医院管办分离及其效益分析——以上海市公共卫生临床中心为例

Separation from Monitoring Functions and Enforcing Functions of Hospital and Its Benefit Analysis:Taking Shanghai Public Health Clinical Center for Example

目的:研究公卫中心管办分离前后效益对比。方法:收集2004-2010年连续7年数据报表,以比率分析法和环比法进行数据分析。结果:投入产出均呈上升状态。病床使用率、总支出、医疗支出、固定资产、在职职工人数和卫技人员年均增长率分别为14.45%、100.09%、25.21%、82.69%、5.05%和6.93%。门急诊人数、出院人次、病床周转率、在职职工人均年业务收入、在职职工人均年诊疗人次数和医师人均每日担负诊疗人次年均增长率分别为25.55%、18.55%、29.25%、12.26%、18.19%和19.21%。平均住院日、收支结余率和总资产周转率年均负增长,分别为11.2%、3.23%和5.91%。结论:进一步理顺"管办分离"治理结构,合理投入资产,降低医院管理成本,提高运营资产效率。

Objective： To study the comparison of the benefit before and after separation from monitoring functions and enforcing functions of public health center. Methods： To select data reports during 2004-2010, conduct analysis by ratio analysis and QoQ. Results： input-output shows an increasing state. The average annual growth rate of bed occupancy rate, the total expenses, medical expenses, fixed assets, the number of employees and health technicians are 14.45%, 100.09%, 25.21%, 82.69%, 5.05% and 6.93% respectively. The number of outpatient, the number of discharges, bed turnover rate, annual per capita revenue of employees, annual per capita of the number of employees＂ diagnosis and treatment, and annual growth rate of the per capita of physicians＂ diagnosis and treatment are 25.55%, 18.55%, 29.25%, 12.26%, 18.19% and 19.21% respectively. The average length of stay, rate of income over expenditure and total asset turnover show annual negative growth, they are 11.2%, 3.23% and 5.91% respectively. Conclusion： To further rationalize the governance structure of separation from monitoring functions and enforcing functions, reasonable investment assets, reduce the cost of hospital management, improve the operating assets efficiency.