A study of the points for attack on the problem of hospital control of medical cost and the intensity of the attack / 中华医院管理杂志

ABSTRACT

A summary is made on a11 the experiences from five attached general hospitals which carried out Shanghai new policy of Work rescheduling and organization restracturing.The external pressure and internal motive of the change from"compulsory rescheduling"to"voluntary rescheduling" are analyzed.A search for the distribution of the points for attack on the problem of hospital control of medical cost is made.A comparative study is conducted on the relationship between time and the inten- sity of the control,the inner relationship between the independent variables and the intensity of control. The conclusion shows the change of the hospital's control role to the voluntary one has something to do with the equalibrium of relative forces.The point for breakthrough lies at the control of drugs.A search for the points for attack on the problem of hospital control of medical cost is not only necessary for arresting the rocketing of medical cost,but also helpful for capturing the confidence of the concerned and strengthening hospital management,thus laying a good foundation for a stable transition to a new healthcare insurance program.