社会办医发展趋势研究:基于四川省的分析  

Analysis of the development trend of private hospitals in China: Case of Sichuan Province

作　　者：刘孟昀 赵汗青[2] 闫沛静 兰蓝[1] 潘杰[1,4] LIU Meng-yun ZHAO Han-qing YAN Pei-fing LAN Lan PAN Ja(West China School of Public Health, Sichuan University, Chengdu Sichuan 610041, China China Center for Health Economic Research, Peking University, Beijing 100800, China Gansu Provincial Hospital, Lanzhou Gansu 730000, China West China Research Center for Rural Health Development, Sichuan University, Chengdu Sichuan 610041, China)

机构地区：[1]四川大学华西公共卫生学院,四川成都610041 [2]北京大学中国卫生经济研究中心,北京100800 [3]甘肃省人民医院,甘肃兰州730000 [4]四川大学西部农村卫生发展研究中心,四川成都610041

出　　处：《中国卫生政策研究》2016年第9期13-19,共7页Chinese Journal of Health Policy

基　　金：国家自然科学基金青年基金(71303165);中国博士后科学基金(2013M540706;2014T70863);四川大学中央高校基本科研业务费研究专项(skqx201401;2015SCU04A19);美国中华医学基金会项目(CMB 13-167)

摘　　要：新医改以来,中央和地方不断出台促进社会办医的有利政策,推动了社会办医迅速发展。本文以四川省为例,利用2002—2014年医院层面的总体数据,从数量、规模、选址及所提供的服务种类4个方面分析社会办医发展趋势,从而为相关政策的制定和完善提供决策依据。研究发现,13年间社会办医发展迅速,非公立医院数量年增幅19.2%;非公立医院规模较小,尽管社会办医提供的诊疗服务占比逐年上升,但截至2014年仍仅占14.5%;社会办医选址集中在经济相对发达的地区,但欠发达地区新增非公立医院的比例逐年提高;提供的服务种类方面,非公立医院与公立医院存在一定差异,由社会办医提供的专科医疗服务构成比更高,主要集中在耳鼻喉、美容整形、心血管等领域。Since the China＇s new healthcare reform has launched , beneficial policies introduced by the central and local governments has promoted the rapid development of private hospitals .This paper taking Sichuan Province as an ex-ample analyzes the development of private hospitals from four points of view：hospital amount, scale, location and services package, using 2002—2014 hospital-level data, which provides decision support for formulating and improving relative pol-icies.As per the analysis of the data at hand , it has been confirmed that private sector has developed quickly during the 13 years, with the number of hospitals increasing by 19.2%annually.Private hospitals were mainly of small-scale.Although the proportion of services provided by privates sector has grown yearly , it was merely 14.5%in 2014.The hospital location that the private sector selected concentrated mainly in developed regions , but the proportion of private hospital in the un-derdeveloped region has risen steadily .In terms of types of service provided , there were certain differences between private and public sector.Compared to the public sector, the private sector provided a higher proportion of specialized medical services, concentrating on otolaryngology , cosmetic plastic surgery , cardiovascular services , etc.

关 键 词：社会办医 非公立医院 医疗改革 

分 类 号：R197[医药卫生—卫生事业管理]