Research Of Financial Compensation Mechanism Of Township Hospital In Guangxi Under The Financial System Of Governing The County Directly By The Province

Objective:From the background of financial management reform in governing the county directly by the province and the theoretical basis of township hospital compensation mechanism, under the financial system of governing the county directly by the province, actively exploring effect about municipal administrative and financial powers weakened and the two-level financial management of governing the county directly by the province on the compensation mechanism of township hospital. Realities and the problem of the financial compensation mechanism were analyzed about township hospital. The idea would be proposed financial compensation mechanism of township hospital under governing the county directly by the province, and forming the financial compensation mechanism that was not only to protect the benign operation of the township hospital, but also to control the growth of medical expenses was unreasonable. Providing policy suggestion was for promoting the institutional reform of financial compensation of township hospital, improving financial compensation policy of township hospital and Solved step by step "expensive medical cost and difficult medical services" problem as a result of the old system of drug-maintaining-medicine.Methods:(1)Literature study:Query and the collection of domestic and foreign literature, government documents,laws and regulations and the provisions data on the compensation mechanism of the financial system of governing the county directly by the province and township hospital. Arranging and summed up the difficulties and obstacles of the compensation mechanism reform of township hospital and finding a theoretical basis to build the theoretical framework that was finishing basic research.(2)Sample survey method:According to Guangxi geographical east, central and western as well as economic level, extract the three cities of Nanning, Yulin, Baise. There were six ample investigation objects that were selected pilot counties that were shsanglin county, bobai county and tianlin county of governing the county directly by the province in three cities (hereinafter referred to as "pilot counties") and considering the pilot counties away distance and GDP per capita similar to the three counties Mashan county, Yulin city fumian Management District and Longlin county.(3Questionnaire method:Payment of the questionnaire was to survey under the jurisdiction of the township hospital in all aspects of income and expenditure situation and conduct a questionnaire survey of medical staff and finance staff. Related data of questionnaire were conducted statistical analysis through EXCEL2OO3and SPSS13.0software.(4)Comparative study method:As a set of data to the14pilot counties in Guangxi, there were two other control groups that are respectively the per capita GDP and the service population (terms of permanent residents) with the14pilot counties for a comparative study of vertical and horizontal.(5)Qualitative interview:Qualitative interviewed with health government departments, managers, township hospital managers and medical staffs to understand the main problems of the current compensation mechanism of the township hospital.Results:(1) The total revenue, drug income and medical income of township hospital were significantly decreased and health care cost under control, the business subsidy income to total income ratio to continue to expand.(2)The total expenditure and drug expenditure of the township hospital became slowdown in decreased significantly, the average personnel expenditures decreased.(3) In vertical comparison, on the business subsidy to total revenue ratio of the governing the county directly by the province has significantly expanded, drug profit were virtually unchanged, the average personnel expenditure has increased(4) In horizontal comparison, the pilot counties financial subsidy income and average personnel expenditure were not significant differences with other control group areas. The three groups did not exist a correlation between.Conclusion:Attempt to use model to analyze the compensation mechanism of public hospital, a comprehensive understanding of the link between compensation related main of public hospital. Further improve the direct control of the county pilot project, to increase government funding, to develop effective health human resource, to improve the essential drug system, and to perfect the new rural cooperative medical system.