本文關(guān)鍵詞：基于新制度的吉林省康健醫(yī)院成本管理研究　出處：《吉林大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 新制度 吉林省康健醫(yī)院 醫(yī)院成本管理

【摘要】：隨著醫(yī)療衛(wèi)生體制改革和醫(yī)療保險(xiǎn)支付制度改革的不斷深入，醫(yī)院成本核算和成本分析的重要性日益凸顯，新醫(yī)改政策要求公立醫(yī)院必須加快自身內(nèi)涵發(fā)展，才能達(dá)到“為患者提供精、細(xì)、安全的醫(yī)療衛(wèi)生服務(wù)”。在醫(yī)療市場(chǎng)競(jìng)爭(zhēng)不斷激烈和變化的情況下，醫(yī)院必須以特殊身份參與市場(chǎng)競(jìng)爭(zhēng)，這就要求醫(yī)院在堅(jiān)持公益性、福利性的同時(shí)，注重成本管理，新醫(yī)改制度改革力度巨大，醫(yī)院管理者要使醫(yī)院在激烈的市場(chǎng)競(jìng)爭(zhēng)中脫穎而出，就必須以最快的速度適應(yīng)改革帶來的轉(zhuǎn)變，歸根到底就是要求醫(yī)院能夠提高其醫(yī)療服務(wù)質(zhì)量、降低醫(yī)療服務(wù)成本，完善醫(yī)院的成本管理。因此，醫(yī)院管理人員應(yīng)進(jìn)一步探索醫(yī)院成本管理的趨勢(shì)，制定契合該趨勢(shì)的成本管理方案及措施，不斷優(yōu)化其成本管理體系，謀求醫(yī)院的可持續(xù)發(fā)展。 吉林省康健醫(yī)院作為一家三級(jí)甲等綜合性公立醫(yī)院，以科學(xué)發(fā)展觀為指導(dǎo)，強(qiáng)化學(xué)科建設(shè)，提高醫(yī)療服務(wù)能力。通過調(diào)整收入結(jié)構(gòu)，加強(qiáng)成本控制，實(shí)行醫(yī)院精細(xì)化管理。建立了一整套行之有效的成本管理體系，發(fā)揮各種科學(xué)的指標(biāo)在成本管理體系中的杠桿作用，切實(shí)解決成本管理的混亂、界限模糊、流于形式的問題，真正的體現(xiàn)了現(xiàn)代化醫(yī)院的綜合素質(zhì)。康健醫(yī)院堅(jiān)持以“工作標(biāo)準(zhǔn)、管理標(biāo)準(zhǔn)、技術(shù)標(biāo)準(zhǔn)”為基礎(chǔ)的精細(xì)化管理體系，從而推進(jìn)醫(yī)院可持續(xù)發(fā)展。 本文以醫(yī)院成本管理為切入點(diǎn)，將醫(yī)院成本管理理論與吉林省康健醫(yī)院實(shí)際相結(jié)合，通過對(duì)成本管理理論方法的研究和吉林省康健醫(yī)院成本管理中存在問題的剖析，以吉林省康健醫(yī)院為研究對(duì)象進(jìn)行資料收集、實(shí)地調(diào)查和分析研究，制定切實(shí)可行的制度和方法，以期解決吉林省康健醫(yī)院成本管理中的問題，實(shí)現(xiàn)對(duì)醫(yī)院的成本管理體系的重新構(gòu)建，使成本管理有效運(yùn)行，進(jìn)而實(shí)現(xiàn)吉林省康健醫(yī)院戰(zhàn)略目標(biāo)，將醫(yī)院的發(fā)展遠(yuǎn)景轉(zhuǎn)化為依據(jù)醫(yī)院發(fā)展的階段性目標(biāo)，使醫(yī)院近期的發(fā)展有遵循的原則和方向，同時(shí)又可朝醫(yī)院的遠(yuǎn)景目標(biāo)邁進(jìn)，讓醫(yī)院內(nèi)各層級(jí)的人員都能對(duì)醫(yī)院的長(zhǎng)期戰(zhàn)略有一個(gè)清楚的了解與認(rèn)識(shí)，使整個(gè)醫(yī)院，，各個(gè)科室之間的目標(biāo)互相融合。在此過程中，依托于電算化建設(shè)，提倡知識(shí)共享和高度的參與，讓每一個(gè)職工都有強(qiáng)烈的參與感和投入感，凝聚醫(yī)院的向心力。將成本管理與成本控制、績(jī)效考核相結(jié)合，制定出詳細(xì)的計(jì)劃并形成文檔記錄，從提高醫(yī)院的醫(yī)療質(zhì)量、運(yùn)營(yíng)效率到提高內(nèi)部員工和外部患者的滿意度，最后促進(jìn)吉林省康健醫(yī)院健康、可持續(xù)發(fā)展。 本文的研究過程和結(jié)論將為醫(yī)院成本管理存在問題及新制度下對(duì)策實(shí)施提供參考，對(duì)其管理的規(guī)范和實(shí)施起到一定的促進(jìn)作用。
[Abstract]:With the deepening of the reform of medical and health system and the reform of medical insurance payment system, the importance of hospital cost accounting and cost analysis has become increasingly prominent. The new medical reform policy requires public hospitals to speed up the development of their own connotation. In order to achieve "to provide patients with fine, fine, safe medical and health services". In the medical market competition is constantly fierce and changing, hospitals must participate in the market competition with a special status. This requires hospitals to adhere to public welfare, welfare at the same time, pay attention to cost management, the new medical reform system reform is huge, hospital managers want to make hospitals stand out in the fierce market competition. It is necessary to adapt to the changes brought about by the reform at the fastest speed. In the final analysis, hospitals are required to improve the quality of their medical services, reduce the cost of medical services, and improve the cost management of hospitals. Hospital management personnel should further explore the trend of