Changes in the Effects of Mandatory Rate Regulation On Growth in Hospital Operating Costs, 1980–1996

We conduct a panel data fixed effects analysis of hospital costs from 1980 through 1996. Consistent with the findings of similar studies, hospitals residing in all-payer rate regulated states in 1984 and 1991 had operating costs approximately 3 to 4 percentage points lower than their less regulated counterparts. However, by 1996, the effect of rate regulation on hospital costs was reduced to approximately -0.4 percent, a result that narrowly achieves statistical significance (p = 0.09). Hospitals residing in relatively concentrated markets, measured by the Herfindahl-Hirschman Index, were more likely to have higher operating costs, an effect that increased in magnitude over time. The results support the conclusion that hospitals in markets with comparatively less rate regulation or more competition have lower operating costs than their regulated or less competitive counterparts.     

黑龙江省乡镇卫生院信息网络建设的思考

随着新农村建设的深入开展,建设黑龙江省乡镇医疗系统的信息网络,解决好广大农村人口的医疗保障问题已是迫在眉睫。加强乡镇卫生院信息网络建设,可以加强政府在乡镇卫生院建设中的作用;加强乡镇卫生院内部管理;筹建乡镇医疗信息网络。     

Assessing organizational fitness on a dynamic landscape: an empirical test of the relative inertia thesis

This paper proposes an empirical framework for evaluating the relative structural inertia hypothesis, a central assumption of organizational ecology theories. In stark contrast to the tenets of strategic management, the relative inertia thesis claims that organizations are typically unable to match structural changes to their competitive environments in a timely fashion. The hypothesis is tested for the hospital industry in California during the 1980–90 time frame. Strategic movements in a competition ‘landscape’ are tracked using a variant of the Jaccard similarity coefficient, which has been applied in numerous studies of biological competition. Findings indicate that few hospitals are able to overcome inertial forces in adapting their service portfolios; furthermore, the ability of hospitals to strategically reposition themselves decreases markedly with provider density. Analyses also investigate the relation between organizational attributes (e.g., age, size, mission, and portfolio scope) and adaptability. Implications for both ecological and strategic theory are pursued. © 1997 John Wiley & Sons, Ltd.     

医院人力资源管理的发展策略分析

本文通过对目前医院人力资源管理的现状进行分析,从人力资源管理的发展方向出发,提出为适应现代人力资源管理逐步向市场化、规范化、科学化、国际化和职业化的方向发展,不断创新医院人力资源管理的应对策略。     

医院药房财务管理相关问题分析

财务管理作为医院管理工作的重要部分,对医院的经营活动起着至关重要的作用。它在一定程度上确保医院各项经济活动的开展,保证医院能够良好运行。论文以医院财务管理中出现的问题为切入点,分析其出现的原因并提出相关的解决办法,希望可以为医院财务管理工作提供一些建议和帮助。     

落实新医院会计制度,提高医院会计信息质量

任何一项制度都是在特定的社会经济背景下颁布实施的,医院会计制度也是如此。医院的制度建设是保证医院财务会计工作的重要基础,会计制度的建设与医院发展密切相关。本文主要探讨了新医院会计制度的颁布,并对提高医院会计信息质量展开了论述。     

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.     

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。     

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。     

NHS CAPITAL INVESTMENT AND PFI: FROM CENTRAL RESPONSIBILITY TO LOCAL AFFORDABILITY

At its inception, the NHS was structured as a public corporation, which owned its hospitals. Sixty years on, hospitals are business units or Trusts, which are responsible for capital investment in a local region. The Private Finance Initiative (PFI) has become the predominant mode of financing new hospitals. This paper's purpose is to review the impact of PFI. A literature review traces the various stages of the NHS' hospital investment programme and the research method is a case study. The findings show that PFI is leading to additional costs and complexity that make the achievement of the NHS's objectives difficult.