购买服务为基础的财政补偿机制对乡镇卫生院经济运行的影响.pdfVIP

申目相级卫笠保健2013 军9 月第27 卷第9 期{总第 333 期) 购买服务为基础的财政补偿机制 对乡镇卫生院经济运行的影响 何晓华①，孙穗秋①，叶奎英á) 摘 要 目的 了解实施国家基本药物制度后，辛苦江区以购买服务为主要形式的财政投入补偿机制对乡镇卫生院经济运行情况 的影响。方法 运用整群抽样法，对于F 江区 9 家乡镇卫生院实施国家基本药物制度前后的财务状况进行分析比较。结果 乡镇 卫生院门急诊人次、转诊人次大幅度增长;住院人次与往年持平;总收入和总支出都稳步增长，财政补助逐年增加，医疗收入 比重不变，药品收入比重下降。结论 以购买服务为基础的财政投入补偿机制提高了乡镇卫生院工作的积极性，增加了卫生院 收入。应当通过提高医疗收费价格、调整新农合政策导向等措施进一步提高卫生院收入，维持其可持续发展;在今后的工作 中，要注意规避卫生院收归国有带来的资源浪费、开支过大等问题。 关键词 购买服务;财政补偿;卫生院;经济运行 doi:l0.3969/j.issn.lω1-5ωX.2013.09.制附 [中固分类号] R197 [文献标识码] A [文章编号] 1∞1-568X(2013归9-∞14-03 Impact of pur曲asing Service-Based Financial Compeosatioo Mechanism 00 the Ecooomic OperatioD of Towoship Ho叩italsl HE Xia←h恤， SUN De-qiu , YE Kui-抖ngll Chin即prim创-y H四Ith Ca凹， 2013， 27例: 1• 16 A恼tract OBÆCTlVE After the implementation of essential drug system, to understand the effect of purchase service-based financial investment compensation mechanism in Hanjiang District on the economil operation of township health centers. METHODS Using cluster sampling method to investigate 9 township health centers in Hanjiang District, compare the financial situation before and after the implementation of essential drugs system. RESULTS 币Je number of outpatients, emergency patients and referral patients increased significanÙy; the number of inpatients stay steadily compared with previous years; total revenu回 and total expenditures 缸哩 growing steadily, financial assistance increased year by ye町 medical income stay in a constant proportion while 世ug income proportion dropped. CONCLUSJON Purchasing service -based financial investment compensation mechanism enhanced the enthusiasm and increased the revenues of the township hospitals. Measures such ωimproving medical charges, adjusting 出e new rural co -operative medical system policy guidance should be taken to further improve the income