| 引用本文: |
于洗河,顾文涛,万龙涛,等.吉林省县级公立医院改革后“看病难、看病贵”现状研究[J].中国卫生经济,2018,(2):45-47.[点击复制] |
.Status Research on the Difficulty and High Cost of Getting Medical Services after the Medical Reform of County-level Public Hospitals in Jilin Province[J].CHINESE HEALTH ECONOMICS,2018,(2):45-47.[点击复制] |
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| 摘要: |
| 目的：通过吉林省县级公立医院财务数据分析和就诊患者问卷调查，了解县级公立医院全面改革后“看病难、看病贵”现状，为新医改政策制定提供依据。 方法：根据医院HIS系统收集县级公立医院卫生费用数据，同时，对789名到县级公立医院就医的患者进行问卷调查。 结果：2014-2016年，医院门急诊次均费用、次均住院费用、医院总收入、医院医疗收入、医院财政补贴收入、医院医保收入均逐年增加；患者个人自付费用占医院总收入比例、患者个人自付费用占医院医疗收入比例8.4%的被调查患者认为“看病难”，26.2%认为“看病贵”，医保参保率达到96.7%，14.7%的被调查患者对医保报销比例表示不满意。结论：县级公立医院改革后，收入发生了结构性改变，患者“看病难”问题明显改善，“看病贵”问题仍有待进一步解决。 |
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| Status Research on the Difficulty and High Cost of Getting Medical Services after the Medical Reform of County-level Public Hospitals in Jilin Province |
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| Abstract: |
| Objective: By analysing the financial data and conducting a questionnaire survey in Jilin province county-level public hospital, understand the status of the difficulty and high cost of getting medical services after the medical reform of county-level public hospital in order to provide the basis for the medical reform policy. Methods: According to hospital HIS system, collect the health cost data of county-level public hospitals in Jilin province. And conduct a questionnaire survey on 789 patients who visit clinic. Results: In 2014-2016, hospital outpatient and emergency medical expenses, average hospitalization expenses, hospital total revenue, hospital medical income, hospital financial subsidy income and hospital medical insurance income are all increasing year by year. Hospital drugs income accounted for proportion of hospital total revenue, hospital drugs income accounted for proportion of hospital medical income, individual out-of-pocket expenses of hospital patients accounted for proportion of hospital total revenue, the individual out-of-pocket expenses of hospital patients accounted for proportion of hospital medical income all decrease year by year. 8.4% of the patients surveyed said "it is difficult to get medical services ", 26.2% said " it is expensive to get medical services ", the medical insurance coverage reached 96.7%, and 14.7% of the patients were dissatisfied with the proportion of medical insurance reimbursement. Conclusion: After the medical reform of county-level public hospitals, the income has undergone structural changes. The problem of the difficulty of getting medical services has improved significantly, but the problem of the high cost of getting medical services still needs to be solved. |
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