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