摘要
目的分析广东省医疗服务价格改革后地级市公立医院的总体运行情况,为公立医院改革绩效评估提供新思路。方法采用主成分分析法对广东省某地级市13家二级以上公立医院2018年的财务报表进行分析。结果有76.29%的公立医院医疗服务价格补偿率达到80%的要求,46.15%的公立医院有盈余,药占比降幅3%~7%,技术性劳务收入占比升幅4%~6%,总体上改革取得初步成效。此外,主成分分析的绩效排名与补偿率排名结果有明显差异,中医医院和妇幼保健院总体经营情况优于综合医院。结论加强综合医院的改革力度,持续提高技术性医疗服务项目的价格调整,加强公立医院医疗服务价格改革的综合绩效评估和统计方法的运用。
Objective To analyze the overall operation of public hospitals in prefecture-level cities after the reform of medical service price in Guangdong Province,and to provide new ideas for the performance evaluation of public hospitals.Method Principle Component Analysis was used to analyze the financial statements of 13 secondary and above public hospitals in Guangdong Province in 2018.Result 76.29%of the public hospitals met the requirement of a price compensation rate of 80%,46.15%of the public hospitals had a surplus,the proportion of drugs decreased by 3%~7%,and the proportion of technical labor income increased by 4%~6%.Overall,the reform achieved preliminary results.In addition,there was a significant difference between the performance ranking and compensation rate ranking results of principal component analysis.In addition,traditional Chinese medicine hospitals and maternal and child health care hospitals were better than comprehensive hospitals.Conclusion The reform of general hospitals should be strengthened,the price adjustment of technical medical service items be continuously improved,and the application of comprehensive performance evaluation and statistical methods in the reform of medical service prices in public hospitals be used.
作者
夏锋
张芳芳
翁开源
XIA Feng;ZHANG Fang-fang;WENG Kai-yuan
出处
《中国医院管理》
北大核心
2019年第6期13-15,共3页
Chinese Hospital Management
基金
广东省价格和产业品牌发展协会专项基金(XM20180501229)
2019年广东大学生科技创新培育专项资金(攀登计划专项)重点项目(pdjh2019a0252)
关键词
公立医院
医疗服务价格
主成分分析
绩效
评估方法
public hospital
medical service price
Principal Component Analysis
performance
evaluation method
