Outcomes of the subsidy mechanism reform for public hospitals:a financial perspective
10.3760/cma.j.issn.1000-6672.2017.08.007
- VernacularTitle:财务视角下公立医院补偿机制改革成效研究
- Author:
Dongmei HUANG
;
Wenqiang YIN
;
Qianqian YU
;
Hongwei GUO
;
Kui SUN
;
Jinwei HU
;
Zhongming CHEN
- Keywords:
Public hospitals;
Compensating mechanism;
Financial analysis;
Government subsidy;
Outcomes
- From:
Chinese Journal of Hospital Administration
2017;33(8):584-587
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the outcomes of the subsidy mechanism reform for China's public hospitals through a financial perspective.Methods An evaluation index system was built using data from China's health (family planning) statistics yearbooks 2009-2016, for comparison of the constituent ratio and chain relative ratio growths of public hospitals in various years.Results Year 2015 found a lower growth rate of medical revenues of these hospitals;year-by-year drop of drug income ratio, yet a gradual rise of income from examinations and materials, and a drop of technical service income growth and its ratio of the total income;a year-by-year drop of drug income surplus growth, and an expanding deficit in medical services;a slower growth of medicine expense growth, with the asset-liability ratio rising to 45.3%, and salary ratio rising to 30.6%.Conclusions The reform on compensating mechanism at public hospitals is demonstrating its impacts on public hospitals, namely slower growth of medical revenue, weakened compensating role of drug income, lower surplus, and higher asset-liability ratio among other financial risk exposure.These hospitals are encouraged to take proactive measures to control costs, including tighter medical service cost control,to secure sufficient and timely government fiscal subsidy, and other funding measures to cope with debts of the hospitals.
