Analysis of the economic performance in the performance-based reform at primary medical institutions in Zhejiang province
10.3760/cma.j.issn.1000-6672.2016.07.017
- VernacularTitle:浙江省基层医疗机构绩效改革与经济运行情况分析
- Author:
Yaohong ZHONG
;
Lihua HUANG
;
Qisheng GAO
;
Nini WANG
;
Dingwan CHEN
;
Tangbiao SHEN
- Publication Type:Journal Article
- Keywords:
Performance-based reform;
Primary medical institutions;
Economic performance
- From:
Chinese Journal of Hospital Administration
2016;32(7):528-531
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the economic performance after the performance‐based reform at primary medical institutions in Zhejiang Province and put forward measures for improving primary medical services .Methods Questionnaire investigation was conducted among 84 primary medical institutions with staff over 20 .The financial statements of these institutions during 2009‐2014 were collected and studied as well .Results The average outpatients and emergency patients in 2014 increased 113.3% than that in 2009 .The total usage times of laboratory tests and other auxiliary examinations also increased(55.7% and 103.1% ,respectively ) ,yet with a decrease of inpatients.Moreover ,the proportion of income from traditional Chinese medicine (TCM )in gross income increased from 9.39% in 2009 to 17.14% in 2014 .The cost‐profit ratio of TCM drugs at half of such institutions exceeded 120% . Conclusions The performance‐based reform has motivated medical staffs of primary medical institutions and effectively vitalized such institutions.Rules and regulations of these institutions require further improvement .
