医疗保健系统和组织的预算:系统性审查
Abbas Homauni1, Nader Markazi-Moghaddam1,2, Ali Mosadeghkhah3
1Department of Health Management and Economics, School of Medicine, Aja University of Medical Sciences, Tehran, Iran.
Iranian journal of public health
|November 30, 2023
概括
本系统性审查确定了各种医疗保健预算方法,突出了它们独特的优缺点. 选择正确的方法取决于具体的组织需求和有效分配资源的国家基础设施.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 医疗机构面临着严重的预算限制,需要有效的成本控制和资源管理.
- 公共和私营部门的医院必须克服财务限制,以优化运营产出.
- 资源分配是医疗保健中的一个关键过程,直接影响服务提供和组织效率.
研究的目的:
- 系统地审查和识别医疗保健系统和组织中使用的各种预算方法.
- 分析各种拟议的预算策略的优点,弱点和维度.
- 提供关于医疗保健财务规划当前形势的全面概述.
主要方法:
- 进行了一项系统的文献审查,涵盖了1990-2022年期间.
- 在主要的学术数据库中进行了搜索:谷歌学者,科学网,PubMed和Scopus.
- 一个由研究人员设计的表格被用来提取和分析包含的文章中的数据.
主要成果:
- 在最终分析中包含了33篇文章.
- 出现了四个主要主题:医疗保健系统预算,资本预算,全球预算和基于绩效的预算.
- 每个确定的预算方法都有明显的优点和缺点.
结论:
- 预算方法的要求和适用性因国家基础设施和组织环境而异.
- 在实施任何新的预算策略之前,对现有基础设施进行彻底审查至关重要.
- 预算方法的选择和实施应根据特定的国家和组织条件量身定制.
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