[1]王兴琳罗芸张欢陈沈泽蔡华.2020中国公立医院生存与发展现状调研[J].中国卫生质量管理,2022,29(10):100-103.[doi:10.13912/j.cnki.chqm.2022.29.10.22 ]
　WANG Xinglin,LUO Yun,ZHANG Huan.Survival and Development of Public Hospitals in China in 2020: A Cross-Sectional Investigation[J].Chinese Health Quality Management,2022,29(10):100-103.[doi:10.13912/j.cnki.chqm.2022.29.10.22 ]

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2020中国公立医院生存与发展现状调研

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第29卷期数: 2022年10期页码: 100-103 栏目: 问题与探索出版日期: 2022-10-28

Title:: Survival and Development of Public Hospitals in China in 2020: A Cross-Sectional Investigation

作者:: 王兴琳罗芸张欢陈沈泽蔡华; 艾力彼医院管理中心

Author(s):: WANG Xinglin; LUO Yun; ZHANG Huan; Administration Center of AILIBI Hospital

关键词:: 公立医院; 新冠肺炎; 生存发展; 运营管理

Keywords:: Public Hospital; COVID-19; Survival and Development; Operation Management

分类号:: R197.32

DOI:: 10.13912/j.cnki.chqm.2022.29.10.22

文献标志码:: A

摘要:: 为研究公立医院发展情况，艾力彼医院管理中心（以下简称“艾力彼”）每隔两年进行问卷调查。调研发现，2020年公立医院的运营压力非常大，其中中部地区医院压力最大；近五成医院运营出现亏损；药品耗材零加成后有超五成医院认为政府补偿不到位，并且大多数医院认为医疗价格调整不足以补偿医院的亏损；启动DIP支付后，超六成医院认为DIP支付对医院运营是挑战；且约五成医院认为医保和商保信息互联互通对医院的运营影响大，其中县级医院认为影响非常大。对此提出以下几点建议：短期建议借助政府“输血”解困和医院自我“止血”；中期建议医院优化结构，消除集采带来的影响，实现开源节流；长期建议发挥商保补充作用等。

Abstract:: In order to study the development of public hospitals, the Management Center of AILIBI Hospital (hereinafter referred to as AILIBI) conducted questionnaires every two years. According to the survey, the operation pressure of public hospitals in 2020 was very great, and the pressure of hospitals in central region was the greatest. Nearly 50% of hospitals had operating losses; after the zero markup of drug consumables, more than 50% hospitals thought that the government compensation was not sufficient, and most hospitals thought that the medical price adjustment was not enough to compensate the loss of the hospital. After initiating DIP payment, more than 60% of hospitals believed that DIP payment posed a great challenge to hospital operation. About 50% of hospitals believed that the interconnection of medical insurance and commercial insurance information had a great impact on the operation of hospitals, and county-level hospitals believed that the impact was very great. The following suggestions were put forward: in the short term, it was suggested to use the government "blood transfusion" to solve the difficulties and the hospital "hemostasis"; in the mid-term, it was suggested that the hospital optimize the structure, eliminate the influence brought by the collection, and realize the source of income and expenditure; and long-term proposals to play the role of commercial insurance supplement.

参考文献/References:

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更新日期/Last Update: 2022-10-28