重庆市公立医院资金流向状况剖析

Deepgoing analysis on status of fund current direction of Chongqing public hospitals

目的剖析重庆市公立医院资金流向中存在的主要问题,为推进公立医院筹资机制改革提供决策依据。方法分别采用趋势绘图、分类对照和情景分析方法,对近年来重庆市卫生总费用构成、流向结构、医疗机构收支情况、资产及负债情况进行剖析。结果 2005～2009年全市卫生总费用年均增长20.27%,人均卫生费用年均增长25.39%。卫生总费用分配流向城市医疗。医疗机构主要依靠医疗和药品收入筹集资金。公立医院资产负债相对偏高。结论目前重庆市公立医院整体情况向好,卫生水平有较大发展,但仍存在一些缺陷和不足。建立适应市场经济发展、有重庆特色的公立医院筹资机制,仍任重而道远。

Objective To deeply analyze the main problems in the fund current direction of Chongqing public hospitals,so as to provide evidence on decision making on fund raising mechanism reform in public hospitals. Methods The tendency chart drawing, classification comparison,and scenario analysis were applied to deeply analyze the total expense composition,fund afflux structure, medical institutions＇ revenue and expenditure,assets and debts in recent years in Chongqing city. Results From 2005 to 2009,the average growth rate of total health cost（% per year） aeeounted for 20.27%,the per capita growth rate（% per year） was 25.39%. The total heahh cost allocation tended to flow to city medical treatmente. The medical institutions＇ capital funding mainly relied on medical treatment and drugs. The liabilities were relatively high in public hospitals. Conclusion At present, the whole status of Chongqing public hospitals changes for better and the health level is markedly improved. Nonetheless,there exist some defects and insufficiencies. it is our goal to establish a fund raising meehanism with Chongqing characteristics which adapts to market economy development. There is before us a heavy responsibility and a long way to go.