摘要
目的:分析县级医院的绩效与资源投入,为政府财政投入策略提供依据。方法:在4省抽取131个县级医院,用描述性分析、相关分析、多元回归分析、数据包络分析评价比较医院的经济投入、经济社会绩效及财政补助的作用。结果:绝大多数医院总收支平衡或有结余,业务亏损的医院只占25.2%;规模大的医院人员效率未见降低,但固定资产效率下降;医院得到政府补偿量与医院规模没有关系,富裕县医院得到明显多的财政补助;财政补助没有起到减少病人医疗费用的作用。结论:县级医院投入越高、产出越高,政府补助缺乏计划性及合理性,今后应根据医院服务量、效率、技术质量、费用控制程度等公益性指标进行补偿。
Objective： In this paper,we analyze the relationship between government funding and performance of 131 county hospitals in four provinces and provide a basis for government assistance and development plan in the future. Methods： We use descriptive analysis, correlation analysis, multivariate analysis, and DEA to determine the re- lationship between funding and performance. Results： From 2010 to 2011 ,the majority of county hospitals had made a balance of financial payments, and 25.2% had made a deficit. Overall, bigger hospitals had no problems with staff efficiency but used capital assets less efficiently. There was no relationship between the size of a hospital and the a- mount of government funding;however, hospitals in wealthy counties received much more funding. The amount of gov- ernment funding did not affect patient medical costs. Conclusions ： The output of county hospitals was perceived to be in proportion to funding; however, government funding was not well planned and based on solid reasoning. In the fu- ture, the government funding should be based on the public welfare of hospitals.
出处
《中国卫生政策研究》
CSCD
2013年第1期51-56,共6页
Chinese Journal of Health Policy
基金
国家自然科学基金(70973067)
关键词
县级医院
经济投入
绩效
财政补偿
County hospital
Economic input
Performance
Government funding
