借助生命价值理论,围绕突发重大公共卫生事件下医务人员风险作业的意外赔偿,通过收益法来测算他/她们的生命物质价值,估算其精神价值.结果显示医务人员生命总价值与现行补偿标准相差太大,建议调整参与突发公共卫生事件处置的医务人员的现行工伤死亡补偿标准,估算风险作业意外的精神补偿,购买专项意外保险,提供其家人在就医、入学和就业等方面优惠保障政策.

重庆市第九人民医院响应国家促进西部大发展中西医并重政策,探索并形成低成本支撑下欠发达地区中等规模医院差异化高速发展模式.介绍了重庆市医院成本管理研究中心创建及其对医院成本管理的创新贡献,重点阐释了重庆九院以战略性医院成本管理为抓手,成立医院成本管理研究中心;以差异化发展为导向,在国有资源重组、医院分配机制、健康教育模式、三甲医院直接兴办社区卫生服务、平衡计分卡管理工具运用、创建研究平台等方面进行的一系列理论与实践探索,以及取得的卓越成效.

智慧医疗(e-health)被视为实现以人为本一体化服务模式的战略型工具.本文系统阐述世界卫生组织(WHO)智慧医疗框架,并比较英、美、澳、加等国家智慧医疗的发展特点.在此基础上,分析中国智慧医疗发展面临的问题,提出完善我国智慧医疗发展的可能政策路径,以期为促进我国智慧医疗发展提供政策建议.

By analyzing the medical insurance policy, the medical insurance audit business and the intelligent monitoring requirements put forward by the medical reform, the intelligent examination and approval database was established, and the system process reengineering was carried out in conjunction with HIS, LIS and electronic medical record systems. The intelligent medical insurance audit information system was successfully developed and implemented, which realized automatic review of the medical qualifications of trauma patients, automatic audit of blood product items, automatic verification of high-cost fees, automatic review of repeated hospitalizations within 10 days, and automatic update of discharge diagnosis, as well as drug( diagnosis/treatment) project limits( excessive) early warning and other core business functions. The system meets the actual needs of the quality and efficiency of data management in medical insurance audit, providing basic platform and data support for standardizing doctors′diagnosis and treatment behavior and avoiding hospital risks.

Objective: To analyze ideas,methods and mode in medical costing.Methods: Using activity based costing study object and classification,clear operations center and direct or indirect collection,and analysis and accounting costs.Results: There is financial loss in surgery,internal medicine and nursing departments;while auxiliary clinics departments get profits.Conclusion: Research of cost accounting and compensation mechanism in public hospitals should be improved,the level of management be increased,and some references in government for increasing public hospitals input be provided.

Objective To establish the cost-control appraisal indicator system of the new-type rural cooperative medical system based on balanced scorecard.Methods Taking the elementary theory of balanced scorecard as the instruction,using the SWOT analysis,the key performance indication,the Delphi law and the analytic hierarchy process,to establish the target system and determine target weight of all levels,and use the weighted composite index method to carry on the quality synthetic evaluation to two districts situations of Chongqing.Results The scientific and practical cost control appraisal indicator system of the new-type rural cooperative medical system based on balanced scorecard has been constructed.Conclusion The balanced scorecard appraises the cost control situation of the new-type rural cooperative medical system from many dimensions,is advantageous in the new-type rural cooperative medical system discovering own deficiency summarizing the experience and atoning insufficiency in the next management.

This paper studies the cost control methods of hospitals and enterprises comparatively based on four dimensions of balances scorecard,according to the increment,high-quality and low consumption,and introduced the actual application of balanced scorecard in our hospital as a management tool.The authors expect to provide some theoretic and practical reference of cost control research for hospitals.

Improving hospital health economic management, assuring hospital operation and development under new environment and building general accounting system are the demands of law and policy.Experiences of building hospital general accounting system, strengthening hospital economic and financial management in Chongqing the 9th People's Hospital are introduced.Recommendations on health financial management system are mentioned.

本文强调了在新的医疗环境下一定要做好医疗价格管理工作,医院面对患者要采取有力措施,实行明码标价,提高收费透明度,并阐述了加强医疗价格管理的有效措施等提高经济效益和社会效益的主张。

医疗欠费现象的存在主要与我国现阶段医疗保障体系不健全、人均收入不高以及医院自身管理方面的问题等有关.各级医院由于历年陈帐得不到清欠,新的欠费又未得到有效遏制,致使欠费越来越多,严重制约了医院的可持续性发展.为此,我院通过建立预警机制、加强欠费跟踪管理、提高医疗服务质量、完善奖惩制度等措施,大大减少了欠费现象的发生.

The paper introduced the practice and experience of balanced score card (BSC) using in distribution system reform in Chongqing No.9 People's Hospital. Balanced score card was a good incentive mechanism for staff, clinical service, education and research were significantly improved after applying balanced score card. Hospital total capacity was promoted. Hospital medical income and drug income growth rate was above 10 percent and management expense was decreased year by year. Hospital got a health development and economic benefit and social benefit were plenty good.