6533b827fe1ef96bd1286cec
RESEARCH PRODUCT
De la standardisation à la normalisation de la gestion médicalisée à l'hôpital : L’apport de la méthode de compensation structurelle et conjoncturelle
Caryn MathyCatherine QuantinMaryse Gadreausubject
comportement opportunistegestion médicalisée hospitalièrebusiness studiesEconomicseconomic theorygestion médicalisée hospitalière comportement opportuniste sous-groupe de GHM standardisation vs normalisation[SHS.GESTION]Humanities and Social Sciences/Business administrationstandardisation vs normalisationsous-groupe de GHM[SHS.GESTION] Humanities and Social Sciences/Business administration[ SHS.GESTION ] Humanities and Social Sciences/Business administrationadministrationManagementdescription
Utilization of GHM in budget allocation leads to a reduction of strategic behaviors and restores equity between hospitals. However, heterogeneousness of GHM, with subgroups, is also generating perverse effects. The contractual economical analysis, applied to the statistical modelization of Quantin et al. (1995), underlines how the opportunist behaviors can be reduced. As the PMSI is almost unanimously adopted and considered as an irreversible investment, this approach generates questions on ways to improve the tool. The ultimate goal is to move from standardized costs tonormalized (optimized) costs for maximum efficiency of the tool. Finally, this statistical analysis generates a financial tool for budgetary allocation policy, a tool of financial management for hospitals staff or a planification tool for regional health policy.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 1996-01-01 |