县级医疗机构经济补偿的实证研究:以J县为案例

目的：开展县级医疗机构经济补偿的实证研究，为推进公立医院改革提供参考。方法：以J县医疗机构为案例，进行实证研究。资料来源于J县医疗机构2009年财务报表等以及关键人物访谈。结果：（1）县级医疗机构的财政补助水平较低，县中医院对药品补偿的依赖性最强。（2）县级医疗机构药品加成率较高，其执行的医疗服务价格低于医疗服务成本。（3）县级医疗机构公共筹资严重不足、个人付费水平较高。（4）县中医院和县妇幼保健院资源利用效率较低，自我生存发展能力较差。结论：相对充足的财政资金支撑是实行改革的前提，提高政府财政投入的公平与效率，建立公共筹资为主的筹资政策，理，惯医疗服务价格体系，建立医院内部激励和约束管理机制。

An empirical study on the economic reimbursement at county medical institutions: a case in J County

Objectives:This paper focuses on the empirical study of the economic compensation at county hospitals in order to provide the reference for the policy-making to strengthen the public hospital reform.Methods:Taking J county hospitals as a case,this paper uses the methods of the empirical study.The data sources are derived from J county hospital's financial yearbook in 2009 and key person interviews.Results:(1)The share of government subsidies is less in the county hospitals.The Chinese traditional hospital m...