自六十年代起,美国医院院长已经逐步被专业管理人员取代。随着医院主管人员更迭浪潮的涌起,许多管理原则和方法进入医院管理。许多过去地位较低的职能上升到主导地位。预算属于计划职能,但其地位越来越特殊,大有成为独立职能的趋势。预算地位上升的原因除了院长管理专家化外,还有 Since the 1960s, the president of the American hospital has gradually been replaced by professional managers. With the surge of hospital management personnel surging waves, many management principles and methods have entered hospital management. Many functions that used to be lower in status have risen to a dominant position. The budget belongs to the planning function, but its status is more and more special and it has a tendency to become an independent function. The increase in budget status is due to the professionalization of the dean’s management.