CAJ | 학술논문

目的：总结榆林地区县级医院经济管理工作的经验和问题，为进一步推进我国县域医疗卫生服务体系改革提供决策依据。方法：对5家试点县级医院经济运营状况进行描述性分析。结果：试点县医院财政投入、药品收入控制、医院资产利用和运营能力等方面改革成效与问题并存。结论：应深化公立医院运行机制和补偿机制改革，改革“以药补医”机制，加强医院资产管理，优化负债结构。
목적：총결유임지구현급의원경제관리공작적경험화문제，위진일보추진아국현역의료위생복무체계개혁제공결책의거。방법：대5가시점현급의원경제운영상황진행묘술성분석。결과：시점현의원재정투입、약품수입공제、의원자산이용화운영능력등방면개혁성효여문제병존。결론：응심화공립의원운행궤제화보상궤제개혁，개혁“이약보의”궤제，가강의원자산관리，우화부채결구。
Objective: To summarize the experiences and problems in economic management of county-level hospitals in Yulin area, provide decision foundation for the further reform of the county health service system in China. Methods: Using descriptive study to analyze the economic operation condition of the 5 pilot county-level hospitals. Results: The effect and issues of the reform both exist in financial input, pharmacy income, asset utilization and operation capabilities in pilot county-level hospitals. Conclusion: It is needed to deepen the operation mechanism and compensation mechanism of public hospitals, reform the “using drug to compensate the medicine” mechanism, strengthen the hospital asset management and optimize liability structure.