1.Practice and discussion on classified coding management of medical disposable materials.
Lei SHAO ; Ying LE ; Su-Min XIA
Chinese Journal of Medical Instrumentation 2009;33(6):449-451
This paper describes the heart of class supplies involved in bidding and purchasing code library classification principles and, in the hope of medical supplies through the establishment of bidding and purchasing code library to assist the health authorities and medical institutions for effective quality control. Clinical research oriented, CT, volume, operation cost, cost per capita, BEP.
Cardiac Surgical Procedures
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instrumentation
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Disposable Equipment
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supply & distribution
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Materials Management, Hospital
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economics
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organization & administration
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Purchasing, Hospital
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economics
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organization & administration
2.Breathing machine management system design and application.
Chinese Journal of Medical Instrumentation 2010;34(2):146-147
Ventilator management systems can improve the utilization of hospital ventilator, reduce equipment idle and the workload of staff, improving the work efficiency. It lays a good foundation for the systematic centralized management of medical equipment, and makes the hospital information management more perfect.
Hospital Administration
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methods
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Hospital Information Systems
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organization & administration
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Software Design
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Ventilators, Mechanical
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economics
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utilization
3.Efficiency of resource allocation in the hospital sector after global budgeting under National Health Insurance.
Chinese Medical Journal 2013;126(15):2900-2906
BACKGROUNDTaiwan has implemented a National Health Insurance (NHI) program to provide uniform comprehensive coverage since 1995. Forced by the severe financial deficit, global budgeting is introduced to replace the original payment system in Taiwan's NHI. Under global budgeting system, the total budget is distributed to six geographical regions in Taiwan. There is no pre-determined budget for each hospital. In order to investigate the longitudinal trend of how global budgeting influences health care resource, it is essential to estimate the efficiency of resource allocation in Taiwan's NHI.
METHODSData Envelopment Analysis (DEA) and Malmquist index (MI) are used to investigate the 8-year panel data of 23 cities and counties which was collected from the annual report from the Department of Health, Taiwan, China. A value of MI greater than 1 indicates that total factor productivity progress has occurred, while a value of MI less than 1 indicates productivity loss.
RESULTSAs a result, 37 of the 184 DMUs in the analysis were found to be relatively efficient during the period, in which 14 of 23 DMUs are efficient in 2002 right after adopting globe budgeting. A trend of MI declines between 2002 and 2009 implies the volume of health care services decrease after adopting global budgeting system. Production efficiency has been improved after global budgeting implies that behaviors of health providers control cost and avoid wasting resource at macro level.
CONCLUSIONSThe regressive MI indicates the hospitals redistribute health care resource to eliminate unnecessary treatment and to control the growth of service volume under global budgeting system. Hence, a trend of declining MI focuses on health care resource redistribution rather than efficiency improvement in this study.
Budgets ; Hospital Administration ; economics ; National Health Programs ; economics ; Resource Allocation ; methods ; Taiwan
4.Assembly-line health check up in digitalized hospital.
Yalan LIU ; Bin YAO ; Zigang ZHANG
Journal of Huazhong University of Science and Technology (Medical Sciences) 2002;22(4):378-383
The health check up flow of digital hospital can be consulted with the assembly line of industry factory. Because they have the following same features: highly specialized workstation, closeness and continuance, rhythm, balanced production, continuous production. The essential prerequisites are as the follows: The inspecting items and methods should be stable; advanced product mix and stable production design; standardized raw material, consumption, procedure, inspection method; there are lots of request for health inspection; the customers move at the least unit; the space arrangement should be reasonable; the time arrangement should be proportion. With the computer net, the digital inspection can achieves the raw material controlling accurately. The basis of check up line concerns about equipment, net and software, data collection, and personnel. The group technology is used in the health inspection flow design of the digital hospital in the field of items customers and zone redivided. The digital assembly linemic health inspect has the following stages: member registering, notice, check in, arrange order, time control, report, feedback and analysis. The assembly linemic has following advantages: increasing the productivity, the space utility, satisfaction of customer, fund returning, lowering the cost and ensuring the quality.
Computer Communication Networks
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Delivery of Health Care
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Hospital Administration
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economics
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Hospital Information Systems
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organization & administration
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Humans
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Preventive Health Services
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economics
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organization & administration
5.Assembly-line health check up in digitalized hospital.
Yalan, LIU ; Bin, YAO ; Zigang, ZHANG
Journal of Huazhong University of Science and Technology (Medical Sciences) 2002;22(4):378-80, 383
The health check up flow of digital hospital can be consulted with the assembly line of industry factory. Because they have the following same features: highly specialized workstation, closeness and continuance, rhythm, balanced production, continuous production. The essential prerequisites are as the follows: The inspecting items and methods should be stable; advanced product mix and stable production design; standardized raw material, consumption, procedure, inspection method; there are lots of request for health inspection; the customers move at the least unit; the space arrangement should be reasonable; the time arrangement should be proportion. With the computer net, the digital inspection can achieves the raw material controlling accurately. The basis of check up line concerns about equipment, net and software, data collection, and personnel. The group technology is used in the health inspection flow design of the digital hospital in the field of items customers and zone redivided. The digital assembly linemic health inspect has the following stages: member registering, notice, check in, arrange order, time control, report, feedback and analysis. The assembly linemic has following advantages: increasing the productivity, the space utility, satisfaction of customer, fund returning, lowering the cost and ensuring the quality.
