实用医院临床杂志
實用醫院臨床雜誌
실용의원림상잡지
PRACTICAL JOURNAL OF CLINICAL MEDICINE
2014年
3期
238-240
,共3页
张璇%蔡力%刘洲%廖菁%韩亮%王海江%杨荣芳%武文博%雍正平%曹强%郑兰
張璇%蔡力%劉洲%廖菁%韓亮%王海江%楊榮芳%武文博%雍正平%曹彊%鄭蘭
장선%채력%류주%료정%한량%왕해강%양영방%무문박%옹정평%조강%정란
医疗改革%医疗机构%收入%支出
醫療改革%醫療機構%收入%支齣
의료개혁%의료궤구%수입%지출
Health Care reforin%Medical institutions%Revenue%Expenditure
目的：调查新医改后四川省县级及以下医疗机构的收入和支出的情况，分析各类型医疗机构在新的补偿机制下所面临的问题及解决方法。方法采用文献复习、专家咨询、问卷调查的方法，对医疗机构进行调查，利用SPSS 18.0进行统计描述与分析。结果2009～2011年调查医疗机构的总收入年增长率为31.23％，总支出年增长率为32.09％；总收入中财政补助占比不断提升，药品收入占比有下降趋势。县级医疗机构的收支以医疗和药品为主，妇幼保健院政府补助收入占比最高。结论四川省县级及以下医疗机构的收支模式正在发生改变。在新形势下，县级医院可拓宽补偿渠道；乡镇卫生院和社区卫生服务中心可将重心倾向于软实力的提升；妇幼保健院应重视妇幼保健服务的附加作用，实现内部造血。
目的：調查新醫改後四川省縣級及以下醫療機構的收入和支齣的情況，分析各類型醫療機構在新的補償機製下所麵臨的問題及解決方法。方法採用文獻複習、專傢咨詢、問捲調查的方法，對醫療機構進行調查，利用SPSS 18.0進行統計描述與分析。結果2009～2011年調查醫療機構的總收入年增長率為31.23％，總支齣年增長率為32.09％；總收入中財政補助佔比不斷提升，藥品收入佔比有下降趨勢。縣級醫療機構的收支以醫療和藥品為主，婦幼保健院政府補助收入佔比最高。結論四川省縣級及以下醫療機構的收支模式正在髮生改變。在新形勢下，縣級醫院可拓寬補償渠道；鄉鎮衛生院和社區衛生服務中心可將重心傾嚮于軟實力的提升；婦幼保健院應重視婦幼保健服務的附加作用，實現內部造血。
목적：조사신의개후사천성현급급이하의료궤구적수입화지출적정황，분석각류형의료궤구재신적보상궤제하소면림적문제급해결방법。방법채용문헌복습、전가자순、문권조사적방법，대의료궤구진행조사，이용SPSS 18.0진행통계묘술여분석。결과2009～2011년조사의료궤구적총수입년증장솔위31.23％，총지출년증장솔위32.09％；총수입중재정보조점비불단제승，약품수입점비유하강추세。현급의료궤구적수지이의료화약품위주，부유보건원정부보조수입점비최고。결론사천성현급급이하의료궤구적수지모식정재발생개변。재신형세하，현급의원가탁관보상거도；향진위생원화사구위생복무중심가장중심경향우연실력적제승；부유보건원응중시부유보건복무적부가작용，실현내부조혈。
Objective To investigate the status of revenue and expenditure of county and below medical institutions in Sichuan province since the new medical reform ,and to find the problems under the new compensation system and their solutions .Methods We used the literature review ,the expert consultation and a questionnaire to investigate the medical institutions .SPSS 18.0 was used for sta-tistic analysis.Results The revenue and expenditure of county and below medical institutions in Sichuan province were increasing year by year,in which the portion of financial assistance was increasing and the drug income was decreasing .The medical and pharmacy were main part of revenue and expenditure in county hospitals .The financial assistance was the highest part in Maternity and child care .Con-clusion The revenue and expenditure of county and below medical institutions in Sichuan province have been changed .Under the new situation,the county hospitals can broaden channels for compensation while township hospitals and community health centers can turn focus on enhance of soft power .The maternity and child care service center should pay attention to additional function of MCH service and enhance own potential .
