【摘要】 目的:分析县级医院的绩效与资源投入,为政府财政投入策略提供依据。方法:在4省抽取131个县级医院,用描述性分析、相关分析、多元回归分析、数据包络分析评价比较医院的经济投入、经济社会绩效及财政补助的作用。结果:绝大多数医院总收支平衡或有结余,业务亏损的医院只占25.2%;规模大的医院人员效率未见降低,但固定资产效率下降;医院得到政府补偿量与医院规模没有关系,富裕县医院得到明显多的财政补助;财政补助没有起到减少病人医疗费用的作用。结论:县级医院投入越高、产出越高,政府补助缺乏计划性及合理性,今后应根据医院服务量、效率、技术质量、费用控制程度等公益性指标进行补偿。更多还原

【Abstract】 Objective: In this paper,we analyze the relationship between government funding and performance of 131 county hospitals in four provinces and provide a basis for government assistance and development plan in the future. Methods: We use descriptive analysis,correlation analysis,multivariate analysis,and DEA to determine the relationship between funding and performance. Results: From 2010 to 2011,the majority of county hospitals had made a balance of financial payments,and 25. 2% had made a deficit. Overall,bigger hospitals had no problems with staff efficiency but used capital assets less efficiently. There was no relationship between the size of a hospital and the amount of government funding; however,hospitals in wealthy counties received much more funding. The amount of government funding did not affect patient medical costs. Conclusions: The output of county hospitals was perceived to be in proportion to funding; however,government funding was not well planned and based on solid reasoning. In the future,the government funding should be based on the public welfare of hospitals.更多还原