海口市老年护理医院经济运行状况分析

Analysis of the Situation of Economic Operation of Geriatric Nursing Hospitals in Haikou City

目的:分析海口市老年护理医院经济运行情况,为构建适宜的老年护理经济管理模型提供参考依据。方法:调查海口市辖区内开设老年护理服务的16家医院2011-2014年经济收支情况和910名老年病患者护理需求。结果:2011-2014年海口市社区老年护理医院的收入、支出和结余均呈现逐年增长趋势,收入年均增加23.51%,支出增加20.93%,结余增加43.30%;从收入的结构分布情况来看,各类收入比重趋于稳定,其中药品收入依然是医院的主要收入来源,财政拨款等政府补贴处于较低水平,其他收入逐年递增;从收支结构的分布情况来看,医院的收入结构除其他收入和支出存在较大差异,其他项目均无显著性差异。结论:政府应加大财政补偿力度和补助范围,优化社区医疗资源配置;加强医院内部流程和财务管理,提高医院经济运行效率;引入社会资本实行多元经济管理手段,创新社区老年护理服务模式。

Objective： To analyze the situation of economic operation of geriatric care hospitals in Haikou City to provide reference for building a suitable economic management model of elderly nursing. Methods： Data on economic balance of payments in 16 hospitals providing geriatric nursing services during 2011 -2014 in Haikou City were collected and the nursing needs of 910 elderly patients were invested with questionnaires. Results： The income, expenditures and surplus of community geriatric nursing hospitals increased year by year during 2011 -2014 in Haikou city, whose average growth rate per year are 23.51%, 20.93 % and 43.30% ; from the distribution of income structure, all kinds of income tend is stable, and the drug income is still the main income source of the hospitals, funding from the government subsidy is in the low level, other income increased year by year; from the distribution of revenue and expenditure structure, there is no significant difference in other projects except the big difference existing between the other income and expenditure. Conclusion： The government should increase the strength and scope of financial subsidies to optimize the allocation of community health resources ; strengthen hospital internal flow and financial management to improve the efficiency of economic operation of hospitals ; introduce social capital to multiple economic management and create a community geriatric care service mode.