宿迁市2011-2016年卫生资源发展状况与对比研究
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1.南京医科大学医政学院;2.沭阳南关医院

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Abstract:[Objective]To investigate the liability situation during the
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1.School of Health Policy DdDdamp;2.Management,Nanjing Medical University;3.ShuYangNanGuanHospital

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    摘要:

    摘要:目的 分析宿迁卫生医疗机构卫生资源增长同时伴随的负债情况,讨论成因,为宿迁民营医院走出困境提出政策建议。方法 采用定基比、环比分析方法,对宿迁市2011-2016年的医院数量、医疗卫生机构的床位、人力资源、资产及负债情况进行描述,并与周边地区进行比较。结果 1市场化机制使宿迁民营医院资产快速增长,医疗机构业务收入持续增长;2卫生资源效率方面,人力资源利用效率保持较高水平,但有下降趋势;而床位、固定资产效率水平一直较低,有待提升;3宿迁市医疗卫生机构财政补贴收入增幅明显,但补贴水平一直较低;4卫生资源快速发展的同时也导致负债急剧增加,运营成本居高不下,严重影响医疗机构的可持续发展。结论 宿迁市医疗机构市场化机制对资源增长起到了积极的推动作用,但不可避免地带来了高负债和高运营成本,医疗机构普遍进入发展瓶颈期。

    Abstract:

    Abstract:[Objective]To investigate the liability situation during the health resource increase in Suqian health and medical institutions, and analyze their causes, and to propose the policy suggestions for Suqian private hospitals to emerge from their predicament.[Method]Based on the fixed-basis ratio and the ring-analysis method, the private hospitals in Suqian city from 2011 to 2016 were analyzed on the number, bed configuration, human resources, assets and liabilities, and compared with the surrounding areas.[Results] 1 The market-based mechanism resulted in the rapid growth of the assets of private hospitals in Suqian, and the income of medical institutions continued to grow; 2 The health resource efficiency and utilization efficiency of human resources maintained a relatively high level, but there was a downward trend, while the efficiency of bed and fixed assets remained low, to be promoted;3 Suqian health care institutions have seen significant increases in financial subsidies, but the level of subsidies has been low ;4 rapid development of health resources also led to a sharp increase in liabilities, operating costs remain high, seriously affecting the sustainable development of medical institutions.[Conclusion]The marketization of medical institutions in Suqian City has played a positive role in promoting resource growth, but it has inevitably brought high debt and high operating costs. Medicalinstitutions have generally entered the bottleneck period.

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  • 收稿日期:2018-07-02
  • 最后修改日期:2018-08-31
  • 录用日期:2018-11-06
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