| 李 广,华 伟,朱 洁.从经营管理的角度分析肿瘤专科医院实施精细化管理的路径[J].中国肿瘤,2019,28(3):191-197. |
| 从经营管理的角度分析肿瘤专科医院实施精细化管理的路径 |
| Implementation of Fine Management in Cancer Specialized Hospital from the Perspective of Operation and Management |
| 投稿时间：2018-12-12 |
| DOI：10.11735/j.issn.1004-0242.2019.03.A006 |
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| 中文关键词: 肿瘤医院 精细化管理 经营管理 |
| 英文关键词:cancer hospital fine management operation and management |
| 基金项目: |
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| 摘要点击次数: 2040 |
| 全文下载次数: 323 |
| 中文摘要: |
| 摘 要：［目的］ 针对肿瘤专科医院存在的药品收入占比高，设备维保成本大，高值耗材使用量多等特点，寻求医院在实施经营管理方面的新措施，为肿瘤专科医院提高精细化管理水平提供参考。［方法］ 以浙江省肿瘤医院实施精细化管理的实践为例，介绍医院精细化管理工具和方法，并对2014～2017年的经济运行指标进行对比分析。［结果］ 2017年医院的各项经济运行指标进一步改善，门急诊均次费用下降到728.56元；住院均次费用下降到17 528元；平均住院日减少到8.76d；药品、耗材、检查、化验收入总占比下降到73.13%；药占比下降到44.86%；门急诊人次同比2014年增长19.74%；出院人次同比2014年增长39.92%；住院手术人次同比2014年增长29.04%；收入结构逐步得到调整，医疗服务收入同比2014年增长41.55%；2017年医院总收入预算执行率达到106.39%，总支出预算执行率达到100.89%。［结论］ 肿瘤专科医院可以借助信息化的技术和手段，创新精细化管理路径的多种方式，使医院的发展进入良性循环轨道。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the measures for implementation of delicacy management in cancer specialized hospital from perspective of operation and administration. ［Methods］ Taking the practice of fine management in Zhejiang Caner Hospital as an example，the refined management tools and methods used in the hospital were introduced，and the economic operation indicators from 2014 to 2017 were analyzed.［Results］ In 2017，the economic operation indicators of the hospital were further improved，the average outpatient and emergency expenses per patient visit dropped to 728.56 Yuan；the average hospitalization expenses dropped to 17 528 Yuan per discharged patient；the average length of hospital stay decreased to 8.76d；the total proportion of expenses for drug，consumables，examination and laboratory tests decreased to 73.13%；the proportion of drug expenses dropped to 44.86%. Compared to 2014，the number of outpatient and emergency patient visits increased by 19.74%；the number of discharges increased by 39.92%；the number of operation for inpatients increased by 29.04%；and the revenue of medical services increased by 41.55%. The budget execution rate of total revenue and expenditure reached 106.39% and 100.89%，respectively in 2017. ［Conclusion］ With the information technology and means，cancer specialized hospitals can innovate a variety of ways for refined management，so as to make the development of hospitals into a virtuous circle track. |
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