According to the idea of cost control based on the value chain, several important factors are necessary. Firstly, it is necessary to have enough resources, which must be invested to create advantageous value chain bas...According to the idea of cost control based on the value chain, several important factors are necessary. Firstly, it is necessary to have enough resources, which must be invested to create advantageous value chain based on customer value. It is also necessary to be sure of the cost advantage of the value chain. Secondly, the consumption of resources must be reduced as much as possible to enable the smallest operating cost for the value chain and make sure of the cost advantage based on maximum business value or profit. It is a kind of cost control from the whole view of creation and supply of value. In practice, it is also a kind of cost control system based on the value chain. It includes enough control and necessary resource investment from the view of the value creation, and keeps consumption of resources to a reasonable level from the view of the value supply. The main object of the first factor is to construct the advantageous value chain from creating customer value; and the second factor is to strengthen the advantageous value chain from supplying or producing customer value. Therefore it is a new kind of idea to explore this cost control from the whole view of creation and supply of value. It is more profitable for businesses to gain sustainable competitive advantage.展开更多
目的探讨疾病诊断相关分组(diagnosis related group,DRG)收付费实施对房颤射频消融术费用的影响。方法采用回顾性分析与描述性分析相结合的方法,导出福建省立医院2021年1—6月(实施前)326例,2022年1—6月(实施后)363例进行分析对比。分...目的探讨疾病诊断相关分组(diagnosis related group,DRG)收付费实施对房颤射频消融术费用的影响。方法采用回顾性分析与描述性分析相结合的方法,导出福建省立医院2021年1—6月(实施前)326例,2022年1—6月(实施后)363例进行分析对比。分析DRG实施前后房颤射频消融术各种费用指标(住院天数、药品费、手术费、医务性收入、耗材费、麻醉费、检查化验费)的变化情况。采用多元线性回归分析住院总费用的影响因素,采用方差分析并发症对患者住院总费用的影响。结果DRG收付费实施后住院天数短于实施前,药品费、耗材费、手术费均低于实施前,医务性收入高于实施前,差异有统计学意义(P<0.05);DRG收付费实施前后检查化验费、麻醉费比较,差异无统计学意义(P>0.05)。耗材费、药品费是影响医保支付金额的主要因素(P<0.05);无并发症组的住院总费用为(78290.320±5020.166)元,1个并发症组的住院总费用为(84669.870±20566.278)元,2个并发症组的住院总费用为(84881.250±20369.003)元,3个并发症组的住院总费用为(93440.170±28814.175)元,患者住院总费用比较,差异有统计学意义(P<0.05),并发症越多,患者住院总费用越高。结论DRG收付费制度对优化医疗费用结构有一定作用,实施DRG能有效降低医疗费用,减少居民医疗服务支出,提高医疗服务质量,对推进我国DRG收付费的实施具有重大意义,为进一步推动完善DRG收付费改革提供理论依据,对于遏制医疗费用不合理增长、推动公立医院加强自身运营能力建设具有重要的理论与现实意义,但仍存在一些问题需要完善。展开更多
Medical education is associated with significant costs[1].These costs have led to a growing interest in how to deliver high quality or high quantity education on a limited budget.This in turn has led to an interest in...Medical education is associated with significant costs[1].These costs have led to a growing interest in how to deliver high quality or high quantity education on a limited budget.This in turn has led to an interest in how best to measure quantity,quality and cost and how to track these variables over time.The ultimate aim of the interest in cost and value in medical education is to展开更多
The aim of the work performed in this paper is to present a composite indicators framework to guide sustainable transportation planning in Lebanon by assessing the sustainability marginal cost of Land Transport modes ...The aim of the work performed in this paper is to present a composite indicators framework to guide sustainable transportation planning in Lebanon by assessing the sustainability marginal cost of Land Transport modes used mostly based on ICE (internal combustion engine) auto dependence. The framework covers 6 indicators of the triple bottom line of sustainability (economy, society, and environment): operating cost, energy consumption, noise exposure, congestion delay, emissions, and safety. The framework process follows an evaluation toolkit that monitors the cost implied from listed individual indicators of transport mode. Moreover, this evaluation methodology can be used to estimate to an acceptable degree the cost variation resulting from transport mode modifications within same geographical zone. This cost variance is the main interest of investors and decision makers seeking profits and successful results of their transportation planning process. A case study is executed in Lebanon GBA (Greater Beirut Area), where the annual cost of an alternative consisting of light rail transit (LRT) to passenger cars (PC) system is assessed;applying the stated methodology. Results show clearly an environmental amelioration with a reduction of 4,651,817,100 MJ of energy and 181,936 ton of CO2 emissions in addition to a saving of 255,643,035$ annually.展开更多
“This is awful.”Humphrey frowned.“You expect me to paythe moon for a tiny bag of groceries?”The clerk was sympathetic.“It seems everything costs the moon these days,”he shrugged.Topay the moon is to pay a lot of...“This is awful.”Humphrey frowned.“You expect me to paythe moon for a tiny bag of groceries?”The clerk was sympathetic.“It seems everything costs the moon these days,”he shrugged.Topay the moon is to pay a lot of money,and things that cost展开更多
文摘According to the idea of cost control based on the value chain, several important factors are necessary. Firstly, it is necessary to have enough resources, which must be invested to create advantageous value chain based on customer value. It is also necessary to be sure of the cost advantage of the value chain. Secondly, the consumption of resources must be reduced as much as possible to enable the smallest operating cost for the value chain and make sure of the cost advantage based on maximum business value or profit. It is a kind of cost control from the whole view of creation and supply of value. In practice, it is also a kind of cost control system based on the value chain. It includes enough control and necessary resource investment from the view of the value creation, and keeps consumption of resources to a reasonable level from the view of the value supply. The main object of the first factor is to construct the advantageous value chain from creating customer value; and the second factor is to strengthen the advantageous value chain from supplying or producing customer value. Therefore it is a new kind of idea to explore this cost control from the whole view of creation and supply of value. It is more profitable for businesses to gain sustainable competitive advantage.
