摘要
近年来,业财融合思想在公立医院运营管理中日渐深入,但其“一院多区”融合机制与体系建设问题尚不明晰。基于此,结合价值医疗理念,从“一院多区”运营管理思维、模式、范围和目标4个维度入手,探讨案例医院现有业财融合管理变革的实践举措与应用效果。“一院多区”业财融合体系应用后,床位使用率,医疗服务收入占比,住院患者次均费用,三、四级手术占比,成本收益率和住院患者满意度均显著提升,但各分院区仍存在不均衡现象。整体而言,价值医疗理念下的“一院多区”业财融合体系建设能够有效针对分院区管理难题,平衡规模扩张与内涵发展,提升服务效率与水平,改善患者就医体验。
In recent years,the concept of business-finance integration has been increasingly integrated into the operational management reforms of public hospitals.However,the mechanisms and systemic frameworks for“one hospital with multiple campuses”integration remain unclear.Against this backdrop,it explores the practical initiatives and application outcomes of business-finance integration management reforms in a case hospital,grounded in the principles of value-based healthcare and analyzed through four dimensions:operational management mindset,model,scope,and objectives.Following the implementation of the proposed framework,key performance metrics including bed utilization rate,proportion of medical service income,average cost per hospitalization,proportion of Grade III and IV surgeries,cost-to-income ratio,and inpatient satisfaction are demonstrated significant improvement.Nevertheless,disparities persisted across campuses.Overall,the value-based healthcare oriented business-finance integration system for“one hospital with multiple campuses”management proves effective in addressing challenges inherent to“one hospital with multiple campuses”coordination,balancing scale expansion with connotative development,enhancing service efficiency and quality in public hospitals,and improving patient care experiences.
作者
吕昕怡
陈彦
王晨
张艳丽
吴子怡
谢欣照
赵娜
薛嘉怡
朱健青
LüXinyi;Chen Yan;Wang Chen(School of Health Policy&Management,Nanjing Medical University,Nanjing,Jiangsu,211166,China;不详)
出处
《中国医院管理》
北大核心
2025年第8期19-23,共5页
Chinese Hospital Management
基金
2030科技创新“四大慢病”防治研究国家科技重大专项项目(2023ZD0503900,2023ZD0503902)
国家社会科学基金项目(23BGL287)
江苏省研究生科研与实践创新计划项目(KYCX24_2084)。
关键词
价值医疗理念
一院多区
业财融合
体系建设
value-based healthcare
one hospital with multiple campuses
business-finance integration
system construction
作者简介
通信作者:陈彦,E-mail:chenyandoc@163.com;通信作者:王晨,E-mail:1160376313@qq.com。
