医院应加强外办门诊规范化管理.docVIP

医院应加强外办门诊规范化管理（湖北医药学院附属太和医院 湖北 十堰 442000 ）?? 【摘要】 实施 “医药分开核算，分别管理”、病种限价和农合、医保病人利润微薄，以及医疗卫生体制的不断改革，医院的获利空间相对缩小。医院为了在困境中求得生存和发展，各医院在辖区内外相继开设了多个综合门诊和专科门诊，以增加医疗收入。但加强院外办门诊的规范管理尤为重要，一是开办院外门诊应首先报卫生主管部门批准：二是开办院外门诊要具备房屋、设备条件：三是制定合同要实事求是，积极可靠：四是明确管理体制，使国家各项政策、法令、经济措施的宣传、贯彻得以落实：五是会计人员应由医院指派。会计、出纳应同时配齐：六是完善分配机制：七是严格医德医风考核。只有不断加强管理，才能使其朝着健康的方向发展。使院外办门诊对医疗卫生事业起着拾遗补缺的作用。? 【关键词】 医院外办门诊;存在的问题;管理对策 ?? 【中图分类号】 R197.3 【文献标识码】 A【文章编号】1044-5511(2011)09-0131-02?? 【Implement】 “medicine separate accounting and management”, diseases respectively limit and farming, medicare patients, and medical health meager profits, hospital reform of system of the profit space relatively narrow.Abstract The hospital would obtain the survival and the development in the difficult position, various hospitals have opened many comprehensive and special outpatient service in the other place near the hospital. But its management should Strengthen as below: First，Its open should be authorize by health manage department.Second，sets up outside the courtyard the outpatient service to have the house, the equipment condition: Third, the formulation contract must be realistic, positive reliable: Fourth, is clear about the management system, enables national each policy, the law, the economy measures propaganda, the implementation to carry out: Fifth, the accounting personnels should appoint by the hospital. Accountant, the teller should also arrange: Sixth, consummates the assignment mechanism: Seventh, strict medical ethics inspection. Only then strengthens the management unceasingly, can cause it to develop toward the health direction. Causes the courtyard outside management outpatient service to play the role which to the health enterprise appropriates lost articles fills a vacancy.? 【Hospital】 outside management outpatient service existence issues management countermeasure?? 随着全民医保政策的推行和“医药分开核算，分别管理”，以及医疗卫生体制的不断改革，医院面临着新的机遇和困难，医院的获利空间相对缩小。医院为了在困境中求得生存和发展，各医院在抓好医疗技术、服务质量、医疗安全、学科建设、增添医疗设备、注重开发医疗市