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利用2012-2014年重庆市社会经济发展数据和卫生事业主要经济指标汇编资料,分析重庆市县级公立医院债务规模扩张状况,并探究其影响因素。结果表明:重庆市县级公立医院债务负担重,扩张速度快,债务期限结构不合理并且短期难以调整;债务规模扩张存在明显的区域、类别与等级差异,并且债务规模与期限结构错配严重。同时,经济发展水平、老年化程度、政府重视程度等3个外部因素和医院收支结余能力、净资产增长率、每门诊人次平均费用和门急诊人次增长率等4个内部因素促进县级公立医院债务规模扩张,流动比率约束债务规模扩张。
Based on the compilation of socio-economic development data and major economic indicators of health in Chongqing from 2012 to 2014, this paper analyzes the expansion of the debt scale of county-level public hospitals in Chongqing and explores the influencing factors. The results show that: the county public hospitals in Chongqing have a heavy debt burden, a fast expansion, an unreasonable debt maturity structure and short-term adjustment. Debt scale expansion has obvious regional, category and grade differences, and the debt scale and maturity structure are mismatched. At the same time, four internal factors, namely, the level of economic development, the degree of aging and the degree of government attention, the hospital external balance of payments ability, the growth rate of net assets, the average cost per outpatient visit, Hospital debt expansion, the current ratio of debt constraints the expansion of the scale.