| [Purpose] On the basis of public welfare of public hospital, this research analyzed themode of suitable compensation of public hospitals, by analyzing the current situation of thefinancial compensation of public hospital, combined with the national health system reformprograms and actual situation of China health systems. What’s more, this researchdeveloped public hospital financial compensation calculation framework adapting to thesituation of our country, and being fully operable, and provided a reference for thedevelopment of scientific and effective compensation mechanism of public hospital.[Methods]（1）Literature researchTo collect and analyze the financial compensation theory, methods, related policiesand compensation mechanism of domestic and foreign public hospital. To review theliterature about the financial compensation policies and implementation effectiveness ofdomestic and foreign abroad health institutions, by searching on PubMed, EMBase, the ISIWeb of Science and the Chinese biomedical literature database, Wan Fang database.（2）Questionnaire designIn the regions of different economical levels in China, about30public hospitals whichare from six provinces, we collected the local general economic and financial situation,government health imputing accounts table, in accordance with the principle of stratifiedrandom sampling. And to investigate the situation of public welfare implementation, the financial revenue and expenditure, human resources.（3）Data processing and analyzing methodsTo analysis the data by inputting to the database, using the comprehensive indexmethod, ratio method, base forecast method, etc.[Results](1) The theoretical foundation of public hospital financial compensationTo determine the necessity of public hospital financial compensation by analyzing thetheory of public hospital compensation including the public fiscal theory, public goodssupply theory, stakeholder theory analysis, on the basis of public welfare of public hospital.(2) Public hospital financial compensationOn the basis of financial compensation data from30public hospitals, we found thatfinancial assistance in the hospital revenue costs a low proportion, no matter in thesecondary hospital or in the tertiary hospital. They mainly Relied on medical income anddrug to maintain their status quo. The hospital development capacity is limited, so it’snecessary to improve the compensation mechanisms, so as to reflect the public welfare ofthe public hospitals.(3)Building the calculation framework of Public hospital financial compensationBy analysis of the data, to evaluate the comprehensive efficiency of hospital and todetermine the comprehensive index using comprehensive index method, and topreliminarily build the financial compensation calculation framework, so as to apply thedata of30public hospitals to the framework.[Disscussion]Based on the results of this research, the usefulness of calculation framework, thecomprehensive evaluation index selection and the determinant of adjustment factor werediscussed.[Suggestions]Based on the current compensation status of our public hospitals, and the investigation and analysis of this study, the following public hospital financial compensation ofrecommendations were as follows:(1) Increase public welfare indicators to make the framework more rational;(2) Add hospital service quality indicators, so that make a more comprehensiveevaluation;(3) Make in-depth study on the adjustment factor, and get clear coefficient;(4) Establish cost accounting system in public hospital[Innovation and shortcomings]In this study, the overall efficiency of the hospital was considered in the hospital’sfinancial compensation, so as to avoid the unity of service amount, and to motivatehospitals for benign development. As sample size in the secondary and in the tertiaryhospital was not the same, and the number of hospitals was different in different levels ofthe various regions, there may be deviation in the evaluation results; this will impact thestrength of financial compensation. |