Computer Communication Networks
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*Delivery of Health Care
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*Hospital Administration/economics
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*Hospital Information Systems/organization & administration
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Preventive Health Services/economics
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Preventive Health Services/organization & administration
6.Hospital management in China in a time of change.
Likun PEI ; David LEGGE ; Pauline STANTON
Chinese Medical Journal 2002;115(11):1716-1726
7.The SWOT analysis and strategic considerations for the present medical devices' procurement.
Bin LI ; Meng-qiao HE ; Jian-wen CAO
Chinese Journal of Medical Instrumentation 2006;30(3):206-208
In this paper, the SWOT analysis method is used to find out the internal strength, weakness, exterior opportunities and threats of the present medical devices' procurements in hospitals and some strategic considerations are suggested as "one direction, two expansions, three changes and four countermeasures".
Cost Savings
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Equipment and Supplies, Hospital
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economics
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Group Purchasing
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economics
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organization & administration
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Humans
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Marketing of Health Services
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methods
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Purchasing, Hospital
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organization & administration
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Quality Control
8.Evidence-based management of medical disposable materials.
Chinese Journal of Medical Instrumentation 2009;33(2):134-136
Evidence-based management of medical disposable materials pays attention to collect evidence comprehensively and systematically, accumulate and create evidence through its own work and also evaluate evidence strictly. This can be used as a function to guide out job. Medical disposable materials evidence system contains product register qualification, product quality certification, supplier's behavior, internal and external communication evidence. Managers can find different ways in creating and using evidence referring to specific inside and outside condition. Evidence-based management can help accelerating the development of management of medical disposable materials from traditional experience pattern to a systematic and scientific pattern. It also has the very important meaning to improve medical quality, control the unreasonable growth of medical expense and make purchase and supply chain be more efficient.
Biomedical and Dental Materials
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economics
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supply & distribution
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Disposable Equipment
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economics
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supply & distribution
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Evidence-Based Medicine
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Purchasing, Hospital
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organization & administration
9.The central gas-supplying system in the hospital.
Na WEI ; Zheng WANG ; Liang CUI
Chinese Journal of Medical Instrumentation 2005;29(3):225-226
Based on the construction experiences of our hospital, we in this paper introduce some problems met with in the central gas-supply, and meanwhile we have presented several solutions and preventive measures for the reference of other hospitals.
Delivery of Health Care
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organization & administration
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Equipment Safety
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Equipment and Supplies, Hospital
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Gases
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economics
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supply & distribution
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Maintenance
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Oxygen
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economics
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supply & distribution
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Oxygen Inhalation Therapy
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instrumentation
10.Healthcare Spending and Performance of Specialty Hospitals: Nationwide Evidence from Colorectal-Anal Specialty Hospitals in South Korea.
Sun Jung KIM ; Sang Gyu LEE ; Tae Hyun KIM ; Eun Cheol PARK
Yonsei Medical Journal 2015;56(6):1721-1730
PURPOSE: Aim of this study is to investigate the characteristics and performance of colorectal-anal specialty vs. general hospitals for South Korean inpatients with colorectal-anal diseases, and assesses the short-term designation effect of the government's specialty hospital. MATERIALS AND METHODS: Nationwide all colorectal-anal disease inpatient claims (n=292158) for 2010-2012 were used to investigate length of stay and inpatient charges for surgical and medical procedures in specialty vs. general hospitals. The patients' claim data were matched to hospital data, and multi-level linear mixed models to account for clustering of patients within hospitals were performed. RESULTS: Inpatient charges at colorectal-anal specialty hospitals were 27% greater per case and 92% greater per day than those at small general hospitals, but the average length of stay was 49% shorter. Colorectal-anal specialty hospitals had shorter length of stay and a higher inpatient charges per day for both surgical and medical procedures, but per case charges were not significantly different. A "specialty" designation effect also found that the colorectal-anal specialty hospitals may have consciously attempted to reduce their length of stay and inpatient charges. Both hospital and patient level factors had significant roles in determining length of stay and inpatient charges. CONCLUSION: Colorectal-anal specialty hospitals have shorter length of stay and higher inpatient charges per day than small general hospitals. A "specialty" designation by government influence performance and healthcare spending of hospitals as well. In order to maintain prosperous specialty hospital system, investigation into additional factors that affect performance, such as quality of care and patient satisfaction should be carried out.
Adult
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Aged
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Anus Diseases/economics/*therapy
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Colonic Diseases/economics/*therapy
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Efficiency, Organizational
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Female
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Hospital Charges/*statistics & numerical data
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Hospitals, General/organization & administration
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Hospitals, Special/organization & administration
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Humans
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Inpatients/*statistics & numerical data
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Length of Stay/economics/*statistics & numerical data
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Male
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Middle Aged
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Outcome Assessment (Health Care)/economics/methods/*statistics & numerical data
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Rectal Diseases/economics/*therapy
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Republic of Korea