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为了控制医院费用的上涨,美国医院一直注重于在提高工作效率上找出路。本文作者在莱克兰地区医疗中心进行了一次同以往完全不同的控制医院费用的研究。结果发现影响医院费用的主要决定因素不在医生,也不在病人,而在于医院现有的组织结构。高度的专业化、部门化产生了低效率并耗费了大量的人员经费。该研究将医院进行了重新组织,形成了3个新的功能组织和5个相对独立的“小医院”。研究的初步效果是令人满意的。
In order to control the rise in hospital costs, U.S. hospitals have always focused on finding ways to increase work efficiency. The author of the paper conducted a study at the Lakeland Regional Medical Center that was completely different from the past in controlling hospital costs. As a result, it was found that the main determinants of hospital costs were not physicians or patients, but rather the existing organizational structure of the hospital. High degree of specialization and departmentalization have resulted in inefficiency and a large amount of personnel expenses. The study reorganized the hospital to form three new functional organizations and five relatively independent “small hospitals.” The preliminary results of the study were satisfactory.