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    2022年中国公共卫生事业发展报告——疫情发生后中国基层医疗卫生服务体系...

    • 作者:袁蓓蓓出版日期:2022年12月
    • 报告页数:23 页报告大小:1.57MB
    • 报告字数:19304 字所属丛书: 社会蓝皮书
    • 所属图书:2023年中国社会形势分析与预测
    • 浏览人数:    下载次数:

    摘要

    2020年新冠肺炎疫情对各级各类医疗卫生服务机构产生极大冲击,在冲击中基层的财政补偿水平保持稳定增长趋势、医疗业务收入经历了疫情发生后第一年的无增长到第二年的快速增长和恢复;基层卫生服务机构的人员经费支出水平稳步提高,人员数量增长、人员执业资质提高,均未受到负面影响;疫情发生后基层门诊服务量短暂下落后开始恢复,但住院服务量持续下降;基层医疗卫生机构承担基本公共卫生服务项目和疫情防控相关工作,公共卫生支出占比增长明显;基层机构经济运行普遍处于收支负盈余状态。疫情发生后加强基层医疗卫生体系建设需要借助卫生体系多层次改革带动基层机构医疗服务能力提高,建立财政补助投入的长效机制;基层医疗卫生机构经济运行的恢复,需要支持和鼓励基层医疗卫生机构创新升级服务内容和拓宽筹资渠道,同时加强基层医疗卫生机构成本控制的意识和能力,推进财政和医保经费统筹使用以提高资金使用效率。 <<
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    Abstract

    The COVID-19 has had a huge impact on all levels of medical and health service institutions. During the period,the level of financial compensation at the grassroots level has maintained a steady growth trend,and the medical service income has experienced a rapid growth and recovery. The expenditure level of personnel in local health service institutions has been steadily improved,and the growth of the number of personnel and the improvement of their professional qualifications have not been adversely affected. After the epidemic,the outpatient service volume at the grassroots level began to recover after a short fall,but the inpatient service volume continued to decline. Grassroots medical and health institutions undertake basic public health service and epidemic prevention and control task,and the proportion of public health expenditure has increased significantly. The economic condition of grass-roots institutions is generally in a state of negative surplus. The strengthening of the grass-roots medical and health system after the epidemic requires the multi-level reform of the health system to drive the improvement of the medical service capacity of grass-roots institutions,and establish a long-term mechanism of financial subsidies. The recovery of the economic condition of grassroots medical and health institutions also needs to support and encourage grassroots medical and health service institutions to innovate and upgrade service and broaden their financing channels,while strengthening the ability of cost control and promoting the coordinated use of financial and medical insurance funds to improve the efficiency of fund use.

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    作者简介
    袁蓓蓓:袁蓓蓓,北京大学中国卫生发展研究中心副研究员,世界卫生组织卫生体系研究证据整合专家委员会成员,主要研究领域为基层卫生服务体系、卫生人力资源激励机制、公共卫生体系改革等。
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