【摘要】 目的　了解经济转型时期各类医院筹资结构及其效果的变化情况。方法　采用抽样及回顾性调查方法 ,对山东和河南两省 4 5所医院的资金运作情况及效率绩效进行调查分析。结果　 1987～1999年 ,4 5所医院其政府补助占总收入的比例呈下降趋势 ,县级以上医院平均由 2 4 7%下降为8 0 % ;而病人付费和药品收入所占比例增加。同时 ,4 5所医院的生产率和社会效率均呈下降趋势 ,除乡卫生院外 ,其他三类医院的经济活力均得到增强。结论　病人付费和药品收入已成为医院筹资来源的主渠道。在注重经济效益的同时 ,应适当调整卫生政策 ,提高医院的生产率及卫生服务的社会效率。更多还原

【Abstract】 Objective To find out about the financing mix of various hospitals and the changes in effects in the period of economic transition. Methods An investigation was made into the employment of funds and the efficiency and performance of 45 hospitals in the two provinces of Shandong and Henan by means of sampling and review. Results From 1987 to 1999, the proportion of government subsidies in the total income of each of the 45 hospitals was on the decrease, with that in hospitals at the county level and above dropping on the average from 24 7% to 8 0%, while the proportion of patients payments and income from pharmaceuticals was on the increase. At the same time, the productivity and social efficiency of the 45 hospitals all showed a tendency towards decrease. Except for township public health centers, hospitals of the other three kinds all witnessed an increase in their economic vitality. Conclusion Patients payments and income from pharmaceuticals have become the main sources of hospital financing. While attention ought to be paid to economic benefits, it is imperative to properly readjust health policies and improve the productivity of hospitals and the social efficiency of health services.更多还原