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目的了解阿克苏地区乡镇卫生院依托新农合“十二五”期间的经营状况,为本地区和同类地区制定乡镇卫生院相关政策提供依据。方法资料来源于新疆阿克苏地区90所乡镇卫生院2011—2015年的卫生年报数据。乡镇卫生院经营指标包括服务能力和效率、收入与支出、资产与负债及社会效益等。所获数据采用Excel 2010软件进行数据录入和处理。结果门急诊人次、出院人次年均增长率分别为27.6%和5.3%,出院者平均住院天数变化幅度不大。总收入、总支出年增长率分别为20.1%和21.3%,财务状况略有盈余,百元固定资产医疗收入年均增长率为6.9%。近三年来总资产年增长20.5%,业务经费自给率呈现逐步下降的趋势,从2011年的70.2%下降至2015年的49.5%,资产负债率呈上升趋势,从2011年的19.5%上升至2015年的29.5%。次均门诊费用、例均住院费用年均增长率为1.0%和5.4%。结论乡镇卫生院业务量持续增长,乡镇卫生院收支结构不合理,资产快速增加,设备利用率低,乡镇卫生院医疗费用控制严格。
Objective To understand the operational status of township hospitals in Aksu during the 12th Five-Year Plan period based on the NCMS and to provide the basis for formulating relevant policies for township hospitals in this area and other similar areas. Methods The data are from the health annual reports of 90 township hospitals in Aksu, Xinjiang during 2011-2015. Township hospitals operating indicators include service capacity and efficiency, income and expenditure, assets and liabilities and social benefits. The data obtained using Excel 2010 software for data entry and processing. Results The average annual growth rates of outpatients and discharged patients were 27.6% and 5.3%, respectively. The average length of stay of hospital discharges did not change significantly. The total revenue and total expenditures increased at an annual rate of 20.1% and 21.3% respectively. There was a slight surplus in the financial position. The average annual growth rate of the medical insurance revenue per hundred yuan of fixed assets was 6.9%. The total assets in the past three years increased by 20.5%, the operating expenses self-sufficiency rate showed a gradual downward trend from 70.2% in 2011 to 49.5% in 2015, and the asset-liability ratio increased from 19.5% in 2011 to 2015 29.5% of the year. Average outpatient costs, average annual growth rate of hospital charges were 1.0% and 5.4%. Conclusion The business volume of township hospitals continued to grow. The income and expenditure structure of township hospitals was irrational, the assets increased rapidly, the utilization rate of equipment was low, and the medical costs of township hospitals were strictly controlled.