黑龙江省64家县级综合医院实施公立医院改革前后收入情况比较分析

A comparative analysis of income before and after reforming of public hospitals in 64 county-level governmental hospitals in Heilongjiang province

目的为进一步完善县级公立医院改革政策提供参考。方法描述法。结果2012—2017年,64所县级公立医院总收入呈逐年上升趋势;2014年县级公立医院改革开始逐步实施,门诊和住院西药收入增速开始放缓;2012—2017年,黑龙江省64所县级综合医院药占比、门诊药品占门诊收入的比重、住院药品占住院收入的比重均呈逐年下降趋势。结论提高财政补助力度,确保百姓切实受益;科学完善价格调整及补偿机制,促进县级综合医院健康发展;进一步完善基本药物制度,加强与医保药品报销目录的联动。

Objective To provide reference for further improving of the reform policy of county-level public hospitals.Methods Descriptive analysis method was used in this study.Results From 2012 to 2017,the total income of 64 county-level public hospitals showed an increasing trend year by year;the reform of county-level public hospitals began to be implemented gradually in 2014,and the growth rate of outpatient and inpatient western medicine income began to slow down;from 2012 to 2017,the proportion of drugs in 64 county-level general hospitals in Heilongjiang province,the proportion of outpatient drugs in outpatient revenue,and inpatient drugs,the proportion of hospitalization income decreased year by year.Conclusions Improve financial subsidies to ensure that people benefit effectively;scientifically improve the price adjustment and compensation mechanism to promote the healthy development of county-level general hospitals;further improve the basic drug system and strengthen the linkage with the medical insurance drug reimbursement catalogue.