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湖北省6家公立医院的经济运行现状分析
引用本文:张文斌,夏冕,阮小明,吕晖,张黎.湖北省6家公立医院的经济运行现状分析[J].中华医院管理杂志,2011,27(1).
作者姓名:张文斌  夏冕  阮小明  吕晖  张黎
作者单位:1. 华中科技大学同济医学院医药卫生管理学院,430030
2. 武汉大学政治与公共管理学院
3. 湖北省卫生厅
基金项目:国家自然科学基金,湖北省卫生厅卫生政策科研项目
摘    要:目的 了解湖北省公立医院的经济运行现状,分析其对公立医院公益性的影响.方法 采用现场调查的方法收集数据,结合相关统计资料对湖北省公立医院的经济运行现状进行分析.结果 湖北省公立医院的财务收支不断增加并趋于平衡;政府财政补助有限,90%以上的公立医院收入来源于医疗收入和药品收入;公立医院人均业务收入呈逐年增长的趋势;湖北省公立医院的资产负债率相对较高.结论 宏观经济体制和卫生政策的变革、经济利益的诱导阻碍了公立医院公益性的实现.完善公立医院的财政补偿机制,规范公立医院的财务管理机制.
Abstract:
Objective To understand the current economical operation of public hospitals in Hubei province and its effect on their public welfare performance. Methods To collect data in field survey and to analyze the current economic situation of such hospitals in the province based on relevant statistics.Results Financial revenue and expenditure of these hospitals keep rising and achieving a balance in general; for the insufficient government financial subsidy, 90% of the revenue of such hospitals come from their medical services and drugs sold; the per capita revenue of these public hospitals maintains a yearly rising trend; their asset-liability ratio was relatively high. Conclusions The public welfare performance of these hospitals tends to be impeded by the reform on the macro economic system and health policy changes, on top of the attraction of economic interests. Improving the government subsidy mechanism for public hospitals and standardizing the financial management mechanism of public hospitals.

关 键 词:公立医院  公益性  经济运行

Analysis on the economical operations of public hospitals in Hubei province
ZHANG Wen-bin,XIA Mian,RUAN Xiao-ming,LU Hui,ZHANG Li.Analysis on the economical operations of public hospitals in Hubei province[J].Chinese Journal of Hospital Administration,2011,27(1).
Authors:ZHANG Wen-bin  XIA Mian  RUAN Xiao-ming  LU Hui  ZHANG Li
Abstract:Objective To understand the current economical operation of public hospitals in Hubei province and its effect on their public welfare performance. Methods To collect data in field survey and to analyze the current economic situation of such hospitals in the province based on relevant statistics.Results Financial revenue and expenditure of these hospitals keep rising and achieving a balance in general; for the insufficient government financial subsidy, 90% of the revenue of such hospitals come from their medical services and drugs sold; the per capita revenue of these public hospitals maintains a yearly rising trend; their asset-liability ratio was relatively high. Conclusions The public welfare performance of these hospitals tends to be impeded by the reform on the macro economic system and health policy changes, on top of the attraction of economic interests. Improving the government subsidy mechanism for public hospitals and standardizing the financial management mechanism of public hospitals.
Keywords:Public hospitals  Public welfare  Economical operation
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