新医改前后贵州省乡镇卫生院收支结构变化  

Structure Changes of Revenue and Expenditure of Township Clinics in Guizhou after Medical Insurance Reform

作　　者：张利[1] 宋沈超[1] 

机构地区：[1]贵阳医学院公共卫生学院预防医学教研室,贵州贵阳550004

出　　处：《贵阳医学院学报》2015年第1期28-31,共4页Journal of Guiyang Medical College

基　　金：贵州省科技厅科研基金项目(2012020);贵州省卫生厅科学技术基金项目(20121-1-013)

摘　　要：目的:分析新医改前后贵州省乡镇卫生院收支结构变化,探讨新医改在贵州省乡镇卫生院的实施效果。方法:对贵州省卫生厅卫生信息中心提供的贵州省卫生信息统计年报表进行相关统计学分析,研究2008-2011年(2009年新医改前后)乡镇卫生院的收支情况。结果:2008-2009年每乡镇卫生院均总收入、医疗收入、药品收入及财政补助年均增长率分别为26.46%、22.31%、17.29%及38.79%,药品收入中基本药物收入所占比例逐年上升,2011年升至59.44%,财政补助收入在2008-2011年逐年大幅度增加,所占总收入比例逐年增加;总支出、药品及医疗支出年均增长率分别为24.96%、19.25%及26.63%;2008-2011年贵州省乡镇卫生院总收入始终略大于总支出。结论:贵州省地方政府对乡镇卫生院的补偿机制落实到位,新医改对贵州省乡镇卫生院的生存及发展产生了促进作用。Objective ： To analyze the structure changes of revenue and expenditure of township clin- ics in Guizhou after medical insurance reform, and to discuss the effect of the reform. Methods： Car- rying out statistical analysis on 2008 to 2011 annual report of Guizhou health information, provided by the information center of provincial health department. Results： 2008 to 2009 annual growth rate of health clinic income, medical income, medicine income and fiscal subsidies were 26.46% ,22.31%, 17.29% and 38. 79% respectively. Essential medicine income increased with each year （up to 59.44% in 2011 ） ; fiscal subsidies had substantial increase from 2008 - 2011 ; the annual growth rate of total expenditure, medicine and medical expenses had an increase rate of 24.96%, 19.25% and 26.63% respectively; total income of township clinics in Guizhou was slightly bigger than total expend- iture from 2008 to 2011. Conclusions： The compensation mechanism for township clinics is fully im- plemented by the local government, and the medical reform promotes the situation of township clinics in Guizhou.

关 键 词：乡镇卫生院 医疗改革 收入 卫生经费支出 药费支出 统计学 

分 类 号：R191[医药卫生—卫生事业管理] R195[医药卫生—公共卫生与预防医学]