ABSTRACT
After the exploration of how to integrate the army and people, how to reform the medical treatment sys-tems, how to improve the critical and emergent treatment ability, how to improve the abroad medical support level, how to update the diagnosis and treatment by stages, how to solve the problems of insufficient medical resources and unbalanced resources allocation, following measures were proposed to solve the disgusting situation of "no doctors for critical disease, no surgeons for operation and insufficient support for medical security" for the soldiers and citi-zens performing their mission in the border areas and islands of our country and in foreign countries by applying the key remote medical technologies to the remote diagnosis of diseases, rote monitoring of chronic diseases, and rescue on the emergent disaster field.
ABSTRACT
Objective:To explore the calculation method for benefits of economy and society, and analyze and evaluate the performance of large medical imaging equipment.Methods: The data of magnetic resonance imaging (MRI), computed tomography (CT) and digital radiography (DR) during 2014-2016 were analyzed and the used frequency of equipment in research and teaching task was adopted to evaluate their social benefit. Accounting of single machine method and return on investment method were applied to calculate economic benefit. Finally, the benefit of large medical equipment was comprehensively and systematically evaluated.Results:The benefits of CT and MRI were good, and their overall benefit got steadily growth. While the overall benefit of DR was decline, even individual benefit of DR was loss. For these equipments whose benefits were not ideal, their disadvantages in purchasing, using and management process has been analyzed, and the continuous improvement and suggestion has been provided.Conclusion: Social benefits is an important part of the performance of large medical equipment used in research and teaching. The comprehensive assessment that economic benefits combines with social benefits has great significant for the cost-benefit analysis of large medical equipment.
ABSTRACT
After the exploration of how to integrate the army and people, how to reform the medical treatment sys-tems, how to improve the critical and emergent treatment ability, how to improve the abroad medical support level, how to update the diagnosis and treatment by stages, how to solve the problems of insufficient medical resources and unbalanced resources allocation, following measures were proposed to solve the disgusting situation of "no doctors for critical disease, no surgeons for operation and insufficient support for medical security" for the soldiers and citi-zens performing their mission in the border areas and islands of our country and in foreign countries by applying the key remote medical technologies to the remote diagnosis of diseases, rote monitoring of chronic diseases, and rescue on the emergent disaster field.
ABSTRACT
Objective To realize scientific allocation of medical monitors in clinical departments by evaluating quantitatively their social and economic benefits.Methods Analyses were executed on social and economic benefit indexes,including number or times of patients involved,utility time,volatility of utilization rate (VOUR),payback period and investment yield.Results Totally 457 monitors were involved in the study from January to June 2015,and the monitors had the number or times of patients being 20,utility time being 383 h,VOUR lower than 10％ (except that of February),mean payback period being 0.64 a and yearly mean investment yield being 137％.Conclusion The monitor has to be allocated by the equipment division in case of low social benefit.In case of high social benefit while low economic benefit,the monitor manufactured in China gains advantages due to short payback period,high investment yield and long free warranty time.The foreign monitor with specific function has to be selected in case of high social and economic benefits as well as requirements on special function.
ABSTRACT
An effective hospital performance appraisal system is still unavailable in China,which results in low efficiency of hospital operation to some degree.It is of great significance to carry out hospital performance appraisal for perfecting hospital performance appraisal system and promoting the efficiency of hospita1 management.Some issues should be bared in mind during the establishment of hospital performance appraisal system as follows.Single-faceted pursuit of economic benefits should be avoided.Combination of external hospital appraisal system and internal hospital appraisal system,and the overall application of performance appraisal in performance management should be stressed.It is also suggested to establish a three-leveled performance appraisal system including hospital level,department level and post level appraisal systems.We also argue that attention should be given to the selection of comprehensive appraisal methods,continuous mutual communication on performance,and timely adjustment.
ABSTRACT
The relationships in using efficiency and economic benefits of large-scale equipment and the cycle of turning back cost are discussed, and then the standards of full-load operation of large-scale equipment are discussed according to the analysis of utilization rate and a variety of radiotherapy techniques of large-scale equipment in past five years. On the above basis, some rational advices are proposed about how to reasonably use large-scale medical equipment and advanced treatment technique, providing high quality service for patients and achieving economic and social benefits simultaneously.
ABSTRACT
A change in the consumer's surplus was measured in order to evaluate the social benefit to be derived from expanding health insurance to the entire population. The most refined and correct way to measure a project's net benefit to society is to determine a change in the consumer's surplus. Benefits from introducing the health insurance program to the uninsured people can be classified into two elements. The first is the pricing-down effect(E1) which results from applying the insurance price system, which is lower than the actual price, to the uninsured patients. The second effect(E2) is a decrease in actual payment because an insured patient pays only a portion of the total medical bill(copayment). We collected medical price information from the data banks of 93 hospitals, and obtained information of medical utilization by referring to the results of other research and from data published by the Korean Medical Insurance Societies. The total net benefit was estimated as won214 billion, comprising the first effect(E1) of won57 billion and the second effect(E2) of won157 billion. The price elasticity of physician visits is less than that of hospital admissions; however, benefits from the increase in physician visits are greater than those from hospital admissions because there are considerably more of physician visits than hospital admissions. The sensitivity analysis also shows the conclusion that expansion of the health insurance program to the entire population would result in a positive net benefit. Therefore, we conclude that the National Health Insurance Program is socially desirable.