hospital cost management, formulate cost management programs and measures that accord with the trend, constantly optimize its cost management system, and strive for the sustainable development of the hospital. As a general public hospital of Grade 3A, Jilin Province Health Hospital is guided by the scientific development view, strengthens the discipline construction, enhances the medical service ability, strengthens the cost control by adjusting the income structure. Implement hospital fine management. Set up a set of effective cost management system, play a role of leverage of various scientific indicators in the cost management system, effectively solve the confusion of cost management, fuzzy boundaries. The problem of mere formality truly reflects the comprehensive quality of modern hospitals. Health Hospital insists on a fine management system based on "working standard, management standard and technical standard". So as to promote the sustainable development of hospitals. This article takes the hospital cost management as the breakthrough point, unifies the hospital cost management theory with the Jilin Province healthy hospital actual. Through the study of the cost management theory and methods and the analysis of the existing problems in the cost management of Jilin Province Health Hospital, taking Jilin Province Health Hospital as the research object of data collection, field investigation and analysis. In order to solve the problems in the cost management of Jilin Province healthy Hospital, to realize the reconstruction of the cost management system of the hospital, and to make the cost management run effectively. In order to realize the strategic goal of Jilin Province healthy hospital, the hospital's development prospect is transformed into the stage goal of hospital development, so that the hospital's recent development has the principle and direction to follow. At the same time, we can make progress towards the long-term goal of the hospital, so that the staff at all levels of the hospital can have a clear understanding and understanding of the long-term strategy of the hospital, so that the whole hospital. In this process, relying on the construction of computerization, promoting the sharing of knowledge and a high degree of participation, so that every worker has a strong sense of participation and commitment. Combine cost management with cost control, performance appraisal, make out detailed plan and form document record, improve the quality of hospital medical treatment. Operational efficiency to improve internal staff and external patient satisfaction, and finally promote the health of Jilin Province Health Hospital, sustainable development. The research process and conclusions of this paper will provide a reference for the problems existing in hospital cost management and the implementation of countermeasures under the new system, and will play a certain role in promoting the standardization and implementation of hospital cost management.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R197.3

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本文編號(hào)：1432888