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目的对新医改背景下社区卫生服务机构收入对支出的影响进行研究,为政府合理预算提供依据。方法运用面板数据对A、B、C三市2008-2012年CHS中心收支关系进行分析。结果经F和Hausman统计检验,建立个体固定效应模型;在此模型基础上可知,门诊收入、医保收入和财政拨款影响CHS中心的支出总额。结论政府应明确和落实责任,根据当地实际合理预算拨款并做好财政补偿工作;CHS机构应保证其门诊收入,合理利用财政补偿和医保收入。
Objective To study the impact of income from community health service agencies on expenditure in the context of new medical reform and provide the basis for a reasonable government budget. Methods Panel data was used to analyze the relationship between the revenue and expenditure of CHS centers in cities A, B and C from 2008 to 2012. Results According to F and Hausman statistic test, the individual fixed effect model was established. Based on this model, outpatient service income, medical insurance income and financial appropriation affected the total expenditure of CHS center. Conclusion The government should clarify and fulfill its responsibilities, allocate funds according to the actual local budget and do a good job of financial compensation. The CHS institutions should ensure their out-patient income and make rational use of financial compensation and medical insurance income.