| 摘要: |
| 目的：分析样本专科医院2017—2021年收支结构变化的特征及趋势，论证公立医院综合改革实践及其相关政策对专科医院可持续发展的积极作用。方法：借助2017—2021年样本专科医院财务收入和支出相关指标与数据，利用结构变动度模型进行系统分析。结果：医疗服务收入占比持续提升，药品、卫生材料、检查和化验收入占比持续下降，且政府财政补助占比也呈下降趋势。结论：公立医院综合改革实践成效明显，促进了专科医院的转型发展，但需进一步完善医院综合改革措施，有效地保障公立医院的可持续发展。 |
| 关键词: 公立医院综合改革 专科医院 收支结构 结构变动度 |
| DOI： |
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| 基金项目: |
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| Analysis on the Characteristics and Challenges of the Development of Specialized Hospitals Based on the Degree of Revenue and Expenditure Structure Variation Model |
| Wang Bing |
| (Shenzhen Eye Hospital, Shenzhen, Guangzhou, 518040 , China) |
| Abstract: |
| Objective: To empirically analyze the characteristics and trends of the changes in revenue and expenditure structure of a specialized hospital in Shenzhen from 2017 to 2021, and to describe the impact of the comprehensive reform practice of public hospitals and related policies on the sustainable development of specialized hospitals. Methods: With the help of relevant indicators and data such as the financial income and expenditure of a specialized hospital and its structural changes from 2017 to 2021 , the structural change model and its methods were used to conduct a systematic evaluation. Results: The proportion of income from medical services continued to increase, the proportion of income from medicines, health materials, inspections and tests continued to decline, and the proportion of government financial subsidies also showed a downward trend. Conclusion: The comprehensive reform of public hospitals has achieved remarkable results, which has promoted the transformation and development of specialized hospitals. However, the comprehensive reform measures of hospitals need to be further improved, such as continuous improvement of government financial compensation policies, standardization of hospital diagnosis and treatment behavior, and strict control of unreasonable use of drugs and consumables. It is needed to improve the hospital revenue and expenditure structure to effectively guarantee the sustainable development of public hospitals. |
| Key words: public hospital specialized hospital revenue and expenditure structure degree of structure variation |
