某军队医院参与地方医改的综合运营分析

发布时间：2018-01-12 04:17

本文关键词：某军队医院参与地方医改的综合运营分析　出处：《中国卫生经济》2016年11期 　论文类型：期刊论文

【摘要】：目的:以安徽省某军队医院的财务数据为来源,分析新医改政策实行一年以来该医院的综合运营情况。方法:针对医改前后同期财务数据进行k-s检验,再做两独立样本t检验,并逐项进行趋势分析和比率分析;再通过各科室的床位利用指数对其工作效率进行分析。结果:医改后的药品收入(-9.91%)和药占比(-3.50%)均较医改前有了不同程度的下降,诊疗收入增长明显(237.44%),均符合改革导向;但是耗材收入部分变化不明显,需要进一步严格控制加强管理。各科室在新医改实施后运转平稳,可根据学科特色进行调整。结论:军队医院参与地方医改以来,医院总体发展平稳,医院收入结构趋于优化,医护人员劳动价值得到充分提升,优势学科进一步发展。但也出现收容下降,医疗收入增速趋缓,需科学控制发展规模,大力发展特色技术。
[Abstract]:Objective: to analyze the comprehensive operation of a military hospital in Anhui province since the implementation of the new medical reform policy one year ago. Methods: the financial data of the same period before and after the medical reform were tested by k-s test. Then do two independent samples t test, and carry out trend analysis and ratio analysis item by item; The results showed that the income of medicine after medical reform and the ratio of drug to drug were decreased in varying degrees compared with those before the reform of medical care reform, and the index of bed utilization of each department was used to analyze the efficiency of the work. The results showed that: after the medical reform, the income of medicine was 9.91) and the ratio of drug to drug was 3.50). The increase of diagnosis and treatment income was obviously 237.44%, which was in line with the reform orientation. However, the change of consumption income is not obvious, need to further strict control and strengthen management. Departments in the implementation of the new medical reform smooth operation. Conclusion: since the military hospital participated in the local medical reform, the overall development of the hospital is stable, the hospital income structure tends to be optimized, and the labor value of the medical staff has been fully promoted. The advantage discipline further develops, but also appears the shelter to decline, the medical treatment income growth rate slows down, needs to control the development scale scientifically, develops the characteristic technology vigorously.
【作者单位】：安徽医科大学解放军临床学院(解放军105医院);
【基金】：南京军区医学科技创新经费资助项目资助(12WQ03)
【分类号】：R82
【正文快照】： 安徽省的医疗改革工作近年来一直处于国内改革试点的前沿。此次《安徽省深化医药卫生体制综合改革试点方案》(以下简称《方案》)从2015年4月1日开始正式的实施,《方案》中关于公立医院改革方面提出了建立科学合理的药品和医疗服务价格制度,包括公立医院取消药品加成,合理降低

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