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http://dx.doi.org/10.5762/KAIS.2014.15.6.3534

A Study on the Implementation of Global Medical Budget Model for Hospital based on Sustainablity and Efficiency  

O, Dongil (Department of Financial Management, SangMyung University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.15, no.6, 2014 , pp. 3534-3547 More about this Journal
Abstract
Although there are many positive sides of the current fee-for-service payment schedule, there is a strong necessity to control the rapidly increasing national healthcare expenditure. The global budget is often mentioned as one prominent alternative for solutions. In this article, both microscopic and macroscopic approaches are considered to set the hospital medical expenditure budget. In a macroscopic aspect, the SGR model, which considers the financial limit of the healthcare system, is used to set the next year target budget. In addition, the DEA model is used to measure the inefficiency and cost recognition. In this article, the national medical target expenditure is distributed to an individual hospital based on the level of efficiency. By combining the SGR and DEA, it will be possible to set a real world applicable target medical expenditure budget model.
Keywords
healthcare expenditure; payment system; target medical expense budget; global budget system; national health insurance; SGR; DEA; fee for service;
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Times Cited By KSCI : 2  (Citation Analysis)
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