The Administration Yuan Department of Health revised the medical treatment method, the third reading to have already passed on April 28th in 93 years. Revise the point be increasing the medical juristical person particularly the chapter the part already the clear statement standard it to change the system and build up the system. This research is standard according to the latest medical treatment organization classification that announced, the current conditions that inquires into the medical treatment organization finance information to make public currently, and from the point of view of stackholders:Investors and donators, analyzing the reading of hospital¡¦s public information for different relation persons, the usage index sign of the financial report, relatively manage it with company mutually the congeniality, the aptness and urgency that makes public currently for the hospital finance information is the research point of this thesises. Hospital's user in the information is divided into the exterior inspector,investor and inner part the governor, the hospital and company are establishing the dissimilarity on the property, the index sign that make public is also different, ducting in to make public the feasibility of the information with the analytical hospital from here. The medical treatment juristical person for match with the ordinance provision and reach the society direct to carry out the information to make public, is an irresistible general trend. With Department of Health announce the corporate body hospital financial report and each hospital manages the data the finance that make public voluntarily on the website for sample carry on the discussion. Because the medical treatment juristical person organization belongs to the not-for-profit organization, making public in the finance information up is different from in appear on market the listed company generally, The purpose of this research is inquiring into the hospital in order to respond the all society to inspect the public wealth to fly to, it carries on the public finance clarity and importance's lying in through the public lesson responsibility to safeguard the public benefit and the others rights, by the publication and transparency of the finance information, the public-spirited service and the mission responsibility that let the people understand and recognizes the pure hospital to should have, makes public the index sign and the rating result to information, expect the idea that can build up inspecting the hospital information to make public, being the investor and donator contributing money the reference that the person carries on making policy. This research makes use of the domestic and international cultural heritage research through ising analytical than the research, letting the donator known the management information and funds that its organization should make public the hospital to fly to, making the hospital be able to participate the social salvage more physically, Letting the investor known to take hospital as to invest the object of information's making public should belong to which contents, making the funds of the capital market flowed into the medical treatment industry, reaching the correction lawmaking purpose of the medical treatment method. Carrying out the hospital manages the mechanism to mainly expect to lie in the trust that can raise to contribute money the person and investor to the medical treatment juristical person, Making the national health insurance resource ability reasonable assigned through the publicly transparent finance information, reducing the medical treatment juristical person organization and an output information dissymmetry of the National Health Insurance Bureau and the morals risk of the occurrence, Passing by the public finance information makes public, and combines the exterior resultant force direct, can make to contribute money the person,investor eventually, the public ,the medical treatment promoter and the health insurance bureau to all win.

This study explores hospital board governance, particularly the dimensions of accountability, transparency and civic participation, within Local Health Councils (LHCs) in two locations in rural Paraguay. The democratization and decentralization efforts of the Paraguayan federal government in the last 20 years resulted in creation of the LHCs, but little research has been conducted on how these entities are now working in comparison to the expectations envisioned for them. This study examines LHC member understanding and practices by conducting semi-structured interviews with council members in two different locations. I reviewed relevant Paraguayan law and compared LHC member responses with the legal expectations of the role of the LHC and council member responsibilities. I also reviewed several health council organizational documents, such as rules and procedures, financial statements and by-laws, with the same intent. Using interpretive social science methods, I analyzed this data in conjunction with the information I gathered through participant-observation during my Peace Corps service in one of the communities examined here. This study finds that local health councils face numerous challenges to governance, including member role confusion, few implemented planning and oversight processes, weak systems of accountability and a lack of resources and support given to LHCs, creating a great challenge to meet expectations set out for them by federal law. / Master of Urban and Regional Planning

Americans spent nearly $2.6 trillion, or $8,000 per person for medical and administrative costs in 2010. By 2015, healthcare spending in the United States increased to 5.8% reaching $3.2 trillion or $9,990 per individual. By tackling healthcare administrative costs, it is estimated that healthcare providers could reduce these costs by $20 billion yearly. This case study explored strategies for streamlining hospital administrative procedures to reduce costs. The business process reengineering model formed the conceptual framework for this study. Data were gathered through semistructured face-to-face interviews guided by open-ended questions with a purposeful sample of 4 hospital managers in Atlanta, Georgia. This study identifies important themes regarding cost reduction and hospital administration based on participant interviews. Themes included participants' unfavorable perspectives of the Spell out PPACA (PPACA) legislation, employment of physicians, PPACA reimbursement method, follow-up services, hospital administrative governance, and lack of business education. The themes comprised steps hospital managers could take to streamline administrative procedures to reduce costs. The implications for positive social change included the potential to provide strategies for streamlined processes that could lead to savings passed on to patients from low socio-economic backgrounds through accessibility to affordable healthcare services.