华西医院病人接受境内外医疗慈善捐赠的对比分析

Contrastive Analysis of the Medical Charity Donations for the Patients at Home and Abroad in West China Hospital

目的对比分析四川大学华西医院接受境内外医疗慈善捐赠的现状与问题,为建立适合华西医院乃至国内医疗慈善事业的管理和发展机制提供决策依据。方法调查四川大学华西医院2005年1月～2006年12月接受境内外医疗慈善捐赠情况,评价本院境内外医疗慈善捐赠的现状与问题。结果近2年华西医院受理的境内捐赠累计204.3万元,境外捐赠累计1460万元。境内捐赠主要病种为肿瘤、血液病、急重症、先心病(分别占43.3%、35.9%、15.8%和1.0%);境外组织主要捐赠干预措施/病种为听力康复治疗、人工关节置换、白内障和先心病(分别占52.1%、27.4%、13.7%和6.8%)。结论境内外医疗慈善捐赠在捐赠金额、捐赠对象、行为动机、组织性、目的性、捐赠标准等方面存在差异,由此可能带来慈善资金募集、分配、监管等问题,建议建立医院慈善基金管理委员会和制定法律规范慈善行为。

Objectives To compare the differences of the medical charity donations between at home and abroad in West China Hospital of Sichuan University, so as to provide the evidence for the management and development of medical charity in West China Hospital and China. Methods A cross-sectional study was conducted to investigate and analyze the current situation and problems of the medical charity donations at home and abroad in West China Hospital from January 2005 to December 2006. Results The total amount of the charity funds at home and abroad was 2.043 million and 14.6 million, respectively. The main target diseases of domestic donation were tumor, hematologic disease, dangerous and severe diseases and congenital heart disease, which accounted for 43.3%, 35.9%, 15.8% and 1.0%, respectivley. While the main targeted interventions and diseases of overseas donation were hearing rehabilitation, prosthetic replacement, cataract and congenital heart disease, which took up 52.1%, 27.4%, 13.7% and 6.8%, respectively. Conclusions There are differences in the amount of charity funds, target diseases, behavioral motivations, organizations, objectives and criteria of the charity donation between the donations at home and abroad. It would probably cause the problems in recruitment, distribution and monitoring of the charity funds. It is suggested that the hospital management committee of charity funds and the related law to regulate the charity behaviors should be developed.