摘要
目的:评估我国公立医院运行情况,分析公立医院门诊收入和住院收入的影响因素,为促进公立医院良好运行、控制医疗费用不合理增长提出建议。方法:采用结合因子分析的TOPSIS法和因素分析法,从公立医院运行指标和医疗收入两个切入点展开分析。结果:公立医院的经济运行状况与当地的经济发展水平并没有明显相关关系;我国多数省份公立医院资产风险较高;东部地区省份公立医院成本管理能力有待提升;中西部地区公立医院运营能力较差;门诊收入增长为门诊人次和次均费用共同作用的结果,住院收入增长则主要依赖于住院人数的增长。结论:我国公立医院经济运行整体质量不高,建议加大政府投入,减轻公立医院债务负担;提高成本管理水平,增强内部管理能力;积极推进支付方式改革,控制医疗费用不合理增长。
Objective:To evaluate the operation of public hospitals in China and analyze the influencing factors of outpatient and inpatient income in public hospitals,and thus provide policy recommendations for promoting healthy operation of public hospitals and controlling unreasonable growth of medical expenses.Methods:This paper uses theTOPSIS method combined with the factor analysis method and expands the analysis from two starting points of public hospital,namely operating indicators and medical income.Results:There is no obvious correlation between the economic operation status of public hospitals and the development level of local economy;the risk of public hospital assets in most provinces in China is relatively high;the cost management capacity of public hospitals in eastern provinces needs to be improved;and the operating capacity of public hospitals in central and western regions is poor.Moreover,the outpatient income growth is the result of the combined effect of outpatient visits and sub-average costs,while the increase in hospitalization income is mainly due to the increase in the number of hospital admissions.Conclusions:The quality of operation of most of public hospitals is low.It is recommended that government investment should be increased to reduce the debt burden of public hospitals;raise the cost management level and strengthen internal management capabilities;actively promote the reform of payment methods,and control the unreasonable growth of medical expenses.
作者
要鹏韬
高广颖
胡星宇
杨显
YAO Peng-tao;GAO Guang-ying;HU Xing-yu;YANG Xian(School of Public Health,Capital Medical University,Beijing 100069,China;Peking University People s Hospital,Beijing 100044,China)
出处
《中国卫生政策研究》
CSCD
北大核心
2019年第1期68-73,共6页
Chinese Journal of Health Policy