文摘目的探讨疾病诊断相关分组(diagnosis related group,DRG)收付费实施对房颤射频消融术费用的影响。方法采用回顾性分析与描述性分析相结合的方法,导出福建省立医院2021年1—6月(实施前)326例,2022年1—6月(实施后)363例进行分析对比。分析DRG实施前后房颤射频消融术各种费用指标(住院天数、药品费、手术费、医务性收入、耗材费、麻醉费、检查化验费)的变化情况。采用多元线性回归分析住院总费用的影响因素,采用方差分析并发症对患者住院总费用的影响。结果DRG收付费实施后住院天数短于实施前,药品费、耗材费、手术费均低于实施前,医务性收入高于实施前,差异有统计学意义(P<0.05);DRG收付费实施前后检查化验费、麻醉费比较,差异无统计学意义(P>0.05)。耗材费、药品费是影响医保支付金额的主要因素(P<0.05);无并发症组的住院总费用为(78290.320±5020.166)元,1个并发症组的住院总费用为(84669.870±20566.278)元,2个并发症组的住院总费用为(84881.250±20369.003)元,3个并发症组的住院总费用为(93440.170±28814.175)元,患者住院总费用比较,差异有统计学意义(P<0.05),并发症越多,患者住院总费用越高。结论DRG收付费制度对优化医疗费用结构有一定作用,实施DRG能有效降低医疗费用,减少居民医疗服务支出,提高医疗服务质量,对推进我国DRG收付费的实施具有重大意义,为进一步推动完善DRG收付费改革提供理论依据,对于遏制医疗费用不合理增长、推动公立医院加强自身运营能力建设具有重要的理论与现实意义,但仍存在一些问题需要完善。
文摘Medical education is associated with significant costs[1].These costs have led to a growing interest in how to deliver high quality or high quantity education on a limited budget.This in turn has led to an interest in how best to measure quantity,quality and cost and how to track these variables over time.The ultimate aim of the interest in cost and value in medical education is to
文摘The aim of the work performed in this paper is to present a composite indicators framework to guide sustainable transportation planning in Lebanon by assessing the sustainability marginal cost of Land Transport modes used mostly based on ICE (internal combustion engine) auto dependence. The framework covers 6 indicators of the triple bottom line of sustainability (economy, society, and environment): operating cost, energy consumption, noise exposure, congestion delay, emissions, and safety. The framework process follows an evaluation toolkit that monitors the cost implied from listed individual indicators of transport mode. Moreover, this evaluation methodology can be used to estimate to an acceptable degree the cost variation resulting from transport mode modifications within same geographical zone. This cost variance is the main interest of investors and decision makers seeking profits and successful results of their transportation planning process. A case study is executed in Lebanon GBA (Greater Beirut Area), where the annual cost of an alternative consisting of light rail transit (LRT) to passenger cars (PC) system is assessed;applying the stated methodology. Results show clearly an environmental amelioration with a reduction of 4,651,817,100 MJ of energy and 181,936 ton of CO2 emissions in addition to a saving of 255,643,035$ annually.
文摘“This is awful.”Humphrey frowned.“You expect me to paythe moon for a tiny bag of groceries?”The clerk was sympathetic.“It seems everything costs the moon these days,”he shrugged.Topay the moon is to pay a lot of money,and things that cost
