Development of the fiscal input model for public hospitals and calculation of subsidy standard
10.3760/cma.j.issn.1000-6672.2017.08.006
- VernacularTitle:公立医院财政投入模型构建与补助标准测算
- Author:
Xingang FANG
;
Wenjie LUO
;
Manlin WU
;
Xiaohui LI
;
Haimin XU
;
Chunyan SHI
- Keywords:
Public hospitals;
Fiscal input;
Model construction;
Subsidy standard;
Calculation
- From:
Chinese Journal of Hospital Administration
2017;33(8):579-583
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore a scientific and reasonable fiscal input mechanism for public hospitals, in order to fully leverage the policy guidance and efficiency of such funding.Methods With literature review, expert consultation and demonstration, a basic subsidy model for public hospitals was established.According to the past operation data of 4 public hospitals in Baoshan district of Shanghai, the study figured out specific subsidy standards.Results The basic subsidy for public hospitals should be determined according to the number of approved beds, the number of outpatients and emergency visits, hospital bed days, surgeries, key services, and the quality and efficiency of work.In Baoshan district, the standard reference value of subsidy for each approved bed, each outpatient and emergency visit, each bed-day, each surgical operation is 42 096 yuan, 27.9 yuan, 104.9 yuan and 244 yuan respectively.The standard value of subsidy is 100 yuan per bed for critically ill inpatients.For patients under clinical pathway management, the subsidy is 300 yuan per case, and for hospital maternal care, it is 150 yuan per person.Conclusions The basic subsidy model for public hospitals has overcome the shortcomings of fiscal input based on hospital scale or hospital workload, and established an incentive mechanism to promote the implementation of key services.These measures can improve the operation mechanism of public hospitals and encourage them to play their role of public welfare as designed.
