中国医院竞争力报告（2025）
中文摘要
《中国医院竞争力报告（2025）》是根据艾力彼医院管理研究中心进行的医院标杆研究（Hospital Benchmark Research），以分层分类为重点，对2024年各类医院进行横向和纵向对比研究、总结分析而成的年度行业报告。本书秉持“数据说话，时间说话”的原则，采用统计分析、文献检索、数据比较、定量和定性分析等方法，对全国3000多家不同层级、不同类别的医院进行系统分析，探索人工智能在医疗行业的应用潜力和前景，为医院管理者提供有力的决策支持。
本书主题为“AI赋能未来医疗 创新求变”，深入剖析了人工智能技术在医疗领域的应用现状、发展趋势及人工智能技术对医院竞争力的深远影响。根据研究结果得出以下几点结论。一是从医院综合竞争力、区域均衡指数、医院运营效能三个方面进行纵向、横向分析。经研究发现，2024年部分省（区、市）医院标杆第一梯队的总数相较于2023年发生了一些明显变化，其中浙江增加3家，而河南、四川、陕西的医院标杆第一梯队的总数分别减少了4家、4家、3家。地级城市医院标杆当中选取了50家医院，其中漳州、盐城、蚌埠、邯郸、保定的医院为新入围的医院，十堰医院综合竞争力指数上升明显，赣州则差强人意。2023年医院业务收入和总收入虽然呈正增长，但不同层级医院营收能力存在明显差异，顶级医院标杆第一梯队、地级城市医院标杆第一梯队、县级医院标杆第一梯队、中医医院标杆第一梯队总收入比为1∶0.43∶0.15∶0.25，人均总收入比为1∶0.66∶0.41∶0.68；不同层级医院标杆的营收能力呈现出“马太效应”，县级医院标杆第一梯队增长幅度小于其他层级，县级医院数量多，但竞争力参差不齐，需要继续加强县级医院运营管理，以保障分级诊疗制度的落实。顶级医院标杆重视转化医学研究、智慧化建设和现代科技手段的应用，这些都加速了医院向新质生产力的转化，从而提升医疗服务质量和效率。二是从地域分布、竞争力要素等方面，在院级和专科两个层面对县级医院标杆进行分析。研究结果显示，从地域分布比较，东部地区医院标杆数量最多，华东六省均有医院标杆。从竞争力要素比较，西部地区医院标杆的人员配置得到加强，其中临床护士人数/实际开放床位数已接近东部地区医院标杆水平。东部地区医院标杆的门诊均次费用增加明显。经纵贯剖析近五年的县级医院标杆发展态势，在实际开放床位数渐趋稳定之际，“年手术量”呈现出反常的降低趋向。三是根据地域分布、医院等级，分析医院各方人财投入以及基础建设、AI应用等方面，为我国智慧医院及医疗AI建设提供参考。经分析发现，AI潜力大的医院在整体投入方面近年来略有下降，医院在所在区域的分布、规模级别、建设投入等方面存在差距进一步拉大的趋势，其中相关AI及算力建设逐步受到部分顶级医院重视，这将为我国医院逐步迈进“数智时代”奠定坚实基础。
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