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南朝鲜为提供全民医疗排除经济障碍,自1976年逐步推广国家健康保险,并拟1989年7月覆盖全国。国家健康保险实施以来,医疗利用率显著上升,但政府规定的医院收费标准过低,医院经济拮据日益严重。特别是教学医院,因收费标准与一般医院差别不大,更是叫苦不迭。且教学医院工作景太,潜力有限,难以增加收入。今后医院生存的唯一出路就是控制费用。南朝鲜医院虽普遍接受费用分析的概念,但却未很好实施。这主要由于医院尚未建立确当的费用分析方法。国外以费用分配为基础的计算机处理程序并不适合国情。现有信息系统且不能汇集评价整个费用所需要的各项具体数据,也无法作出各种经济分析。本文目的是在实行健康保险,统一收费标准的情况下,推出决策保证系统(deci-sion support system),在费用核算的基
South Korea has been gradually promoting national health insurance since 1976 in order to provide universal medical care to remove economic obstacles. It plans to cover the whole country in July 1989. Since the implementation of the National Health Insurance, the medical utilization rate has risen significantly. However, the hospital’s stipulated hospital charging standards are too low and the hospital’s economic constraints have become increasingly severe. Especially teaching hospitals, because the charging standard is not very different from the general hospital, it is even more bitter. And teaching hospitals work too, limited potential, it is difficult to increase income. The only way to survive in the future is to control the cost. Although South Korea hospitals generally accept the concept of cost analysis, they are not well implemented. This is mainly because the hospital has not yet established a proper cost analysis method. Computer processing procedures based on cost allocation in foreign countries are not suitable for national conditions. Existing information systems cannot aggregate the specific data needed to evaluate the entire cost, nor can they make various economic analyses. The purpose of this paper is to introduce a deci-sion support system (dci-sion support system) in the context of implementing health insurance and unified charging standards.