试论上海某10所医院管办分离及效益分析

Discussion on the Separation of Administration from Operation in 10 Hospitals in Shanghai and Their Benefits Analysis

目的:研究上海10所医院管办分离前后效益对比分析。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:投入产出及成本管理总值逐年持续增长,业务收支结余率年均增长0.43%;固定资产投入增长快速,年均增长率在20%以上;无形资产产出保持增长。门急诊次数、出院人数年均增长率分别为12.54%、12.47%;平均住院日、病死率逐年下降,诊疗费用、药占比逐年上涨,环比增长超过上海市人均生产总值。结论:加强资产运营效率,规范医院经营管理自主权,降低医院管理、医疗成本,提高医疗资源利用率,发挥社会效能。

Objective： to study the benefits comparison of 10 hospitals in Shanghai after separation of administration from operation. Method： to collect the data reporting from 2004 to 2010 and conduct analysis for the data by ratio analysis and sequential approach. Results： total value of input and output and cost management continues to grow year by year, average annual growth rate of business rises 0.43%; investment in fixed assets grew quickly, with an average annual growth rate above 20%; output of intangible assets sustain growth. Emergency number, average annual growth rate of hospital discharges respectively are 12.54% and 12.47%; average length of stay and the fatality rate have been declining, diagnosis and treatment costs and rate of drug accounting is rising year by year, the degree of the growth of sequential growth rate is more than the per capita GDP in Shanghai. Conclusion： it strengthens the operational efficiency, standardizes hospital management autonomy, reduces the management and health care costs and improves utilization of medical resources and plays its social effectiveness,