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武汉市公立医院经济运行状况分析

Analysis of economic operation of public hospitals in Wuhan

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[目的]分析武汉市公立医院 2019-2022 年经济运行情况及其存在的问题,为公立医院改革和高质量发展提供参考.[方法]利用武汉市 2019-2022 年卫生健康年报数据,对武汉市公立医院经济运行情况进行描述性分析.[结果]2019-2022 年,公立医院总体收支盈余为正,财政补助收入占比提升 15.35 个百分点,医疗收入总额下降 16.75 个百分点;医院人员费用支出和占比逐年上升,折旧费用和其他费用年均增长 16.42%和11.72%;公立医院运营效益和效率指标显著下降,运营成本不断上升;2019-2022 年,医疗盈余由 10.24 亿元降为-9.22 亿元,医院医疗亏损率从 14.29%增至 76.47%.[结论]武汉市公立医院总体上收支平衡,但面临较大经济运行压力,偿债能力和成本管控能力减弱,医疗亏损持续加大.建议完善公立医院补偿机制,加强公立医院运营管理,优化区域医疗资源规划.
Objective To analyze the economic operation and existing problems of public hospital in Wuhan from 2019 to 2022,and to provide references for the reform and high-quality development of public hospitals.Methods Based on the data of annual health report of Wuhan from 2019 to 2022,descriptive analysis was used to analyze the economic operation of public hospitals in Wuhan.Results From 2019 to 2022,budget surplus occurred in public hospitals,with the proportion of financial subsidy income increasing by 15.35 percent,and the total medical income falling by 16.75 percent.The expenditure and the proportion of personnel costs in hospitals increased year by year,and depreciation expenses and other expenses grew at an average annual rate of 16.42%and 11.72%.The indicators of operating profits and operational efficiency of public hospitals significantly declined,and operating costs have been rising.From 2019 to 2022,the medical surplus decreased from 1.024 billion yuan to-0.922 billion yuan,and the medical loss rate increased from 14.29%to 76.47%.Conclusions Public hospitals in Wuhan have a balanced budget on the whole,but they are facing greater economic pressure.The solvency and cost control ability are weakened,and medical losses continue to increase.It is suggested to improve the compensation mechanism of public hospitals,strengthen the operation and management of public hospitals,and optimize the planning of regional medical resources.

public hospitalseconomic operationfiscal compensationWuhan

罗程、邝鹏蝶、郭蓉芳、徐凌、胡英

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武汉市职业病防治院,湖北 武汉 430014

武汉市中心医院,湖北 武汉 430014

武汉市急救中心,湖北 武汉 430000

武汉市卫生健康委员会,湖北 武汉 430014

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公立医院 经济运行 财政补偿 武汉

2025

卫生软科学
中国卫生经济学会,云南省卫生厅

卫生软科学

影响因子:0.655
ISSN:1003-2800
年,卷(期):2025.39(1)