Financial responsibility is one of the important aspects of hospital m
anagement. At the hospital of Uster a trial with a profit center conce
pt was started in October 1991. This concept included development of m
anagement tools such as reference figures to check costs, returns and
performance. Thus it was possible to obtain an equilibrium between per
sonnel costs and performance within 6 months. In the first half of 199
3 the budgeted performance figures for 1993 have so far been reached.
Although a complete implementation of a profit center concept in a pub
lic hospital does not seem possible, a profit center-like structure he
lps to obtain financial control and enables the hospital management to
readily adapt to changing conditions.