医疗机构扭曲的补偿机制依然存在:中部地区实证

The distorted reimbursement mechanism of the medical institutions in central China area still exists

以我国中部地区某省为例,利用全国卫生财务年报资料等常规统计数据信息,进行定量模拟论证,发现:中部地区某省财政补助萎缩依然存在,18年来财政投入累计缺口40.5亿元。为弥补来自财政投入净收入的缺口,在物价严控的低收费策略下,医疗机构造成业务收入增加了163.2～361.7亿元,其中超过半数不能合理解释,卫生资源浪费了122.7～321.2亿元。其中财政和物价对其承担66.8%～149.4%的责任。提示:中部地区医疗机构扭曲的补偿机制依然存在。

The article takes one province in central China area as an example.The article utilizes regular statistical data such as the financial annual report materials of national hygiene to make a quantitative simulation demonstration, and finds that the shrinking of government subsidies of the province still exists.There is a big gap of 4.05 billion yuan in financial investment in the past 18 years.In order to remedy the shortfall of the net income under the severely controlling of the medical price,the operating revenue increases 16.32～36.17 billion yuan and health resources waste 12.27～32.12 billion yuan.More than half of the expenditure cannot be reasonably explained.The finance and commodity prices takes 66.8%～149.4%of the responsibility for the growth of the medical expenditure. Overall,the reimbursement mechanism still exists in the province of central China area.