PDCA在医院医保总额预付制管理中的应用  

The Application of PDCA in Hospital Administration of the Total Medicare Prepayment

作　　者：郭莺[1] 黄玉琼[1] 钱邻[1] 高鑫[1] 

机构地区：[1]复旦大学附属中山医院,上海200032

出　　处：《中国医疗保险》2012年第5期54-56,共3页China Health Insurance

摘　　要：目的:评价PDCA管理工具在医院医保实行总额预付制过程中的效果和意义。方法:运用PDCA循环法对全院各科室、各控费管理环节进行医保预付制费用管理。结果:医疗费用得到了有效控制,医保各项指标的完成情况均优于以前年度,并且控费政策执行较平稳。结论:运用PDCA法进行医院医保管理,能有效控制医疗费用增长并提高管理效能。Objective：To evaluate the effect and significance of the PDCA management tools in the hospital administration to implement the total prepayment.Methods：Using the PDCA cycle method to manage the expense of various departments of the hospital and the aspects of the control fee in the total prepayment.Results：The medical insurance costs have been effectively controlled.The completion of the cost indicators is better than the previous year,and the policy implementation of cost control is relatively stable.Conclusion：The application of the PDCA cycle can effectively control the growth of medical insurance costs and improve management performance in hospital administration of medical insurance.

关 键 词：PDCA循环法 医保总额预付制 费用控制 

分 类 号：F842.6[经济管理—保险]