摘要
目的:分析新医改以来山西省县级公立医院收支结构变化情况,为县级公立医院改革提供参考依据。方法:利用2010—2016年山西省县级公立医院收支相关数据,用描述性分析和结构变动度分析法研究。结果:补偿机制改革效果显现,药品收入占比下降,药品收入仍是维持医院正常运行的主要因素;财政补助投入逐年增加,县级公立医院公益性日益凸显;体现医务人员技术劳务价值的收入项目变动不大。结论:县级公立医院费用结构需进一步调整,应建立医疗费用不合理增长综合评价体系;积极推行现代医院管理制度,开展县域内医疗资源综合配置;建立政府宏观调控下,市场调节和政府指导相结合的动态医疗服务定价机制;引入疾病相关组开展医院绩效评价。
Objective： To analyze the revenue and expenditure structure of county public hospitals in Shanxi since new medical reform in order to provide evidence about county public hospital reform. Methods： Related data of revenue anti expenditure in county public hospitals of Shanxi from 2010 to 2016 were used and analyzed by descriptive analysis and the indicators of the structural changes. Results： The effect of compensation mechanism reform appeared; drug income ratio descended. Drug income was still the important factor to keep hospitals running normally; fiscal subsidy increased by years, public welfare of county public hospitals was prominent; technical services revenue which realized the value of technical work performed by medical personnel changed little. Conelusion： The cost structure of public county hospitals needed further adjustment. It should establish the comprehensive evaluation system of unreasonable growth of medical expenses, actively implement modern hospital management system, carry out synthetic？configuration of medical resources in county area, establish a dynamic medical service pricing mechanism combining market regulation with government guidance under the government＇s macro-controlling, and introduce the disease related group to hospital performance evaluation.
作者
闫娟娟
王萍
胡安霞
YAN Juan-juan;WANG Ping;HU An-xia(School of Medicine Management, Shanxi University of Chinese Medicine, Jinzhong, Shanxi, 030619, China)
出处
《中国卫生经济》
北大核心
2018年第6期29-32,共4页
Chinese Health Economics
基金
2016年山西省科技厅软科学科研课题(2016042011-2)
2016年山西省哲学社会科学课题
2016年山西省高校哲学社会科学研究项目
关键词
公立医院综合改革
县级公立医院
收支结构
山西
comprehensive reform for public hospitals
county public hospital
revenue and expenditure structure
Shanxi
