【摘要】 目的:通过吉林省县级公立医院财务数据分析和就诊患者问卷调查,了解县级公立医院全面改革后"看病难、看病贵"现状,为新医改政策制定提供依据。方法:根据医院HIS系统收集吉林省县级公立医院卫生费用数据,同时,对789名到县级公立医院就医的患者进行问卷调查。结果:2014—2016年,医院门急诊次均费用、次均住院费用、医院总收入、医院医疗收入、医院财政补贴收入、医院医保收入均逐年增加;药品收入占医院总收入比例、药品收入占医院医疗收入比例、患者个人自付费用占医院总收入比例、患者个人自付费用占医院医疗收入比例均逐年降低;8.4%的被调查患者认为"看病难",26.2%被调查者认为"看病贵",医保参保率达到96.7%,14.7%的被调查患者对医保报销比例表示不满意。结论:县级公立医院改革后,收入发生了结构性改变,患者"看病难"问题明显改善,"看病贵"问题仍有待进一步解决。更多还原

【Abstract】 Objective: By analyzing the financial data and conducting a questionnaire survey in county-level public hospital of Ji-lin, to understand the status of the "difficulty and high cost of getting medical services" after the medical reform of county-levelpublic hospitals in order to provide the basis for the medical reform policy. Methods: According to hospital HIS system, it collectedthe health cost data of county-level public hospitals in Jilin and conducted a questionnaire survey on 789 patients who visited county-level public hospitals. Results: From 2014 to 2016, hospital outpatient and emergency medical expenses, average hospitalization ex-penses, total hospital revenue, hospital medical income, hospital financial subsidy income and hospital medical insurance incomewere all increased by years. The proportion of hospital drug income in hospital total revenue, the proportion of hospital drug incomeaccounted for hospital medical income, the proportion of individual out-of-pocket expenses of hospital patients in hospital total reve-nue, the proportion of the individual out-of-pocket expenses of hospital patients in hospital medical income all decreased by years.8.4% of the patients surveyed believed that "it was difficult to get medical services". 26.2% surveyed patients believed that "it wasexpensive to get medical services", the medical insurance coverage reached to 96.7%, while 14.7% of the patients were dissatisfiedwith the proportion of medical insurance reimbursement. Conclusion: After the medical reform of county-level public hospitals, theincome had undergone structural changes. The problem of the difficulty of getting medical services had been improved significantly,but the problem of the high cost of getting medical services still needed to be further solved.更多还原