公立医院资源浪费及解决方法.doc

公立医院的资源浪费及解决方法 Waste of medical resources in public hospitals causes and solutions 1. Background Hospital and department overview: Yunnan Provincial Tumor Hospital, Yunnan Province set of medical, research, teaching, and prevention in one of the Provincial Tumor Hospital, Yunnan Province Cancer Prevention Research, personnel training and the center of the tumor academic exchanges. Hospital in 1992 officially clinic existing medical space of approximately 100,000 square meters, 1,500 sheets open beds, has 23 clinical departments, 11 medical technology departments. Founded in June 1994, the Department of Medical Oncology Yunnan cancer chemotherapy clinical research center affiliated cancer chemotherapy specialist. Sections of the existing medical staff of 25 people, including physicians 9 (Branch Officer 1, 8 all physicians), nurse 16, 46 open beds. Only 10% of the hospitals financial portion of the payment of wages and salaries and social insurance by government funds, and the remaining 90% of income generation by all staff. 2. A hospital economic performance appraisal Profile Hospitals to implement hospital, department two management systems, scientific director responsibility system, so the management of human resources department, finance department director rights are vested in the hands of one person, only the department director has the authority to decide whether to appoint new staff and additional equipment. Departments to implement full cost-accounting, performance pay for all employees’ commission in accordance with the types of income, such as: treatment costs (physician checkups, care, physiotherapy fees) commission of 32%, inspection fees (laboratory tests, ultrasound, CT and other equipment checks charges) commission of 10% and so on. And every penny of expenditure should be deducted from revenue department, and even brought a clothes from the hospital should be deducted from the pay for performance (but more expensive than buying from the mark