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目的:探究“新医改”前后民营医院和公立医院的运行状况和趋势,并提出相应的政策建议。方法:查阅2008—2012年《中国卫生统计年鉴》并进行相关分析。结果:截至2011年底,我国民营医院占到医院总数的38.4%,但其床位数所占比例仅为12.5%。2011年民营医院的诊疗人次达到2.06亿人次,与2007年相比,几乎翻了一番;2011年入院人数达到1 047.3万人次,是2007年的2.56倍。非公立医疗机构资产负债率2007—2011年始终保持在40%以上。结论:2007—2011年民营医院在中国医疗服务提供中的地位呈上升趋势,但仍远未形成与公立医院竞争的市场力量。建议大力推进多点执业制度,对营利性医疗机构减免税收,以及提供鼓励社会资本进入的法律保障。
Objective: To explore the operation status and trend of private hospitals and public hospitals before and after the new medical reform, and to put forward the corresponding policy recommendations. Methods: Check the 2008-2012 China Health Statistical Yearbook and make relevant analysis. Results: As of the end of 2011, private hospitals in our country accounted for 38.4% of the total number of hospitals, but the proportion of beds was only 12.5%. In 2011, private clinics reached 206 million clinics, nearly double that of 2007; the number of admissions in 2011 reached 10.47 million, 2.56 times that of 2007. Non-public medical institutions debt ratio 2007-2011 remained at 40% or more. Conclusion: The status of private hospitals in the provision of medical services in China is on the rise in 2007-2011, but market forces that compete with public hospitals are far from being formed. It is proposed to vigorously promote multi-point practicing system, tax relief for for-profit medical institutions, and provide legal protection to encourage social capital to enter.