摘要
目的调查我国基层医疗卫生机构经济运行情况,分析不同类型及经济发展水平地区基层医疗卫生机构资产、收入与费用现状及分布特征。方法研究设计“全国基层医疗卫生机构经济运行情况调查问卷”,用方便抽样的方法收集2019-2021年我国基层医疗卫生机构经济运行相关数据,利用描述性、相关性和比较分析方法对所得数据进行分析。结果2019-2021年,基层医疗卫生机构的财政拨款收入增速大于医疗收入增速,公共卫生费用和人员费用占总费用的比例均呈逐年增加趋势,收入增速小于费用增速;新冠疫情期间,资产负债率、资产收益率等指标出现小幅波动。结论基层医疗卫生机构的经济运行存在区域发展不平衡的现象,收入结构有待优化,正财务杠杆效应不明显,管理人员专业性有待提高。
Objective To investigate the economic operation of grassroots medical and health institutions in our country,and analyze the current status and distribution characteristics of assets,income,and expenses of grassroots medical and health institutions in different types and regions with varying levels of economic development.Methods The study designed a"National Survey Questionnaire on the Operation of Grassroots Medical and Health Institutions",applied a convenient sampling technique to gather relevant economic operational data from China's primary healthcare institutions spanning 2019 to 2021,and utilized descriptive,correlational,and comparative analysis methods to examine the acquired data.Results From 2019 to 2021,the growth rate of fiscal appropriations income in grassroots medical and health institutions exceeded the growth rate of medical income.The proportions of public health expenses and personnel expenses to total expenses showed an increasing trend year by year,with income growth rates lagging behind expense growth rates.During the epidemic period,indicators such as the asset-liability ratio and asset yield rate experienced minor fluctuations.Conclusion There is an observable phenomenon of regional development imbalance in the economic operation of primary healthcare institutions.The income structure calls for optimization,with the positive financial leverage effect being inconspicuous,and the professional competency of management personnel requiring enhancement.
作者
王芸
管雪帆
贾梦
邓淏晏
刘楠
王悦
王芳
WANG Yun;GUAN Xuefan;JIA Meng;DENG Haoyan;LIU Nan;WANG Yue;WANG Fang(Institute of Me-dical Information,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100020,China;不详)
出处
《中国社会医学杂志》
2024年第2期218-222,共5页
Chinese Journal of Social Medicine
基金
中国医学科学院医学与健康科技创新工程项目(2021-I2M-1-046)。
关键词
基层医疗卫生机构
经济运行
资产负债率
资产收益率
Primary healthcare institutions
Economic operation
Asset liability ratio
Return on assets
