政府补偿与监管机制改革对公立医疗卫生机构收支状况的影响分析  

Impact Analysis of Government Compensation and Regulatory Mechanism Reform on the Balance of Payments in Public Medical Institutions

作　　者：贾媛[1] 薛迪[1] 许速 程佳 涂诗意[1] 

机构地区：[1]复旦大学公共卫生学院.国家卫生和计划生育委员会卫生技术评估重点实验室,上海200032 [2]上海市闵行区卫生和计划生育委员会,上海201199

出　　处：《中国医院管理》2014年第2期17-20,共4页Chinese Hospital Management

摘　　要：目的分析政府补偿与监管机制改革前后上海市闵行区公立医疗卫生机构的收支及结构变化,并与上海市同期平均水平进行比较,探索研究政府补偿与监管机制改革对公立医疗卫生机构收支状况的影响。方法进行问卷调查和二手数据分析。结果改革后,闵行区公立医疗卫生机构的医疗与药品收入比例趋于合理,医疗费用得到控制,但政府财政补助水平仍有待提高。结论政府应确保公立医院财政投入水平,落实取消药品加成后的相应补偿。Objective To explore the impact of government compensation and regulatory mechanism reform on the balance of payments （BOP） in public medical institutions （PMIs） by analyzing the changes of BOP in PMIs of Minhang District before and after the reform, and to compare the BOP situation of PMIs in Minhang District with the average level of Shanghai in the corresponding period. Methods Doing institutional survey and secondary data analysis. Results Medical and drug income ratio has gradually become reasonable, and medical care expenditure has been controlled. The level of government financial subsidy still needs to be improved. Conclusion The government should ensure the financial investment in PMIs and the compensation of canceling plus income from drugs.

关 键 词：公立医疗卫生机构 补偿 监管 

分 类 号：R197.3[医药卫生—卫生事业管理]