论文部分内容阅读
目的:评价该市新医改实施效果。方法:回顾性分析2009至2014年该市公立医院及基本医保运营情况。结果:(1)全市公立医院门诊人次增长92.30%,出院人次增长52.00%,而门诊收入增长80.90%,住院收入增长95.80%,财政及上级补助增加4.70亿元,其中,药品专项补助1.80亿元(实际药品差价损失2.1亿元);(2)基本医保参保人数增长12.00%,筹资增长186.70%,支出增长190.60%,财政对基本医保补助6.40亿多元;(3)公立医疗机构的医疗收入中,基本医保支付占比为43.70%,而基本医保支出中,本市公立医院占比70%;结论:新医改以来该市医疗保障体系在政府财政加大投入的情况下运行平稳,但基本医保体系不公平、基层医疗服务体系低效率及普通群众“看病贵、看病难”等实质问题依然待解。
Objective: To evaluate the effect of new medical reform in the city. Methods: A retrospective analysis of the city’s public hospitals and basic medical insurance operations from 2009 to 2014 was conducted. Results: (1) The number of outpatients in public hospitals increased by 92.30% and the number of discharges increased by 52.00% while the outpatient income increased by 80.90%, hospitalization income increased by 95.80%, and the financial and superior subsidies increased by 470 million yuan, of which the special drug subsidy was 180 million yuan (The actual drug spread lost 210 million yuan); (2) The number of basic medical insurance participants increased by 12.00%, the fund-raising increased by 186.70%, the expenditure increased by 190.60% and the government subsidized 640 million yuan for basic medical insurance; (3) In the income, the basic medical insurance payment accounted for 43.70%, while the basic medical insurance expenditure, the city public hospital accounted for 70%; Conclusion: Since the new medical reform in the city’s medical insurance system in the government finances increased investment in the case of smooth operation, but The basic medical insurance system is not fair. The low efficiency of the grassroots medical service system and the real masses of the ordinary people, such as “getting expensive medical treatment and seeing a doctor hard,” remain to be solved.