某军队医院参与地方医改的综合运营分析

Comprehensive Operational Analysis on a Military Hospital Which Participate in the Local Medical Reform

目的:以安徽省某军队医院的财务数据为来源,分析新医改政策实行一年以来该医院的综合运营情况。方法:针对医改前后同期财务数据进行k-s检验,再做两独立样本t检验,并逐项进行趋势分析和比率分析;再通过各科室的床位利用指数对其工作效率进行分析。结果:医改后的药品收入(-9.91%)和药占比(-3.50%)均较医改前有了不同程度的下降,诊疗收入增长明显(237.44%),均符合改革导向;但是耗材收入部分变化不明显,需要进一步严格控制加强管理。各科室在新医改实施后运转平稳,可根据学科特色进行调整。结论:军队医院参与地方医改以来,医院总体发展平稳,医院收入结构趋于优化,医护人员劳动价值得到充分提升,优势学科进一步发展。但也出现收容下降,医疗收入增速趋缓,需科学控制发展规模,大力发展特色技术。

Objective： To analyze the hospital comprehensive operational status since the implementation of new medical reform according to the financial data of the military hospital in Anhui. Methods： Use k-s test and 2-independent-samples t test to check the financial data from the same period before and after medical reform. Then use trend and ratio analysis for each item. The sickbed utilization index was applied to analyze the work efficiency of each clinical department. Results： Both the drug revenue（-9.91%） and drug accounting（-3.50%） declined compared with the data before the reform. The diagnosis and treatment revenue had a definite increase（237.44%） which was lined with the reform-oriented. However, the part of supplies revenue did not change significantly which needed further control and management. Most clinical departments were in good condition, which could be adjusted according to the subject characteristics. Conclusion： Since the military hospital participate in local medical reform, it had stable development. The revenue structure had been optimized and the value of medical professionals were improved significantly. All these could promote further development of the advantage clinical discipline. Meanwhile, the occupancy rate of the hospital decreased and medical income growth in slow rate which suggested the need of controlling the scale of hospital and focusing on featured technology development.