the health care sector which, in turn, carries a huge social burden. In Portugal, for instance, PPPs in health care concern bundling hospital infrastructure and clinical services management. Notwithstanding the need to ensure sustainability and efficient use of hospital resources, it is clearly compulsory to guarantee that patients receive appropriate and timely care, with maximum security, and equitable manner. Still, little or even no attention has been paid in the literature to the clinical response capacity of PPP hospitals and to the populism arguing that these entities have a lower social performance than typical public hospitals. This study uses robust benchmarking methodologies alongside recent data about Portuguese hospitals (FY2012-FY2017) to demystify this idea and to demonstrate that, actually, PPP hospitals can deliver health care services with social performance levels at least as good as public hospitals.     

Technical and organisational aspects in enterprise resource planning systems implementation: lessons from a Spanish public hospital

Public resources should always be managed efficiently, more so in times of crisis. Due to the specific characteristics of the healthcare sector, there is a need for special attention, especially in regards to hospitals. Administrators need useful tools to be able to efficiently manage available resources, such as enterprise resource planning (ERP) systems. Therefore, an analysis of the effects of their implementation and use in hospitals is valuable. This study has two purposes. One is to analyse the role ERP systems play in aiding the integration of hospital data, with focus on user satisfaction as well as possible resistance to change. The other purpose is to analyse the effects of implanting and using ERP systems in the hospital environment and identifying how certain variables influence the process, especially the existence of different organisational cultures. Results indicate that clinical information has become notably more integrated, despite the lack of flow in the economic–financial area. The heterogeneous nature of the different groups, clinical (Medical, Nursing) and non-clinical (Economic–Financial, Accounting), had a negative influence on the implementation process, and limited the integration of information as well as the system's performance.     

国有医院成本核算管理与控制初探

建立完整的成本核算体系才能保证成本核算的顺利进行,因此加强国有医院成本核算的管理和控制势在必行。简述医院成本核算管理与控制,分析医院成本核算控制与管理必须处理的几种关系。     

An analysis of exotic wagers in a parimutuel setting

In US horse racing, there is increasing emphasis placed on the creation of exotic wagers - those bets beyond the standard win, place and show. Bets on multiple races that typically do not result in a winner for several days are of particular interest to the industry. The growing carryover pool helps attract people to the racetrack in a way similar to a growing carryover in the lottery attracts more people to participate. This article examines several multiple race bets and provides a framework for their comparative analysis. The results of the analysis will help racetrack management decide if a proposed bet is appropriate for their particular track. This analysis shows a tradeoff between the difficulty of winning the bet versus the amount of the ultimate payoff. If a bet is too easy to win, then the carryover pool will never reach an attractive level. If the bet is too difficult to win, then the bettors will lose interest before the carryover pool is able to grow sufficiently large. The amount of money wagered daily is an important consideration in determining the appropriate type of exotic wager to implement.     

医院个性化关怀电子商务整体解决方案——以民营医院为例

病人是医院的命脉,只有赢得客户,才能赢得未来。病人就诊,除了关心医院本身的医疗实力,考虑最多,最影响决策的因素,就是医院的服务了。很显然,病人的需求在人满为患的公立医院是无法实现的。本文从电子商务的内涵及发展出发,分析了当今民营医院发展的处境和遇到的问题,并指出了在电子商务发展时代,加强客户关系管理是解决民营医院实际问题的最佳途径;本文还重点提出了民营医院个性化关怀通过电子商务实现的解决方式和发展策略。     

我国非营利性医院PPP项目回报机制合规性研究及对策建议

首先,介绍了我国非营利性医院PPP项目的实践情况,进而通过典型案例分析从合规性角度指出了目前投资回报机制在回报方式、合作范围方面存在的问题,最后提出相应建议。     

Economics at the FTC: Data Intensive Mergers and Policy R&D

Economics at the Federal Trade Commission (FTC) supports both the competition and consumer protection missions of the agency. In this year’s essay we discuss a range of activities focusing on data-intensive antitrust cases in the hospital and consumer products industries. We also discuss our most recent work on gasoline pricing. Policy-focused research and competition advocacy takes center stage as we discuss some health care advocacy work in the administration of pharmaceutical insurance benefits and efforts to understand the real estate business more completely. Finally, we describe our efforts to quantify the extent of “identity theft”.     

Convergence across alternative methods for forming strategic groups

We studied the convergence of three different methods for identifying group structure (strategic groups) in a single competitive environment. Using a version of the MTMM matrix, we tested the convergent validity of the concept of strategic groups in a mature, geographically delimited competitive environment. We find significant evidence of convergence between competitive structures identified using archival and perceptual data as well as those identified using archival measures of strategy and direct measures of competitors. There is limited evidence of convergence between competitive structures identified from perceptual and direct measures. Taken as a whole, these results are consistent with the emerging theory of strategic groups. We conclude that strategic groups are a theoretical construct and not a methodological artifact, as is suggested by some authors. © 1997 John Wiley & Sons, Ltd.