2012－2014年重庆市县级公立中医院经济运行与发展状况分析

摘要

Objective To learn the economic operation and the existing problems of county TCM hospitals in Chongqing from 2012 to 2014.Methods 2012-2014 data of annual health financial report were used to conduct descriptive statistics and analysis of the current operation benefit, operating efficiency, debt paying ability, development ability, and cost management ability.Results From 2012 to 2014, the annual incomes of TCM county hospitals in Chongqing were 2.802, 3.412, and 4.385 billion RMB; the annual expenses were 2.813, 3.343, and 4.347 billion RMB; the ratios of income and expense about medical treatment were 0.86, 0.90, and 0.92; the ratios of income and expense of medicine were 1.16, 1.15, and 1.11; the outpatient amounts were 5.45, 5.87, and 6.99 million; the hospital discharge amounts were 330.4, 405.2, and 469.3 thousand; the charges per patient were 153.40, 177.12, and 188.71 RMB; the charges pre bed were 465.83, 533.14, and 571.02 RMB; medical expenses per patient were 4923.26, 5416.77, and 5576.01 RMB; the current ratios were 1.00, 1.06, and 1.09; the asset-liability ratios were 62.25%, 63.79%, and 61.37%; the annual growth rates of total assets were 14.06 % and 24.54%, and the annual growth rates of net assets were 19.44% and 21.70% during 2013 to 2014; 100-yuan hygienic materials and medicine consumption were 51.23, 51.10, and 50.07 RMB during 2012 to 2014; the management fee rates were 18.55%,15.44%, and 14.82%.Conclusion The general economic running of county TCM hospitals in Chongqing is stable and financial balance moves towards rationality; social benefit, expand capacity and cost management ability are enhanced gradually. However, the problems about insufficient government finance input, small medical income elasticity, poor debt paying ability, and diseconomies of scale still exist.%目的：了解重庆市县级公立中医院2012－2014年经济运行现状及其存在的问题。方法利用2012－2014年重庆市医疗机构主要指标汇编数据，对重庆市38家县级公立中医院的运营效益、运营效率、偿债能力、发展能力、成本管理能力等维度进行描述性统计分析。结果2012－2014年重庆市县级公立医院收入总额分别为28.02亿元、34.12亿元和43.85亿元，支出总额分别为28.13亿元、33.43亿元和43.47亿元；医疗收支比分别为0.86、0.90、0.92，药品收支比分别为1.16、1.15、1.11；门急诊人次数分别为545.40、587.80和699.29万人次，出院人次数分别为33.04万人次、40.52万人次和46.93万人次；每门诊人次收费分别为153.40、177.12、188.71元，每床日收费分别为465.83、533.14、571.02元，每出院者医药费用分别为4923.26、5416.77、5576.01元；流动比率分别为1.00、1.06、1.09；资产负债率分别为62.25%、63.79%和61.37%；2013－2014年总资产年增长率分别为14.06%、24.54%，净资产年增长率分别为19.44%、21.70%；2012－2014年百元卫生材料、药品消耗分别为51.23、51.10、50.07元；管理费率分别为18.55%、15.44%和14.82%。结论重庆市县级公立中医院经济运行基本平稳，经济效益由亏损转为盈余；社会效益逐步增强，成本管理能力提升；但仍存在政府财政投入不足、医药收支弹性小、偿债能力严重不足和规模不经济并存等问题。