| 引用本文：袁长海,王守勇,李光英,等.我国县级医院绩效与财政补偿策略——基于4省131个医院的调查[J].中国卫生政策研究,2013,6(1):51-56 |
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| 我国县级医院绩效与财政补偿策略——基于4省131个医院的调查 |
| 投稿时间：2012-12-18 修订日期：2012-12-28 PDF全文浏览 HTML全文浏览 |
| 袁长海1, 王守勇2, 李光英2, 葛人炜1, 董树山3, 贾莉英1, 傅淑花2 |
| 1.山东大学卫生管理与政策研究中心 卫生部卫生经济与政策研究重点实验室;2.山东大学齐鲁医院;3.山东省卫生厅 |
| 摘要:目的：分析县级医院的绩效与资源投入，为政府财政投入策略提供依据。方法：在4省抽取131个县级医院，用描述性分析、相关分析、多元回归分析、数据包络分析评价比较医院的经济投入、经济社会绩效及财政补助的作用。结果：绝大多数医院总收支平衡或有结余，业务亏损的医院只占252%；规模大的医院人员效率未见降低，但固定资产效率下降；医院得到政府补偿量与医院规模没有关系，富裕县医院得到明显多的财政补助；财政补助没有起到减少病人医疗费用的作用。结论：县级医院投入越高、产出越高，政府补助缺乏计划性及合理性，今后应根据医院服务量、效率、技术质量、费用控制程度等公益性指标进行补偿。 |
| 关键词:县级医院 经济投入 绩效 财政补偿 |
| 基金项目:国家自然科学基金（70973067） |
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| Performance and government funding of county hospitals in China： Based on the survey of 131 hospitals in 4 provinces |
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| Abstract:Objective： In this paper，we analyze the relationship between government funding and performance of 131 county hospitals in four provinces and provide a basis for government assistance and development plan in the future Methods： We use descriptive analysis，correlation analysis，multivariate analysis，and DEA to determine the relationship between funding and performance Results： From 2010 to 2011，the majority of county hospitals had made a balance of financial payments，and 252% had made a deficit Overall，bigger hospitals had no problems with staff efficiency but used capital assets less efficiently There was no relationship between the size of a hospital and the amount of government funding；however，hospitals in wealthy counties received much more funding The amount of government funding did not affect patient medical costs Conclusions： The output of county hospitals was perceived to be in proportion to funding; however，government funding was not well planned and based on solid reasoning In the future, the government funding should be based on the public welfare of hospitals |
| Key words:County hospital Economic input Performance Government funding |
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