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目的:研究重庆市乡镇卫生院医改前后经济运行变化情况,分析医改对重庆市乡镇卫生院收入总量及收入结构的影响。方法:选取重庆市4县(区)共23家乡镇卫生院2008年至2013年相关统计资料。采用描述性统计学方法对乡镇卫生院门诊、住院服务量提供情况,门诊及住院年均收入和次均费用情况以及乡镇卫生院收入结构等指标进行分析。结果:医改后,重庆市乡镇卫生院服务量未出现较大波动,但住院人次呈上升趋势,门诊人次呈下降趋势;住院收入占比上升趋势明显,门诊收入占比下降趋势明显;政府补助收入占比上升趋势明显,药品收入占比下降趋势明显。结论:医改后重庆市乡镇卫生院收入总量明显提升,收入结构显著改变。
Objective: To study the changes of economic operation before and after medical reform in township hospitals in Chongqing, and to analyze the influence of medical reform on the total income and income structure of township hospitals in Chongqing. Methods: The statistical data of 23 township hospitals in 4 counties (districts) of Chongqing from 2008 to 2013 were selected. Descriptive statistics were used to analyze the outpatient and inpatient services of township hospitals, the average annual out-patient and in-hospital income, the average cost of hospitalization and the income structure of township hospitals. Results: After the medical reform, there was no significant fluctuation in the service volume of township hospitals in Chongqing, but the number of inpatients showed an upward trend and the number of outpatients showed a downward trend. The proportion of in-hospital income increased obviously, and the proportion of out-patient income dropped significantly. The government subsidy income The rising trend of the proportion was obvious, the proportion of the medicine income dropped obviously. Conclusion: After the medical reform, the total income of township hospitals in Chongqing significantly increases and the income structure changes significantly.