【摘要】 目的：分析江苏省村卫生室经济运行情况及其效率，发现问题并提出应对策略。方法：应用描述性统计方法分析村卫生室收入、支出和结余情况，应用马姆奎斯特指数分析2013—2022年村卫生室投入产出效率。结果：2016—2022年江苏省村卫生室医疗收入占总收入比例逐年下降，2022年医疗收入所占比重为56.34%，药品收入占医疗收入的75.77%;2022年平均每家村卫生室上级补助7.18万元。2022年村卫生室人员支出占总支出的49.24%，人均人员支出4.15万元。2016—2020年村卫生室药品收支差额持续减少，2022年平均每家机构收支结余1.56万元。马姆奎斯特指数分析结果显示，2013—2022年江苏省村卫生室全要素生产率指数平均值为0.992，有8个市村卫生室全要素生产率指数小于1.0。结论：江苏省村卫生室药品收入所占比重较高，农村卫生人员经费较低，村卫生室收支结余比较少，部分地区村卫生室投入产出效率偏低。今后进一步完善村卫生室收入补偿机制，加大财政补助力度，提高村卫生室服务能力和水平。更多还原

【Abstract】 Objective:To analyze the economic operation and efficiency of village clinics in Jiangsu Province,explore the issues and put forward the countermeasures. Methods:Descriptive statistic method was applied to analyze the income,expenditure and balance of village clinics. Malmquist index was applied to analyze the input-output efficiency of village clinics from 2013 to 2022.Results:The proportion of medical income to total income of village clinics decreased continuously from 2016 to 2022 in Jiangsu province. The proportion of medical income to total income was 56.34% in 2022. The proportion of drug income to medical income was 75.77%. The average subsidy from the superiors per institution was 71 800 yuan in 2022. The proportion of personnel expenditure to total expenditure of village clinics was 49.24% in 2022, and per capita personnel expenditure was 41 500 yuan. The income-expenditure balance of drugs declined continuously from 2016 to 2020. The average income-expenditure balance per village clinic was 15 600 yuan in 2022. The Malmquist index results showed that the average value of Total Factor Productivity(TFP) index of village clinics in Jiangsu was 0.992 from 2013 to 2022 in Jiangsu province. The value of TFP index of 8 village clinics was less than 1.0 in eight cities. Conclusions:The proportion of drug income to medical income was high. The personnel funds were relatively low in village clinics. The average income-expenditure balance of village clinics was insufficient. The input-output efficiency of village clinics was low in some regions. It is needed to further improve the compensation mechanism of income,increase the financial subsidies and improve the service ability and service level of village clinics.更多还原