CAJ | 학술논문

国家卫生计生委预算管理的44所医院不论是医疗资源还是服务能力,均在全国处于领先地位,但也同样面临财政投入不足、服务价格结构以及医保管理不协调等问题.通过对其2014年主要经济运行指标的分析,介绍了委预算管理医院的总体情况,并从医疗资源持续增加,医院间差距悬殊;收支规模持续扩大,物耗占比高位运行;收入结构较为稳定,补偿机制尚待健全;服务效率持续攀升,职工劳动负荷较重;次均费用差距较大,费用结构尚待优化;财务风险总体可控,资产运营效率平稳;教学科研任务较重,产出差异较大等方面具体分析了其经济运行的7大特征.
국가위생계생위예산관리적44소의원불론시의료자원환시복무능력,균재전국처우령선지위,단야동양면림재정투입불족、복무개격결구이급의보관리불협조등문제.통과대기2014년주요경제운행지표적분석,개소료위예산관리의원적총체정황,병종의료자원지속증가,의원간차거현수;수지규모지속확대,물모점비고위운행;수입결구교위은정,보상궤제상대건전;복무효솔지속반승,직공노동부하교중;차균비용차거교대,비용결구상대우화;재무풍험총체가공,자산운영효솔평은;교학과연임무교중,산출차이교대등방면구체분석료기경제운행적7대특정.
The NHFPC delivered 44 hospitals are the leaders in both health resources and service capacities but also facing inadequate of government subsidy, irrational medical service price structure and uncoordinated medical insurance management as well. According to the analysis of financial status of the 44 hospitals, 7 characters which can be described as health resources increasing but existing big gaps between hospitals. The scales of revenue and cost growing fast and medical materials cost ratio keeping high, the revenue structure is relatively stable and compensation mechanism needs to be completed, medical service efficiency improving and staff have hard workload, there is significant differences in average cost per patient between hospitals, financial risk is controllable and asset efficiency is relatively stable, heavy teaching and research work and big gaps of output between hospitals.