如何把国民健康账户转变基于数据的站略管理方法

自20世纪70年代以来，经济合作和发展组织（经合组织）国家一直无法有效控制医疗保健成本，而医疗保健成本的增长速度明显快于国内总产值（GDP）。解决方案之一是为经合组织国家制定国民健康账（NHA)。它今天是一个使用国际标准SHA 2011的会计，分类和跟踪医疗保健成本的系统。这项经合组织的发展是世卫组织推荐的，对所有欧盟国家都是强制性的，并被大量世卫组织成员国使用。然而，NHA的引入并没有帮助经合组织国家控制医疗保健成本，而医疗保健成本仍然比今天的GDP增长得快得多。本文的作者认为NHA的主要缺点是缺乏与会计和管理的End-to-End通积分。这降低NHA数据的准确性及时性和价值，使其不适合管理。因此，今天NHA主要用于行业数据的回顾性监测和分析，宏观经济研究和跨国比较。作者提出将NHA从统计观察方法转变为基于数据的管理工具。该方法基于SHA2011标准与按细账预算为医疗保健提供融资的End-to-End通管理的综合。相同的方法确保了苏联医疗保健的高效率。

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