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目的:通过对浙江省乡镇卫生院资源配置和经济运行趋势分析,为加强卫生院服务能力建设提出对策建议。方法:收集2005-2008年浙江省1 500多家建制乡镇卫生院的报表,并进行整理统计分析。结果:2005-2008年期间,浙江省乡镇卫生院在人力资源、固定资产、专用设备和建筑面积上都有了明显的增长,但存在明显不均衡。政府补助使经济状况有所改善,但药品收入仍占业务收入70%以上。结论:科学确定乡镇卫生院人力、设备、建筑和技术服务标准,并加大欠发达地区的扶持力度,以新医改为契机,通过实施“药品零差价”逐步降低药品收入所占比例。
OBJECTIVE: Through the analysis of resource allocation and economic operation trend of township hospitals in Zhejiang Province, the countermeasures and suggestions are put forward to strengthen the service capacity of health centers. Methods: The reports of more than 1,500 established township hospitals in Zhejiang Province from 2005 to 2008 were collected and analyzed statistically. Results: During the period of 2005-2008, the township hospitals in Zhejiang Province had obvious growth in human resources, fixed assets, special equipment and construction area, but there was a clear imbalance. Government subsidies have improved the economy, but pharmaceuticals still account for more than 70% of operating income. Conclusion: The standards of manpower, equipment, construction and technical services in township hospitals are determined scientifically and the support for underdeveloped areas is increased. Taking the new medical reform as a turning point, the share of pharmaceutical products in revenue should be gradually reduced by implementing “zero difference in drug prices”.