The Current Economic Operation Status of Primary Medical Service Institution and Countermeasure Analysis in Hunan / 中国卫生经济

ABSTRACT

Objective: To understand the economic operation status of primary health services institutions from 2007 to 2012 in Hunan. Methods: Collecting relevant data from health statistics yearbook and health financial annual report. Descriptive statistics was used to analyze the data. Results: ⑴The quantity of medical services increased steadily within a narrow range , per capita daily burden of doctors were remarkably increased, bed utilization ratio got a significant growth but still lower than hospital level; ⑵the total revenue rose by year, the growth rate of drug revenue had a descending trend, financial aid revenue was growing strongly with 84% growth rate in 2010 and 72%in 2011; ⑶the total expenses rose by year, the drug expenses was almost steady, while the medical expenses had a remarkable rise, as a result, the proportion of drug expenses was descending from 35.4% in 2007 to 27.02% in 2012; ⑷the balance rate stayed at lower level, and negative balance had been existed since 2011 and the medical revenue and expenditure’ loss was most serious. Conclusion: Since the implement of new medical reform, especially the implement of essential medicine institutions, the balance of financial revenue and expenditure of primary health services institutions have been serious. Self compensation ability are poor, the institutions were facing development difficulty, it needed supports from comprehensive reform measures.