某军队医院参与地方医改的综合运营分析

目的:以安徽省某军队医院的财务数据为来源,分析新医改政策实行一年以来该医院的综合运营情况。方法:针对医改前后同期财务数据进行k-s检验,再做两独立样本t检验,并逐项进行趋势分析和比率分析;再通过各科室的床位利用指数对其工作效率进行分析。结果:医改后的药品收入(-9.91%)和药占比(-3.50%)均较医改前有了不同程度的下降,诊疗收入增长明显(237.44%),均符合改革导向;但是耗材收入部分变化不明显,需要进一步严格控制加强管理。各科室在新医改实施后运转平稳,可根据学科特色进行调整。结论:军队医院参与地方医改以来,医院总体发展平稳,医院收入结构趋于优化,医护人员劳动价值得到充分提升,优势学科进一步发展。但也出现收容下降,医疗收入增速趋缓,需科学控制发展规模,大力发展特色技术。

Comprehensive operational analysis from a military hospital which participate in the local medical reform

[Abstract] Objective To analyze the financial data of the military hospital in Anhui Province for one year. Methods Use k-s test and 2-independent-samples t test to check the financial data from the same period before and after medical reform. Then use trend and ratio analysis for each item. And then through the sickbed utilization index analyze the work efficiency of each clinical department. Results After medical reform the drug revenue (-9.91%) and drug accounting (-3.50%) both decline meanwhile diagnosis and treatment revenue has a definite increase (237.44%) which line with the reform-oriented. However, the part of supplies revenue does not change significantly which needs further control and management. Most of the clinical departments are in good condition, and these can be adjusted according to the subject characteristics. Conclusion Since the military hospital participate in local medical reform, it has a stable development .The revenue structure has been optimized and the value of medical professionals has improved significantly. All these can promote the further development of the advantage clinical discipline. At the same time, the occupancy rate of the hospital decreased and medical income growth in a slow rate which suggest the need of control the scale of hospital and focus on featured technology development.