医疗成本控制的理论与实践  

Theory and practice of medical cost control

作　　者：张侃[1] 慕继丰[2] 冯宗宪[2] 

机构地区：[1]第四军医大学西京医院,陕西西安710032 [2]西安交通大学管理学院,陕西西安710049

出　　处：《中国卫生质量管理》2005年第3期45-48,共4页Chinese Health Quality Management

摘　　要：医疗费用的控制存在着一个两难困境,医疗费用的上升带来很多社会、政治和经济的问题。其上升的原因主要是医疗服务部门的浪费、欺诈和权利的滥用,人口结构的变化以及管理的效率等。控制成本上升的方法有管理保健方法和总额预算方法。如果引进管理保健政策,可能对中国医疗费用的降低没有多大帮助。可以借鉴总额预算的有关做法来降低医疗服务的成本,这对患者、医疗服务的提供者、医疗卫生的管理者和整个社会而言都有好处。Now we face a dilema in medical cost control, the rising cost in medical systems create the accordingly social, political and economic problems, the main reasons of rising cost in medical systems can be attributed to waste, fraugment and imbuse of power, changes in population structure, and manangement efficiency, etc.. The methods of cost control practically are managed care and tobal bugeting. The managed medical care systems may have no benifit at all in Chinese medicare cost control systems, we can partly adopt the tobal budgeting systems in cost control, and which will benifit the patients, the suppliers and the manangers of the medical systems thus will benifit the society as a whole.

关 键 词：医疗成本 管理保健 总额预算 

分 类 号：C931.2[经济管理—管理学] R197.323[医药卫生—卫生事业管理]