医药价格改革对城市公立医院经济运营效率的影响  

Analysis of Influence of Medical Pricing Reform on Efficiency of Economic Operation in Urban Public Hospitals

作　　者：龚霞[1] 潘进程 朱莉[1] 王进申[1] 

机构地区：[1]泰州市人民医院,江苏泰州225300

出　　处：《中国医院管理》2017年第4期6-8,共3页Chinese Hospital Management

基　　金：江苏省卫生计生委卫生计生财务研究课题(CW201631)

摘　　要：目的了解城市公立医院医药价格综合改革政策对医院经济运营效率的影响程度,为评价和进一步深化城市公立医院综合改革提供数据支持。方法采用Excel 2007和SPSS13.0软件,从经济运营效率角度对某三甲医院改革前后半年数据进行描述性统计分析。结果医药价格综合改革对医院就诊量、业务收入、住院患者次均费用影响不大,对医院业务收入结构、收支结余结构、门诊患者次均费用、患者费用负担影响重大。结论城市公立医院医药价格综合改革调整医院业务收入结构、减轻住院患者就医负担的目的已初见成效,而对减轻门诊患者就医负担和医院政策性亏损补偿考虑不足。从医院目前经济运营效率看,亟待政府出台相关补偿政策,弥补公立医院政策性亏损。Objective To analyze the influence of medical pricing reform on efficiency of economic operation in urban public hospitals so as to provide data support for its evaluation and deepening of all-round reform. Methods With Excel 2007 and SPSS13.0, the descriptive statistical analysis from the perspective of economic operation efficiency is used to analyze six-month data before and after the reform. Results The medical pricing reform has little effect on the hospital visits, service revenue and the average cost of inpatients, and has significant effect on the revenue and balance structure, the average cost of outpatients and the expenses of patients. Conclusion The purpose of the pricing reform which is to adjust the structure of revenue and relieve patients＇ economic burden has achieved initial success. Through judging from the present efficiency of hospitals＇ economic operation, the reform is not good for its long-term development. Relevant compensation policies need to be introduced urgently by the government to make up for public hos- pitals＇ policy-related loss.

关 键 词：医药价格改革 城市公立医院 经济运营效率 

分 类 号：R197.322[医药卫生—卫生事业管理]