公立医院改革视角下北京市公立医院财政补助收入研究

Research on Financial Subsidy Revenue of Beijing Public Hospitals from the Perspective of Public Hospital Reform

目的:了解北京市公立医院财政补助收入,为政府制定相关决策提供参考。方法:采用2014—2018年北京市卫生统计年报个案库和《2019中国卫生健康统计年鉴》的数据进行描述性分析。结果:院均财政补助收入持续增长,年均增速为19.89%;财政补助主要用于人员经费、基本建设和设备购置;82.82%的财政补助流向三级医院,且流向趋势向三级医院倾斜;83.65%的财政补助流向非中医类医院,流向趋势向中医类医院倾斜;79.03%的财政补助流向"城六区",流向趋势无明显变化。结论:北京市公立医院财政补助水平高于全国平均;财政补助在公共卫生服务和重点学科建设方面投入较少,且不与补偿"药品加成收入"挂钩;不同级别、不同类别和不同功能区间的公立医院财政补助收入存在较大差距。

Objective:To understand the financial subsidy income of Beijing’s public hospitals and provide references for the government to make related decisions.Methods:Descriptive analysis is performed using data from the 2014—2018 Beijing Health Statistics Annual Report Case Bank and 2019 China Health Statistics Yearbook.Results:The average financial subsidy income of the hospital continues to grow,with an average annual growth rate of 19.89%;the financial subsidy is mainly used for personnel funding,capital construction and equipment purchasing;82.82%of the financial subsidy goes to the tertiary hospital,and the trend is inclined to the tertiary hospital;83.65%of financial subsidies goes to non-traditional Chinese medicine hospitals,and the flow trend is inclined to TCM hospitals;79.03%of financial subsidies goes to the 6 urban districts,and there is no significant change in the flow trend.Conclusion:The level of financial subsidies for public hospitals in Beijing are higher than the national average;financial subsidies are less invested in public health services and the construction of key disciplines,which are not linked to compensation for"medicine plus income";there is a large gap in the financial subsidy income of public hospitals at different levels,different categories and different functional intervals.