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价值链视角下公立医院手术室成本管理难点及策略研究

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在公立医院高质量发展和DRG/DIP支付方式改革的双轮驱动下,公立医院运营模式急需转向"降本增效"的集约模式.手术室作为医院业务运转的枢纽和资源融合的重要中心,其精益化管理影响着公立医院实现"三转变、三提高"高质量发展目标.基于价值链视角,从作业成本动因、执行性成本动因和结构性成本动因3个方面探讨公立医院手术室成本管理的难点,并提出管理策略,以促进手术室精益化管理,助力公立医院加强成本管控和提高运营效率.
Research on the Difficulties and Strategies of Operating Room Cost Management in Public Hospitals from the Perspective of Value Chain
Driven by the two-wheel wheels of high-quality development of public hospitals and DRG/DIP payment reform,the operation mode of hospitals urgently needs to shift to the intensive mode of"cost reduction and efficiency increase".As the hub of hospital business operation and an important center of resource integration,the lean management of operating room affects the realization of high-quality development goals of"three transformations and three improvements".Based on the perspective of value chain,it discusses the difficult problems of operating room cost management in public hospitals from three aspects:operation cost motivation,execution cost motivation and structural cost motivation.Then,it puts forward corresponding management strategies to promote lean management of operating room,and help public hospitals to strengthen cost control and improve operational efficiency.

public hospitaloperating roomcost managementvalue chain

梁红梅、杨少春、刘雅娟

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上海交通大学医学院附属新华医院 上海 200092

上海申康医院发展中心 上海 200041

公立医院 手术室 成本管理 价值链

中国卫生经济学会卫生健康经济管理重点研究课题(第二十四批)上海市卫生经济学会科研项目

CHEAZZ20232403XHZZ07

2024

中国医院管理
中国医院管理杂志社

中国医院管理

CSTPCD北大核心
影响因子:2.15
ISSN:1001-5329
年,卷(期):2024.44(6)
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