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Application of project cost accounting in declaration of medical service price items in public hospitals#br# |
LI Lin1 ZHOU Wei2▲ |
1.Medical Insurance Office, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing 100021, China;
2.Performance and Operations Management Office, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China |
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Abstract The price management of medical service project is the key link of the operation management of medical institutions, and also an important way to improve the income compensation of medical institutions, which plays an extremely important role and significance for the sustainable development of medical institutions. By analyzing the policy basis of price management of medical service items, this paper fully demonstrates the method and effect of project cost accounting in price declaration of medical service items, and takes medical examination item “X methylation detection” as an example to calculate project cost data, providing scientific basis for accurate pricing of medical service items. Using project cost accounting as a management tool to declare the price of medical service items that reasonably reflect the value of new technology can give necessary income compensation to diagnosis and treatment technology, which is conducive to strengthening the connotation construction of medical institutions and speeding up the clinical application of new technology and the construction of superior disciplines. At the same time, medical institutions can carry out targeted differential cost control according to the cost status of each project, so as to rationally optimize the allocation of resources and ensure the core competitiveness and economic benefits of medical institutions.
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[1] 王振宇,蔡战英.药品零差价政策对省级医疗机构财务状况的影响及对策[J].卫生经济研究,2015(5):56-58.
[2] 赵卫群,傅开封,王译靖,等.医改对省级妇女专科医疗机构经济运行的影响分析[J].中国卫生经济,2017,36(2):74-78.
[3] 毕玉.公立医院改革中政府责任的研究[D].南京:南京大学,2016.
[4] 余勇晖.以基本医疗服务均等化为目标的公立医院内部控制体系构建[J].经济体制改革,2015(4):129-135.
[5] 熊宝玲.广东省县级公立医院综合改革效果评价与对策分析[D].广州:南方医科大学,2016.
[6] 肖佳,廖惠英.某大型综合委属委管医疗机构公立医院改革现状分析[J].中国卫生经济,2016,35(11):14-16.
[7] 薛琴,唐晓东.浅谈公立医院财务精细化管理[J].财会通讯,2014(31):59-60.
[8] 李付玻.药品取消加成的新形势下医院药房发展的思考[J].首都食品与医药,2018,25(17):77.
[9] 李俏君,严晋,吴粤.医改前后广州地区三级公立医院药品耗材管控现状分析与对策[J].现代医院,2018,18(7):937-940.
[10] 国务院办公厅关于印发深化医药卫生体制改革2016年重点工作任务的通知:国办发〔2016〕26号[A].(2016-04-21)[2021-08-24].
[11] 叶然,郑大喜,唐志朋,等.药品零差价下公立医院的对策[J].卫生软科学,2018,32(9):10-11.
[12] 傅美芳,费峰,冯正,等.内部转移价格在医疗机构部门成本分配中的应用——以时间驱动作业成本法为基础[J].卫生经济研究,2010(12):45-46.
[13] 张丽珍.全成本核算管理系统项目应用研究[D].吉林:吉林大学,2016.
[14] 刘毅.新医改背景下我国药品供应链定价策略研究[D].北京:北京交通大学,2018.
[15] 张桦林,高国顺,刘洋.县级公立医院“取消以药补医”补偿机制的现状研究——以山西省第一批34个综合改革试点县为例[J].卫生软科学,2015(2):34-38.
[16] 陈丽霏,吕凯结,肖林,等.取消药品加成对公立医院用药架构的影响研究[J].中国医药科学,2020,10(6):197-199.
[17] 王蕾.管理会计在公立医院改革中的作用[J].中外企业家,2017(6):80.
[18] 冯经尧.创新运用大数据思维推进管理会计在公立医院的应用探讨[J].财经界:学术版,2016(11):246-246.
[19] 赖富明.浅论新时期公立医院财务管理信息化建设[J].时代金融,2017(15):206.
[20] 常元美,刘朗,高育红.公立医院管理会计体系建设的意义和对策[J].中国医疗机构管理,2016,36(7):62-63.
[21] 范瑛方.管理会计体系建设在河南省公立医院的应用研究[D].郑州:河南财经政法大学,2016.
[22] 吴磊.公立医院改革“三明模式”的路径与效果研究[J].中国卫生产业,2015,12(21):85-86.
[23] 刘畅.某公立医院精细化成本管理实证研究[D].衡阳:南华大学,2015.
[24] 王清华,宋丽莎,张华华,等.基于江西省三级医院数据的三阶段DEA模型江西公立医院资源使用效率研究[J].中国医药科学,2021,11(16):217-221.
[25] 周海平.现行医疗机构科室成本核算存在问题的思考[J].中国卫生资源,2015,18(3):178-180.
[26] 冯欣.公立医院应用管理会计的探索与实践——来自广东省某大型三甲综合性医疗机构的案例[J].会计之友,2015(14):28-32.
[27] ASHP Expert Panel on Medication Cost Management. ASHP guidelines on medication cost management strategies for hospitals and health systems [J]. Am J Health Syst Pharm,2008,65(14):1368-1384. |
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