CAJ | 학술논문

目的：通过对山东省非公立医院与公立医院的运营情况进行比较，了解非公立医院运营现状，分析存在的问题及原因，为其更好的运营提供建议。方法：利用2009－2011年山东省卫生统计信息中心的统计数据，对非公立医院与公立医院的经济运行、服务能力、服务效率及医疗费用等进行分析。结果：非公立医院服务能力逐年增强，2011年诊疗人次达1659．8万人次，其中，门急诊人次1564．6万，住院服务量占比稍低；总体服务效率不高，床位使用率在50％左右，病床平均每年周转20余次，与公立医院有明显差距；非公立医院住院医疗费用优势明显。结论：非公立医院在医疗服务提供中的作用逐渐增强，但是市场份额较小，服务能力及效率还有待提高，其生存压力较大，并且面临人才匮乏及诚信危机等问题。建议：政府继续完善相关配套政策，在准入、人才、税收、监管等方面给予扶持，营造公平的办医环境，同时医院应加强自身内涵建设，重视履行社会责任，提供高质量且价廉的服务，树立良好品牌形象。
목적：통과대산동성비공립의원여공립의원적운영정황진행비교，료해비공립의원운영현상，분석존재적문제급원인，위기경호적운영제공건의。방법：이용2009－2011년산동성위생통계신식중심적통계수거，대비공립의원여공립의원적경제운행、복무능력、복무효솔급의료비용등진행분석。결과：비공립의원복무능력축년증강，2011년진료인차체1659．8만인차，기중，문급진인차1564．6만，주원복무량점비초저；총체복무효솔불고，상위사용솔재50％좌우，병상평균매년주전20여차，여공립의원유명현차거；비공립의원주원의료비용우세명현。결론：비공립의원재의료복무제공중적작용축점증강，단시시장빈액교소，복무능력급효솔환유대제고，기생존압력교대，병차면림인재궤핍급성신위궤등문제。건의：정부계속완선상관배투정책，재준입、인재、세수、감관등방면급여부지，영조공평적판의배경，동시의원응가강자신내함건설，중시리행사회책임，제공고질량차개렴적복무，수립량호품패형상。
Objective: To compare the operation of non-public and public hospitals in Shandong province, have a good knowledge of non-public hospitals'operation status and analyze the existing problems and reasons so as to provide suggestions for perfecting the further operation. Methods: Analyzing the economic operation, service capability and efficiency, medical fees of non-public and public hospitals, according to the data from 2009 to 2011 from Shandong Province Information Center for Health Statistics.Results:The service capability of non-public hospitals increased year by year.By the year 2011, the total visits reached 16.598 million, including 15.646 million of outpatient and emergency visits, and the proportion of hospitalization services was relatively low.Compared to public hospitals, the service efficiency was not high enough, for the utilization rate of beds (about 50%) and the rates of turnover (about 20 every year) were significantly different, but the lower medical fee, espe-cially for hospitalization, was the preponderance.Conclusion: Non-public hospitals have enhanced the role in health service delivery systems, but the share, service capability and efficiency should be further improved.They have great survival pressure and face problems such as lack of talent and crisis of trust.Suggest government continuing perfecting the relevant supporting policies, giving support in access, talent, taxes and regulation and building fair environment for competition, at the same time, non-public hospitals should strengthen its connotation construction, realize the great importance of performing social responsibilities and provide high quality and low price services, establishing a good image.