新医改以来我国基层医疗机构卫生财力资源配置状况分析

Analysis on Health Financial Resource Allocation in Primary Medical Institutions of China since the Implementation of New Medical Reform

目的:分析医改后,我国基层医疗机构卫生财力资源配置的变化趋势及存在的问题,为政府优化卫生资源配置政策提供理论基础。方法:利用卫生财务年报资料数据,对基层医疗机构卫生财力资源按地理面积分布的变化趋势进行统计描述分析。结果:2009-2012年,基层医疗机构固定资产按地理面积分布整体涨幅33%。社区卫生服务机构涨幅92%,乡镇卫生院涨幅23%,财政补助收入增加1.46倍。社区卫生服务机构增加1.91倍,乡镇卫生院增加1.19倍。结论:基层医疗机构卫生财力资源配置整体呈上升趋势,但城乡差距拉大,各地区配置水平差异显著,政府应加强农村及西部地区基层医疗机构卫生财力资源的配置。

Objective:To analyze the variation trend and the existing problems of health financial resource allocation in primarymedical institutions after new medical reform of China to provide theoretical basis for optimizing the policy of health resource alloca-tion for government.Methods:Using health financial annual report data to analyze the variation trends of health financial resourcesstatistically descriptive in primary medical institutions by geographical area distribution.Results:From 2009 to 2012, the fixed assetof primary medical institutions totally raised by 33% by geographical area distribution. The increasing amount of fixed assets in com-munity health service institutions was 92%. The increasing amount of fixed assets in township hospitals was 23%. The financial aid in-come increased 1.46 times. The financial aid in community health service institutions increased 1.91 times. The financial aid in town-ship hospitals increased 1.19. timesConclusion:The overall variation trend of health financial resource allocation in primary medi-cal institution was on the rise, however, the gap between urban and rural areas was widening, and the differences among regions wassignificant. The government should strengthen the health financial resources allocation in primary medical institutions in rural areasand western regions.