引用本文: 蒋理添,吴洁琪,伍丽群,等.深圳市医疗专项债加速发行对公立医院的影响及应对措施*[J].中国卫生经济,2023,42(11):69-72.[点击复制] Jiang Litian,Wu Jieqi,Wu Liqun,et al.The Impact and Corresponding Measures of Accelerated Issuance of Shenzhen Medical Special Bonds on Public Hospi⁃ tals[J].CHINESE HEALTH ECONOMICS,2023,42(11):69-72.[点击复制]
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深圳市医疗专项债加速发行对公立医院的影响及应对措施*
蒋理添,吴洁琪,伍丽群,王安妮,曾华堂,郑婉真
0
(深圳市卫生健康发展研究和数据管理中心广东 深圳 518028;大连医科大学公共卫生学院 辽宁 大连 116044;中国医科大学公共卫生学院 沈阳 110000)
摘要:
目的:探讨医疗专项债的加速发行对公立医院的影响,助力医疗机构用足用好医疗专项债,促进公立医院高质量发展。方法:采用定量和定性相结合的方式,对深圳市医疗专项债发行情况及特点进行分析,同时结合利益相关者分析法、专家访谈来探讨医疗专项债对公立医院的影响并提出政策建议。结果:2018—2022年期间深圳市发行的医疗专项债辐射各个辖区、期数逐年增加、发行规模快速增长,医疗专项债发行占比高。调研结果显示,医疗专项债的发行对公立医院是把双刃剑, 一方面可迅速解决公立医院发展资金需求,推动医疗卫生事业的发展,另一方面也会增加公立医院的运营压力。结论:主管部门和公立医院要不断配合,积极完善医疗专项债的发行和使用制度,促进公立医院高质量发展。
关键词:  医疗专项债  公立医院  影响  应对措施
DOI:
投稿时间:2023-09-08
基金项目:广东省医学科学技术研究基金项目 (C2021107);广东省卫生经济学会重点课题 (2021-WJZD-04)
The Impact and Corresponding Measures of Accelerated Issuance of Shenzhen Medical Special Bonds on Public Hospi⁃ tals
Jiang Litian,Wu Jieqi,Wu Liqun,Wang Anni,Zeng Huatang,Zheng Wanzhen
(Shenzhen Health Development Research and Data Management Center, Shenzhen, Guangdong, 518028 ,China)
Abstract:
Objective: To explore the impact of the accelerated issuance of medical special bonds on public hospitals, assist them in fully utilizing medical special bonds, and promote high-quality development of public hospitals. Methods: A combination of quantitative and qualitative methods was used to analyze the issuance and characteristics of medical special bonds in China and Shenzhen. Stakeholder analysis and expert interviews were used to explore the impact of medical special bonds on public hospitals and propose policy recommendations. Results: During 2018~2022, the issuance of medical special bonds in Shenzhen radiates to all jurisdictions, with an increasing number of periods, a rapid growth in issuance scale and a high proportion of medical special bond issuance. The research results show that the issuance of medical special bonds is a double-edged sword for public hospitals. On the one hand, it can quickly solve the development funding needs of public hospitals, promote the development of medical and health undertakings, and on the other hand, it will also increase the operational pressure of public hospitals. Conclusion: The competent authorities and public hospitals should continuously cooperate to actively improve the issuance and use system of medical special bonds. Measures such as reducing the impact of bond issuance on hospital operations through prior planning, standardizing the bond issuance process to improve economic efficiency, flexible reforms to improve the bond issuance mechanism and scientific management to enhance the sustainable development of hospitals can be taken.
Key words:  medical special bonds  public hospital  effect  measures

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