基于模糊线性规划的公立医院人员支出预算最大化实证研究  

Emprical Research on the Maximization of Personnel Expenditure Budget in Public Hospitals Based on Fuzzy Linear Programming

作　　者：任维存 杜天信 李无阴 司春阳 吴建[1] 张萌[3] 

机构地区：[1]郑州大学公共卫生学院,郑州450001 [2]河南省洛阳正骨医院(河南省骨科医院),河南洛阳471000 [3]杭州师范大学医学院卫生事业管理系,杭州310036

出　　处：《中国卫生经济》2017年第12期106-109,共4页Chinese Health Economics

基　　金：浙江省自然科学青年基金项目(LQ13G030021)

摘　　要：目的:测算公立医院人员支出预算的最大、可行规模,为落实"逐步提高人员支出占业务支出比重"等医改目标提供思路和借鉴。方法:利用2010-2016年河南省卫生财务年报数据,采用模糊线性规划方法,构建医院人员支出预算最大化模型,测算获得人员支出预算规模的更优决策。结果:提出公立医院人员支出预算安排可行域;构建整体优化的公立医院人员支出预算最大化测算模型;测得2016年河南省公立医院人员支出预算的最大、可行规模为333.76亿元,较实际规模增加38.04亿元,占业务支出的比重提升3.79个百分点。结论:利用模型可获得基于实际,体现政策要求和发展目标,兼顾合理支出结构的公立医院人员支出预算最大、可行规模。Objective： By measuring of the possible maximum scale of the personnel budget in public hospitals, providing ideas and references for the implementation of public hospital reform objectives, including gradually increasing the proportion of staff spending in business expenses. Methods： Based on the data from annual report of Henan provincial health finance in 2010-2016, fuzzy linear programming method was applied to construct the model of maximization hospital personnel expenditure budget and measure the optimized decision for calculating the personnel expenditure budget. Results： It put forward reasonable feasible region for public hos- pital expenditure budget; constructed the model for the maximization of public hospital personnel budget. It measured the largest scale with feasible for personnel budget in public hospitals of Henan in 2016 was 33.376 billion yuan, increased 3.804 billion yuan compared to the actual scale, which promoted 3.79% of the proportion for business expenditure. Conclusion： It could obtain the most fea- sible maximum scale of the public expenditure budget of the public hospital, based on the practices, reflect the policy requirement and development goal, and take into account the reasonable expenditure structure.

关 键 词：公立医院 人员支出 预算 模糊线性规划 最大化 

分 类 号：R197.322[医药卫生—卫生事业管理]