“十二五”期间新疆阿克苏地区乡镇卫生院经营状况分析*

目的了解阿克苏地区乡镇卫生院依托新农合"十二五"期间的经营状况,为本地区和同类地区制定乡镇卫生院相关政策提供依据。方法资料来源于新疆阿克苏地区90所乡镇卫生院2011—2015年的卫生年报数据。乡镇卫生院经营指标包括服务能力和效率、收入与支出、资产与负债及社会效益等。所获数据采用Excel 2010软件进行数据录入和处理。结果门急诊人次、出院人次年均增长率分别为27.6%和5.3%,出院者平均住院天数变化幅度不大。总收入、总支出年增长率分别为20.1%和21.3%,财务状况略有盈余,百元固定资产医疗收入年均增长率为6.9%。近三年来总资产年增长20.5%,业务经费自给率呈现逐步下降的趋势,从2011年的70.2%下降至2015年的49.5%,资产负债率呈上升趋势,从2011年的19.5%上升至2015年的29.5%。次均门诊费用、例均住院费用年均增长率为1.0%和5.4%。结论乡镇卫生院业务量持续增长,乡镇卫生院收支结构不合理,资产快速增加,设备利用率低,乡镇卫生院医疗费用控制严格。

The Analysis of Township Hospitals Operating Situation in Aksu Region of Xinjiang in Twelve Five Period YUnder the Background of New Cooperative Medical Care

OBJECTIVE To understand township hospitals operating situation in Aksu region of Xinjiang in Twelve Five period under the background of new cooperative medical care to provide the reference for the development relevant policies about township hospitals in this region and similar parts.METHODS Data from health annual data of Aksu 90 township hospitals from 2011 to 2015. Operatingindicators of township hospitals included service capacity and efficiency, income and expenses, assets and liabilities, and social benefits. Used Excel2003 entry and statistical analysis the information obtained. RESULTS Average annual growth rate of outpatient and emergency visits and discharge visitors were 27.6% and 5.3%, discharged an average hospital stay changed slightly. Growth rate of total revenue and total expenditure were 20.1% and 21.3%, the financial situation of a slight surplus, average annual growth rate of hundred fixed assets medical income was 6.9%. Total assets grow rate was 20.5% in the past three years, the rate of self-financing operations showed a gradual downward trend, falling from 70.2% in 2011 to 49.5% in 2015, asset-liability ratio raised from 19.5% in 2011 to 29.5% in 2015. Average annual rate of both times outpatient costs, the cost of hospitalized patients were 1.0% and 5.4%. CONCLUSIONS township hospitals traffic continued to grow, township hospitals revenue and expenditure structure was irrational, a rapid increase in assets, low capacity utilization, strict cost control medical township hospitals.