论文部分内容阅读
目的:对比医疗服务价格高低水平组2003—2013年财务综合状况,探讨医疗服务价格水平差异对于公立医院财务状况的影响规律。方法:非参数检验、相关性分析、神经网络分析。结果:(1)高低水平组财务状况差异显著,且高水平组优于低水平组;(2)高低水平组医疗服务价格水平差异和财务状况之间相关性呈现差异化;(3)临床HPDI和医技HPDI分别是影响高低水平组财务状况的首要因素。结论:医疗服务价格水平差异对于公立医院财务状况具有显著影响,不同类别项目价格水平差异对医院财务状况影响程度不同。建议:医疗服务价格水平调整要考虑不同类别项目之间比价关系及其财务影响,把控好价格调整范围、方向及幅度;通过医疗服务价格水平调控完善公立医院公益性财务保障机制、顺利推进公立医院综合改革。
OBJECTIVE: To compare the status of financial services between 2003 and 2013 in the level of medical services prices, and to explore the impact of the differences in medical service price levels on the financial status of public hospitals. Methods: Nonparametric test, correlation analysis, neural network analysis. Results: (1) There were significant differences in financial status between the high and low groups, and the high-level group was superior to the low-level group; (2) The correlation between the difference of the medical service price level and the financial status showed difference; (3) And medical HPDI are the primary factors affecting the financial status of the high and low level groups, respectively. Conclusion: The differences in the price level of medical services have a significant impact on the financial status of public hospitals. The differences in the price levels of different types of hospitals have different effects on the financial status of hospitals. Suggestion: The adjustment of medical service price should consider the relationship between different types of projects and their financial impact, and control the price adjustment range, direction and range; through the medical service price level regulation and control of public hospitals improve the public welfare financial security mechanism to promote the public Comprehensive hospital reform.