县级公立医院综合改革政策对医院运行的影响研究

Research on the Influences of County-level Hospital Comprehensive Reform Policy on Hospital Operation

目的:研究县级公立医院综合改革政策实施前后运行指标变化情况。方法:利用倍差法研究医院总收入、总支出、医疗服务收入、药品收入、次均住院费用和次均门诊费用的变化情况;利用面板数据的回归分析研究各因素对以上指标的影响程度。结果:县级医院综合改革通过取消试点医院的药品加成和非试点医院药品加成严格控制在15%以内的措施,有效控制了县级公立医院的药品收入,医院总收入增长幅度有所放缓;次均门诊费用和次均住院费用增长有所放缓。结论:县级公立医院综合改革试点医院运行平稳,没有出现因取消药品加成造成的收入减少而转嫁给医疗服务收费的情况。

Objective： To research the operation indexes changes in county-level hospitals before and after the implementation of the county-level hospital reform policy. Methods： Use DID model to research hospitals＇ revenue and expenditure, medical service revenue, income from drugs, the average compensation of hospitalization expenditure and outpatient expenditure. Using panel data research various factors on the influence of the above indicators. Results： Through taking the measure of canceling the drug addition in pilot hospitals and non-pilot hospital within 15%, county-level hospitals comprehensive reform effectively control the drug income of county-level hospital, the hospital revenue growth has slowed. The average outpatient cost and hospitalization cost growth has slowed the increase. Conclusion： The operation of comprehensive reform of county hospitals is smooth, there is no existence of transfering revenue on medical services because of the cancellation of drug addition.