摘要
为科学量化政府对医疗机构应该投入多少、投向哪些方面、投入的效果如何等问题,利用卫生部2008年《全国卫生财务年报》数据,模拟测算出:当前我国社会经济发展阶段,政府应承担包括医疗机构人员经费、固定资产的折旧与维修、基本建设经费和专业设备购置费等在内的基本筹资职能为2480.9～2 880.6亿元,依据净收入与业务收入之间的关系,结合医疗机构现有运行效率,保障人员经费后,社会医疗费用负担可下降1589.6～3 203.0亿元(19.4%～39.1%);再保障基本建设和专业设备等经费后,医疗费用负担进一步下降2 379.6～4 794.9亿元(29.1%～58.6%)。提示,科学把握住净投入与毛收入之间关系的精髓,扭转浪费型费用补偿机制可现实解决百姓看病贵等主要问题,进而实现医改突破。
The study is designed to answer how much government is financing on hospitals,Which program and what the results are.The study got the results on the basis of 2008 database from Ministry of Health;during the current period,the government should afford the personnel outlay,capital asserts depreciation and maintaining,infrastructure and equipment purchasing.The medical expenditure can be declined by 159.0～320.3 billion yuan because of the guarantee of personnel outlay and then can decrease by 238.0～479.5 billion yuan due to the guarantee of capital asserts depreciation and maintaining,infrastructure and equipment purchasing.The remarkable drop of medical burden suggested：making clear the relations between revenue and gross revenue was crucial for the break-through of medical reform.
出处
《中国卫生资源》
2011年第1期69-70,共2页
Chinese Health Resources
基金
国家自然科学基金重点项目基金资助
项目编号:70733002
"长江学者特聘教授"项目基金资助
教育部2009年度创新团队项目基金资助
项目编号:IRT0912
