Abstract
Concerning the management of National Hospital, two crises are pointed out, namely, a financial and a low level of medical care. This group aims the improvement of management of National Hospital, mainly focusing on making proper claims for medical fee reimbursement. Studies under six items are done. They consist of 1) doctors, 2) Division of Medical Affairs, 3) general considerations on omission of claim, 4) slips of accounting, 5) computer and 6) consignment of business.
Important points to be solved are as follows: Guidance to doctors on the system of medical care insurance is most important. Due to their indifference to the work, it is very difficult to educate doctors how to make proper claim. Capacity of Division of Medical Affairs has an impotant influence on management, particularly on income of the hospital.
The factors and occations of omission of claim are various. For avoidance of omissions, much devices are required. Slips of accounting are various in form and content. New ideas to improve slips is necessary. Computer is indispensable for claim works. It is important to equip the suitable systems for each hospital. Consignment of business has many ploblems to be debated in the near future. Prudent considerations will be required.
After solving financial problems, each hospital should be required to improve the level of medical treatment, that is, to provide a medical care of high grade in quality.
