新常态下医院财务预算管理模式的探索

Exploration on the Management Mode of Hospital Financial Budget under the New Normal

目的:为了有效地提高公立医院的管理水平,缓解"看病难、看病贵"的民生热点问题。方法:采用信息化的手段和程序化的设计,通过"一网二图三表"的精细化方法,建立起"以成本控制为核心"的全面预算、分级管理模式。结果与结论:促进了医疗行为的进一步规范,近三年来,平均住院日由10.8天下降到9.5天,药品比例由43%下降到36%,门诊和住院均次费用增长率分别由5%和2%下降到-6%和-2%。

Objective： To effectively improve the management level of puhlie hospitals and to ease hot issues of the people＇s liveli- hood, such as ＂the difficult and expensive medical treatment＂. Methods： The means of informationization and programming design were applied to establish the ＂cost control centered＂ overall budget and classification management mode based on the refined method- ology of ＂one network, two figures and three tables＂. Results and Conclusion： It improved the further regulation on medical treatmerit. In last 3 years, the average hospitalization clays reduced from 10.8 days to 9.5 days, while the drug ratio dropped from 43% to 36%. Meanwhile, the growth rate of average outpatient and inpatient cost decreased from 5% and 2% to -6% and -2%.