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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:

41

期数:

2024年03期

页码:

52-57

栏目:

成本与费用

出版日期:

2024-02-28

文章信息/Info

Title:

Study on the Revenue and Expenditure Structure of Public Hospitals in Shanghai

作者:

徐嘉婕¹; 朱碧帆¹; 金春林¹; 李 芬²

1.上海市卫生和健康发展研究中心（上海市医学科学技术情报研究所），上海 200040
2.上海市卫生健康委员会财务管理事务中心，上海 200125

Author(s):

XU Jiajie;  ZHU Bifan;  JIN Chunlin;  LI Fen

Shanghai Health Development Research Center(Shanghai Medical Information Center), Shanghai 200040, China

关键词:

公立医院; 收支结构; 医疗收入; 上海市

Keywords:

public hospitals;  revenue and expenditure structure;  medical revenue;  Shanghai

分类号:

R197.3

文献标志码:

A

摘要:

目的：分析上海市公立医院的收入与支出结构，提出优化建议。方法：对2015—2021年上海市各级各类公立医院的收入与支出数据进行描述性对比分析。结果：2015—2021年，上海市公立医院收支结构逐步优化，但卫生材料收入占比与检查化验收入占比上升，部分挤占医疗服务收入增长空间。结论：继续推进医疗服务价格改革，建立适应医疗行业特点的公立医院薪酬制度，深化医保支付方式改革，加强公立医院精细化运营管理。

Abstract:

Objective To analyze the current situation of the revenue and expenditure structure of public hospitals in Shanghai, and put forward optimization suggestions. Methods Horizontal and longitudinal statistical description and comparative analysis were conducted on the revenue and expenditure data of all levels and types of public hospitals in Shanghai from 2015 to 2021. Results The revenue and expenditure structure of public hospitals in Shanghai was gradually optimized from 2015 to 2021, but the proportion of medical material revenue and the proportion of inspection and laboratory revenue rose, partially crowding out the growth space for medical service revenue. Conclusion It is necessary to continue to promote the reform of medical service prices, establish the public hospital compensation system adapted to the characteristics of the medical industry, deepen the reform of the health insurance payment method, and strengthen the refined operation and management of public hospitals.

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更新日期/Last Update: 2024-02-28