县级医疗机构经济补偿的实证研究:以J县为案例  

An empirical study on the economic reimbursement at county medical institutions:a case in J County

作　　者：于风华[1] 孟庆跃[1] 王健[1] 左根永[1] 李凯[1] 杨慧云[1] 

机构地区：[1]山东大学卫生管理与政策研究中心,山东济南250012

出　　处：《中国卫生政策研究》2011年第4期38-42,共5页Chinese Journal of Health Policy

基　　金：山东省社会保险规划课题(2006A-011)

摘　　要：目的:开展县级医疗机构经济补偿的实证研究,为推进公立医院改革提供参考。方法:以J县医疗机构为案例,进行实证研究。资料来源于J县医疗机构2009年财务报表等以及关键人物访谈。结果:(1)县级医疗机构的财政补助水平较低,县中医院对药品补偿的依赖性最强。(2)县级医疗机构药品加成率较高,其执行的医疗服务价格低于医疗服务成本。(3)县级医疗机构公共筹资严重不足、个人付费水平较高。(4)县中医院和县妇幼保健院资源利用效率较低,自我生存发展能力较差。结论:相对充足的财政资金支撑是实行改革的前提,提高政府财政投入的公平与效率,建立公共筹资为主的筹资政策,理顺医疗服务价格体系,建立医院内部激励和约束管理机制。Objectives： This paper focuses on the empirical study of the economic compensation at county hospitals in order to provide the reference for the policy-making to strengthen the public hospital reform. Methods： Taking J county hospitals as a case, this paper uses the methods of the empirical study. The data sources are derived from J county hospital＇ s financial yearbook in 2009 and key person interviews. Results： （ 1 ）The share of government subsidies is less in the county hospitals. The Chinese traditional hospital mainly depends on the drugs-generated income. （2）The rates of drugs prices addition are higher in J county hospitals. The prices of the medical service are below the costs in the county hospitals. （3）The shortage of public finance is serious in the county hospitals and the out-of-pocket payment is higher. （4）The efficiency of using resources is low in the county Chinese traditional hospital and the health centers for mother and child. The ability of the development and survivor is weak. Conclusions ： Relatively sufficient financial funds are the priority to support the public hospital reform. It is important to improve the equity and efficiency of the funds, establish the public financing policy, and construct the management mechanism of the internal incentive and constraints.

关 键 词：公立医院改革 县级医疗机构 经济补偿 

分 类 号：R197[医药卫生—卫生事业管理]