武汉市公立医院经济运行状况分析  

Analysis of economic operation of public hospitals in Wuhan

作　　者：罗程 邝鹏蝶 郭蓉芳 徐凌 胡英 LUO Cheng;KUANG Pengdie;GUO Rongfang;XU Ling;HU Ying(Wuhan Prevention and Treatment Center for Occupational Disease,Wuhan Hubei 430014,China;The Central Hospital of Wuhan,Wuhan Hubei 430014,China;Wuhan Emergency Center,Wuhan Hubei 430000,China;Wuhan Municipal Health Commission,Wuhan Hubei 430014,China)

机构地区：[1]武汉市职业病防治院,湖北武汉430014 [2]武汉市中心医院,湖北武汉430014 [3]武汉市急救中心,湖北武汉430000 [4]武汉市卫生健康委员会,湖北武汉430014

出　　处：《卫生软科学》2025年第1期67-72,共6页Soft Science of Health

基　　金：武汉市卫健委科研项目资助(WX23Y06);武汉市卫健系统财务管理骨干人才培养项目成果;武汉市卫健委青年人才资助“晨星计划”(202328)。

摘　　要：[目的]分析武汉市公立医院2019-2022年经济运行情况及其存在的问题,为公立医院改革和高质量发展提供参考。[方法]利用武汉市2019-2022年卫生健康年报数据,对武汉市公立医院经济运行情况进行描述性分析。[结果]2019-2022年,公立医院总体收支盈余为正,财政补助收入占比提升15.35个百分点,医疗收入总额下降16.75个百分点;医院人员费用支出和占比逐年上升,折旧费用和其他费用年均增长16.42%和11.72%;公立医院运营效益和效率指标显著下降,运营成本不断上升;2019-2022年,医疗盈余由10.24亿元降为-9.22亿元,医院医疗亏损率从14.29%增至76.47%。[结论]武汉市公立医院总体上收支平衡,但面临较大经济运行压力,偿债能力和成本管控能力减弱,医疗亏损持续加大。建议完善公立医院补偿机制,加强公立医院运营管理,优化区域医疗资源规划。Objective To analyze the economic operation and existing problems of public hospital in Wuhan from 2019 to 2022,and to provide references for the reform and high-quality development of public hospitals.Methods Based on the data of annual health report of Wuhan from 2019 to 2022,descriptive analysis was used to analyze the economic operation of public hospitals in Wuhan.Results From 2019 to 2022,budget surplus occurred in public hospitals,with the proportion of financial subsidy income increasing by 15.35 percent,and the total medical income falling by 16.75 percent.The expenditure and the proportion of personnel costs in hospitals increased year by year,and depreciation expenses and other expenses grew at an average annual rate of 16.42%and 11.72%.The indicators of operating profits and operational efficiency of public hospitals significantly declined,and operating costs have been rising.From 2019 to 2022,the medical surplus decreased from 1.024 billion yuan to-0.922 billion yuan,and the medical loss rate increased from 14.29%to 76.47%.Conclusions Public hospitals in Wuhan have a balanced budget on the whole,but they are facing greater economic pressure.The solvency and cost control ability are weakened,and medical losses continue to increase.It is suggested to improve the compensation mechanism of public hospitals,strengthen the operation and management of public hospitals,and optimize the planning of regional medical resources.

关 键 词：公立医院 经济运行 财政补偿 武汉 

分 类 号：R197.322[医药卫生—卫生事业管理]