目的:从医院医疗费用自我控制“守门人”的角度探讨公立医院积极有效的干预措施,控制医疗费用的不合理上涨.方法:引入财务经理人制度,介绍财务经理人在控制医疗费用中的职责和具体做法.结果:采用财务经理人制度的干预措施后,医疗费用动态、实时控制的效果更加明显,患者满意度提高,公益性更加体现.结论:财务经理人制度的实施,有效遏制了医疗费用的上涨,是一种行之有效的干预措施和手段.%Objective: To investigate the active and effective intervention in a public hospital and to control unreasonable increase of medical expense from a perspective of a "gatekeeper" of hospital medical expense self-control. Methods: After financial manager system adopted as the intervention, the effect of dynamic and real-time control of medical expense was more obvious, the patients were more satisfied and public welfare was better reflected. Conclusions: The application of financial manager system can effectively inhibit the increase of medical expense. It is an effective intervention and method.
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