【摘要】 [目的]探讨全国各地中医类医院的收入结构特点和差异,为政府制定适宜的中医药政策提供决策参考。[方法]根据《2017年全国中医药统计摘编》的数据,对各地区中医类医院的收入结构进行描述性统计和聚类分析。[结果] 2017年我国中医综合医院医疗收入占总收入比重为86.6%,低于综合医院;而药品收入占医疗收入的比重为42.2%,其中基本药物占药品收入的比重为32.9%,均高于综合医院。全国各地中医类医院收入结构可分为四类地区,其中门诊收入占医疗总收入比重位于前三位的是北京(68.7%)、上海(59.7%)和天津(55.0%)。[结论]中医类医院与综合医院相比创收能力不足,药品收入比重较高,基本药物的使用情况更好,此外各地中医类医院业务开展存在明显的差异性。更多还原

【Abstract】 Objective To explore the characteristics and differences of income structure of TCM hospitals in different parts of our country so as to provide decision reference for the government making appropriate policies on TCM. Methods Descriptive statistics and cluster analysis were carried out on the income structure of TCM hospitals in different regions according to the data of"2017 National Statistical Extract of Traditional Chinese Medicine". Results In 2017,the proportion of medical income in the total income of TCM hospitals was 86. 6%,which was lower than general hospitals’. The proportion of drug income in medical income was 42. 2%,which the proportion of essential drugs was 32. 9%,both of them were higher than general hospitals’. The income structure of TCM hospitals in China could be divided into four types of areas,which the proportion of outpatient income in front three were Beijing( 68. 7%),Shanghai( 59. 7%) and Tianjin( 55. 0%). Conclusions Compared with general hospitals,TCM hospitals have insufficient income generating capacity,with high proportion of drug income,and better use of essential drugs. In addition,there are obvious differences in the business development of TCM hospitals in different regions.更多还原