Research on the Effect of Compensation Mechanism Reform in Public Hospitals in Hebei Province Based on Degree of Structure Variation
- VernacularTitle:基于结构变动分析法的河北省公立医院补偿机制改革效果研究
- Author:
Hao DING
1
;
Jing FENG
;
Yan LI
;
Tiemin ZHAI
Author Information
1. 华北理工大学经济管理学院 河北 唐山 063210
- Keywords:
public hospital;
compensation mechanism;
degree of structure variation;
Hebei
- From:
Chinese Health Economics
2024;43(8):80-83
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the changes in the income structure of public hospitals at all levels in Hebei Province,evaluate the effectiveness of the compensation mechanism reform in public hospitals of Hebei Province,and provide policy recommendations for optimizing the compensation mechanism.Methods:Select some public hospitals at all levels in Hebei Province as samples,and use structural change analysis to analyze the income structure of the sample hospitals.Result:From 2016 to 2021,the proportion of medical income in tertiary and primary hospitals increased by 2.6 and 9.8 percentage points respectively,while the proportion of medical income in secondary hospitals decreased by 0.6 percentage points.The proportion of consumables revenue in hospitals at all levels has increased,and drug revenue remains the main driving factor for the growth of medical revenue in hospitals at all levels.The contribution rate of drug revenue to the growth of medical revenue in tertiary hospitals is 50%.Conclusion:The optimization of medical income structure in public hospitals in Hebei Province is significant,but the compensation mechanism still needs to be further improved,and the income structure still needs further adjustment.On the basis of consolidating and improving the policy of canceling consumable markup,it is needed to further standardize medical service behavior,improve precise and sustainable financial compensation mechanisms,adjust medical service prices,and broaden financing channels.