基于平衡计分卡的公立医院医改 效果评价-以无锡市H公立医院为例.pdfVIP

基于平衡计分卡的公立医院医改效果评价—以无锡市 H 公立医院为例 摘 要:长久以来在我国的医疗体系中医生存在着乱开药、开贵药的现象， 这种方式的存在主要是由于医院和医生之间存在着开药之间的利益关系，这种 情况在过去的很长一段时期内存在于我国的医疗体系中，这种现象存在一方面 加重了群众的就业负担，另一方面助长了医疗体系的不良作用。为了及时的改 变这种不合理的现象，我国推出了医疗体系改革，取消了药品提成，这在一定 程度上有利于规范我国的医疗卫生体系，能够在一定程度上为群众提供更加良 好的医疗服务。 本文通过分析比较无锡市 H 公立医院改革前后基于平衡计分卡，从财务、 顾客、具体环节与学习和成长等角度观察基础性指标的变化情况，评价该医院 医改取得的效果。为完善公立医院的医改提供了参考，为全面促进市级规模化 公立医院变革提供科学的参考。采用了文献分析、问卷调查、统计研究和平衡 计分卡等众多分析方式评估该医院的改革成果。 关键词：公立医院改革；医疗费用；药品比例 THE EFFECTIVENESS EVALUATION of PUBLIC HOSPITAL REFORM BASED ON BALANCED SCORE CARD ZHU LIN Abstract ：In the long term, the medical system in China has some problems, such as abused drugs and expensive medical cost. The reason why the problems exist is that there is a relationship of interest between the hospital and doctors, which affects our medical system in a long run. It not only aggravates employment burden, but also deepens the unbenefIcial effects of medical system. To change the inappropriate phenomenon in time, our country carried out the medical system reform and cancelled drug commission. Based on Balanced Scorecard, the study analyzes the changes of‘H’public hospital reforms from four aspects, including finance, clients, internal process and categories, to evaluate the effect of the reform. It is beneficial to standardize medical behavior in our country and offer better medical services for people to some degree. The study uses document analysis, questionnaire survey, statistic analysis and balanced scorecard to evaluate the effect of the reform. Key words：Public hospital reform；medical expenses；drug proportion 目 录 摘要 3 Abstract 4 1. 绪论7 1.1 研究的背景 7 1.2 研究的意义 7 1.3 国内外研究现状 7 1.3.1 国内研究现状 7 1.3.2 国外研究现状 8 1.4 研究的主要内容与框架 8 2. 研究的理论基础与方法8 2.