福州地区公立医院的医疗服务成本、价格和财政补偿关系分析  

The Relationships of Price, Cost and Fiscal Compensation about Medical Service from Non-profit Hospitals in Fuzhou

作　　者：冯丹[1] 汪雪莲[2] 任光东 游在农 苏彩平 林翔 

机构地区：[1]福州市传染病医院,福州350025 [2]福建医科大学,福州350004 [3]福建省中医学院附属人民医院,福州350004 [4]福建省卫生经济学会,福州350003 [5]福州市劳动社会保障局,福州350000 [6]福州市物价局,福州350001

出　　处：《中国卫生经济》2010年第10期84-85,共2页Chinese Health Economics

基　　金：福建省社会科学规划项目(2009B182)

摘　　要：目的:分析福州地区公立医院医疗服务成本、价格和财政补偿的关系,探讨针对现状的管理思路。方法:采用卫生部卫生经济研究所研发的成本测算软件进行成本测算,利用医院的年终财务报表收集财政补助和劳务支出等信息,把测算成本和省标准价格进行比较。结果:50个反映技术劳务服务项目中,72%价格低于成本,平均低47%;80%医技诊疗项目价格高于成本,平均高60%;财政补助绝对数与相对数不足。结论:新的医疗服务价格改革可从实现成本、补偿和定价的衔接上寻找突破口。Objective： To explore the relationships of three factors including medical price,cost and fiscal compensation from non-profit hospitals in Fuzhou,and put forward corresponding thoughts of how to modulate and manage the price of medical service.Meth-ods： Data-base system for castings developed by China Health Economics Institute was adopted to make a cost calculation.Through using the information of fiscal compensation and human expenditure,the cost estimation and province standard price is compared.Results： Among fifty items which reflects technical labor services,72% prices are lower than cost,with the average 47%;the cost of 80% techni-cal clinical items are higher than cost,with the average 60%;and the government’s fiscal compensation accounted for little proportion of the income of medical institute and both its number and the rate of increment lag behind the hospital’s labor disbursement.Conclu-sion： During the reform of new medical service price,breakthrough can be found through the combination of realizing cost,compensa-tion and pricing.

关 键 词：医疗服务成本 医疗服务价格 财政补助 非营利性医院 

分 类 号：R197.3[医药卫生—卫生事业管理]