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目的:分析广西少数民族贫困地区县级公立综合医院2011—2014年经济运行状况及存在问题。方法:通过自编调查问卷对广西少数民族贫困地区的27家县级综合医院进行调查,主要调查内容为运营效益、业务能力、资产与负债总额及构成、偿债能力和经营效率等。采用描述性统计分析方法对调查数据进行分析。结果:2011—2014年广西少数民族贫困地区县级公立综合医院总收入年均增长率为22.43%,总支出年均增长率为21.90%;门诊收入、住院收入和药品收入年均增长率分别为30.06%、35.72%、24.67%。每职工年均业务收入年均增长率为6.56%;床均业务收入年均增长率为13.30%。2014年,医院资产总额平均为1.20亿元,负债总额平均为0.45亿元,资产总额年均增长率为18.64%,负债总额年均增长率为32.88%。医院平均资产负债率从2011年的26.80%上升到2014年的37.64%。结论:广西少数民族贫困地区县级公立综合医院存在债务负担较重、经营效率低下等问题。因此,控制负债规模、限制县级医院规模、增加政府投入是今后改革的重点。
Objective: To analyze the economic operation status and existing problems of county-level public general hospitals in minority areas in Guangxi from 2011 to 2014. Methods: The self-made questionnaire was used to investigate 27 county-level general hospitals in poverty-stricken ethnic minority areas in Guangxi. The main contents of the survey were operational benefits, operational capabilities, total assets and liabilities, composition, solvency and operating efficiency. Descriptive statistics were used to analyze the survey data. Results: The average annual growth rate of total revenue of county public general hospitals in poverty-stricken ethnic minority areas in Guangxi from 2011 to 2014 was 22.43% and the average annual growth rate of total expenditure was 21.90%. The average annual growth rates of outpatient services, hospitalization expenses and medicine revenues were 30.06%, 35.72%, 24.67%. The average annual growth rate of service revenue per worker is 6.56%; the average annual growth rate of average revenue of the business is 13.30%. In 2014, the total assets of hospitals averaged 120 million yuan, with an average total liabilities of 45 million yuan, with an average annual growth rate of 18.64% in total assets and an average annual growth rate of 32.88% in total liabilities. The average asset-liability ratio of the hospital increased from 26.80% in 2011 to 37.64% in 2014. Conclusion: There are some problems such as heavy debt burden and low management efficiency in the county public general hospitals in Guangxi minority poor areas. Therefore, controlling the scale of the debt, limiting the size of county hospitals, increasing government investment is the focus of future reforms.