A Study On Clinical Cost Control

The growth of medical costs is a global problem; many countries have brought aheavy burden. Since the late 1980s, China's economic development and reformentered a rapid growing period, with medical expenses increasing rapidly. The reasonsinclude the government, hospitals, patients, law, medicine pricing system and somany areas. The government has introduced a number of policy measures. To someextent, there are many problems in China's current pricing of medicines. The UnitedStates have a lot of effective management style in dealing with the growth of medicalcosts.The level of medical service is the most important indicator of the job of hospital.There are many factors affecting the standard of medical service, but the quality ofmedical services and clinical costs are the two most important ones. Reasonable andeffective medical quality assessment has a positive role on the hospital's healthy andsustainable development and decision-making in hospital management. From thehospital, clinical cost control can be integrated use of objective management control,single disease control, project control and many other methods. But the hospital cannot control costs as signs to attract patients. What is more important is to control costsin order to promote raising the level of hospital management and achieve a win-winsituation between hospitals and patients.In general, the medical industry faces a very tough macro environment. The lackof medical input, poor management of some hospitals makes financial operationsdifficult. With the deepening of reform of the medical system, the hospital also needto change the past mode of service delivery and adapt to new demands, but also face aprice reduction of the inspection. Tianjin Baodi Hospital uses satisfaction surveys tosupervise and control the level of medical services and introduces the ISO 9001:2000"Quality Management System Request"to implement hospital management and hasachieved very good results. In medical quality control, Baodi Hospital strengthens thebuilding of hospital spirit and promotes the healthy development of the hospital;places emphasis on content-oriented hospital construction and improves medicalstandards and quality of care significantly; pay emphasis on science and technologyand the acceleration of personnel training. In clinical cost control, the hospital usesprice consulting, audit system, unreasonable fees accountability system and hospitalprice management pathological examination system, ect. From the 2002-2006 accounting statements of Tianjin Baodi Hospital, analysiscan be made on the four year movements of patients'number and clinical costsburden in use of statistic methods. From 2002-2006, the changes in the clinical costsof in-patient have the same trend with number of patients and the medication costs ofthe hospital, and the growth rate of clinical costs for patients is far below the growthrate of medication costs for the hospital. Close comprehensive method applies to anoverall evaluation of a multi-factor and multi-indicator system. Using this method todo comprehensive evaluation of Tianjin Baodi Hospital 2003-2006 quality of workprovides a scientific basis to strengthen management decision-making and improvethe quality of medical care. Evaluation results demonstrate that medical qualitymanagement is very scientific and effective.