| 引用本文：林海,荆丽梅,金春林,等.上海市中医医院收入与支出分析[J].中国卫生政策研究,2010,3(1):21-27 |
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| 上海市中医医院收入与支出分析 |
| 投稿时间：2009-11-30 修订日期：2009-12-14 PDF全文浏览 HTML全文浏览 |
| 林海1, 荆丽梅2, 金春林1, 丁汉升2, 付晨1, 张崖冰2 |
| 1.上海市卫生局;2.上海市卫生发展研究中心 |
| 摘要:目标：测算上海市中医医院2002—2007年财务收支情况。资料与方法：采用上海市4家三级中医院、16家二级中医院的财务数据，以及来自关键知情人的访谈资料，进行描述性分析。结果：上海市中医医院相比于综合医院更易受到政策药品差价控制的影响。因人员支出的上升和药品加成率的下降，上海市中医医院2007年亏损188亿，占全市公立医院亏损的大部分。建议：在成本核算的基础上推进中医医疗服务的合理定价和优化补偿结构，完善中医医院的补偿机制，保证药品质量的基础上鼓励中药的使用。 |
| 关键词:中医医院 收入 支出 |
| 基金项目:上海市卫生局重大研究项目（编号：4.3） |
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| Analysis on the revenue and expenditure of Chinese Traditional Medicine hospitals in Shanghai municipal |
| LIN Hai1, JING Li-mei2, JIN Chun-lin1, DING Han-sheng2, FU Chen1, ZHANG Ya-bing2 |
| 1.Shanghai Municipal Health Bureau;2.Health Development Research Center, Shanghai Municipal Health Bureau |
| Abstract:Objectives: To analyze the revenue and expenditure of the Chinese Traditional Medicine (CTM) hospitals from 2002 to 2007 in Shanghai. Data and Methods: We extracted the financial management data of the four tertiary and sixteen secondary CTM hospitals, and information from key person interview. Results: The Chinese Traditional Medicine hospitals are more likely to be affected by controlling drug markup policies in comparison with other hospitals .Due to the human resources costs escalation and the drug markup decreasing, the CTM hospitals felt deficit by 188 million, which accounts for a large proportion of total deficit of hospitals in Shanghai in 2007. Recommendations: We should set price and reimbursement appropriately and modify the reimbursement mechanism in TCM hospitals guarantee the medicine quality and encourage the use of TCM medicines which are of high quality and cost effective. |
| Key words:Chinese Traditional Medicine hospital Revenue Expenditure |
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