1.Practices and explorations in adjusting and optimizing medical income structure in a tertiary public hospital in Ningxia
Xiaodong MA ; Shuqi WANG ; Jun MA ; Yang MA ; Xiaohua MA ; Zhuyu XU
Modern Hospital 2025;25(5):741-744
Objective To summarize the outcomes of a pricing reform pilot program in a tertiary hospital in Ningxia and offer relevant suggestions.Methods The key measures used in the hospital for adjusting and optimizing the medical revenue structure were summarized.Trend and ratio analysis was employed to compare the economic performance indicators before and af-ter the pilot reform.Results During the pilot period,key performance indicators for national tertiary public hospitals demonstra-ted steady improvements.Meanwhile,the annual growth rate of medical revenue was 4.7 percentage points lower than in 2019,with medical service revenue increased by 5.6 percentage points.Moreover,outpatient and inpatient costs per visit were lower than in same-level,same-type hospitals in the region and in provincial-level general hospitals nationwide.Unreasonable growth in total medical costs was effectively curbed,and the pricing ratio of medical services became more rational.Annual management re-duced drug,consumable,examination and testing revenue by 200 million yuan,while employee average wage income rose by 10.95%from 2019 and employee satisfaction reached 85.2%,ensuring the hospital's healthy and sustainable development.Conclusion The pricing reform pilot project implemented in Ninxia provides a reference for public hospitals to adjust and opti-mize their medical revenue structure.
2.Practices and explorations in adjusting and optimizing medical income structure in a tertiary public hospital in Ningxia
Xiaodong MA ; Shuqi WANG ; Jun MA ; Yang MA ; Xiaohua MA ; Zhuyu XU
Modern Hospital 2025;25(5):741-744
Objective To summarize the outcomes of a pricing reform pilot program in a tertiary hospital in Ningxia and offer relevant suggestions.Methods The key measures used in the hospital for adjusting and optimizing the medical revenue structure were summarized.Trend and ratio analysis was employed to compare the economic performance indicators before and af-ter the pilot reform.Results During the pilot period,key performance indicators for national tertiary public hospitals demonstra-ted steady improvements.Meanwhile,the annual growth rate of medical revenue was 4.7 percentage points lower than in 2019,with medical service revenue increased by 5.6 percentage points.Moreover,outpatient and inpatient costs per visit were lower than in same-level,same-type hospitals in the region and in provincial-level general hospitals nationwide.Unreasonable growth in total medical costs was effectively curbed,and the pricing ratio of medical services became more rational.Annual management re-duced drug,consumable,examination and testing revenue by 200 million yuan,while employee average wage income rose by 10.95%from 2019 and employee satisfaction reached 85.2%,ensuring the hospital's healthy and sustainable development.Conclusion The pricing reform pilot project implemented in Ninxia provides a reference for public hospitals to adjust and opti-mize their medical revenue structure.
3.TOC theory-based lean management of fixed assets in public hospitals:taking R hospital as an example
Zhuyu XU ; Shuqi WANG ; Jun MA ; Yang MA ; Zeqiong LEI ; Xiaodong MA
Modern Hospital 2024;24(8):1243-1245
Objective In order to address the major issues in fixed assets management for public hospitals like"unclear management boundaries,poor management,improper utilization,and placing greater emphasis on purchasing rather than manage-ment"this paper delved into the management of fixed assets in public hospitals.Methods The Theory of Constraints(TOC)was used to guide the study.In conjunction with a current situation analysis,the key factors influencing fixed assets management in public hospitals were identified using a questionnaire survey as well as field investigation.Results By adopting a problem-sol-ving approach and focusing on the"five key elements"of refining institutional processes,optimizing system utilization,develo-ping team management,establishing effective performance evaluation,and implementing innovative work mechanisms,a lean management system for fixed assets in public hospitals was developed.This system ensured the efficient and standardized daily management of fixed assets,continual enhancement of institutional frameworks,initial formation of management teams,and the fundamental establishment of dynamic management practices.Conclusion Hospitals explore comprehensive life-cycle manage-ment of fixed assets,effectively elevating the level of refined management of fixed assets and ensuring the secure integrity and effi-cient utilization of state-owned assets.

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