| 摘要: |
| 摘要 目的 探索某大型综合委属委管医院参与城市公立医院改革后的运行变化，为改革的推进提供政策参考。方法 运用同比分析方法对该院2015年和2016年一季度相关数据进行分析。结果 医疗收支结余同比下降86.90%；药占比同比下降6.33；门急诊人次、出院人次、手术台次同比分别增长14.45%、7.85%、8.27%；门诊和住院患者人均费用同比分别下降5.47%、0.93%。结论 医药价格改革后该院“以药养医”模式已破除，但经济运行受影响较大，医疗收入结构调整不到位，分级诊疗推动效果不明显。 |
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| Analysis on Current Reform Status of a Large General Hospital Managed Directly by Health and Family Planning Commission |
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| Abstract: |
| Abstract Objective Explore the operation change of some large general hospital managed directly by Health and Family Planning Commission after participating urban public hospital reform, to provide policy reference for promoting the reform. Methods Compared with analysis was used to analyze the relevant data in the first quarter of 2015 and 2016 about this hospital. Results Medical balance fell 86.90% year-on-year; medicine proportion fell by 6.33% year-on-year; the growth of outpatient and emergence visits, discharged patients and the number of operation was respectively 14.45%,7.85% and 8.27% year-on-year. Per capita outpatient and inpatient costs fell by 5.47% and 0.93% respectively compared to first quarter of 2015. Conclusion The mode of medicine supporting medical has been broken after medicine price reform, but largely effect on economic operation. medical income structure adjustment does not reach the expected goals and the effect of promoting hierarchical diagnosis is not obvious. |
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