品质改善成本效益（PPT 66页）

ModelofaNationalHealthSystem
LimitedMedicalResourcesvs.OptimalHealthcareQuality
LowCostvsHighEffectiveness=Cost-effective
(Therelationshipbetweenachievingcertainobjectivesandconsumptionofresourcescostsvsoutcomes)
EfficacyvsEffectiveness
Efficacyisameasureoftheextenttowhichobjectives(resultcure)areachievedinrealpracticesettings.Effectivenessconcernsgeneralizabilityofresultsoftreatment.
HealthcareCostas%ofGNP
13.4%-13.7%
(5.4%[来自www.管理]Taiwan)
USHealthcareCostin$$
1.491Trillion
Predictedincreaseof10%in20002.2Trillionby2008
Cost--Effectiveness
CostofSurgicalOperations
Expendablesupplies
Instruments
Equipment
Implants
FacilityCost
Employees
Pre-optesting
Expendablesupplies
Laparotomypackage
Gownglovesandtowels
Prep
EKGandoxygenfingerpads
Anesthesiagasesandmasks
Localanesthesiaandantibiotics
Medical(Year2000)
Hospital40%
Professional42%
Pharmacy18%
(25%Taiwan)
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