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北京市各级各类公立医院经济运行现状分析

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目的:分析北京市各级各类公立医院经济运行现状,提出相应政策建议.方法:对2019—2021 年北京市各级别、各管理级次、各类型公立医院经济运行现状进行定量分析.结果:北京市三级医院住院服务效率高于二级医院,门诊服务效率低于二级医院;中央级医院财政拨款收入比重较低,人员费用占比较低,收支结余情况优于市级、区级医院;综合医院收入结构逐步优化,专科医院收支结余情况较好.结论:政府发挥政策引导的"指挥棒"作用,结合公立医院职能定位与学科特点,优化医疗资源配置,提升运转效率;价格主管部门应进一步完善医疗服务价格动态调整机制;医院根据科室特点制定成本管理目标,实现"一科一策";医院本着适宜性原则,在保证医疗质量的前提下,合理控制成本,实现资源效益最大化.
Analysis of the Economic Operation Status of Public Hospitals at All Levels and Types in Beijing
Objective:To analyze the current economic operation status of public hospitals at all levels and types in Beijing,and propose corresponding policy recommendations.Methods:Quantitative analysis was conducted on the economic operation status of public hospitals at all management levels,levels,and types in Beijing from 2019 to 2021.Results:The efficiency of inpatient services in tertiary hospitals is higher than that in secondary hospitals,while the efficiency of outpatient services in tertiary hospitals is lower in secondary hospitals.The proportion of financial allocation revenue and personnel expenses in central level hospitals is relatively low,and the balance of income and expenditure is better than that of municipal and district level hospitals.The income structure of comprehensive hospitals is gradually optimized,and the balance of income and expenditure in specialized hospitals is relatively good.Conclusion:The government plays a"baton"role in policy guidance,combining the functional positioning and disciplinary characteristics of public hospitals,optimizing the allocation of medical resources,and improving operational efficiency.The pricing authority will further improve the dynamic adjustment mechanism for medical service prices.The hospital formulates cost management goals based on the characteristics of the department,achieving"one policy for one department".Hospitals adhere to the principle of suitability,while ensuring medical quality,reasonably control costs and achieve maximum resource efficiency.

public hospitaleconomic operationBeijing

张静

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北京大学第三医院财务处 北京 100191

公立医院 经济运行 北京市

国家卫生健康委卫生发展研究中心委托课题

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子:1.524
ISSN:1003-0743
年,卷(期):2024.43(2)
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