Research On Financial Investment Performance Evaluation Of Public Hospitals In Lanzhou City

The government's investment in public health service system is not only the foundation to support the continuous improvement and development of China's medical system,but also a fundamental guarantee to fundamentally reduce the medical expenses of patients and relieve the predicament of "difficult to see a doctor and expensive medical treatment".To measure the performance of public hospitals' financial input,we can ensure the rational allocation of funds and realize their responsibilities of public welfare,so as to ensure citizens to receive high quality and high efficiency medical and health services.This paper first reviews the relevant literature in the field of research,and preliminarily grasps the current research status and research progress of the field in this field.Based on the public product theory,stakeholder theory and financial performance evaluation theory,with the Balanced Scorecard Model and scholars' viewpoints initially constructed a set of four dimensions index including financial subsidies,hospital patients,comprehensive management and sustainable development.Then using the Delphi's method for further screening of index getting including 4 level indicators and 19 two level indicators of public hospital financial investment performance evaluation index system.Secondly,taking seven public hospitals in Lanzhou as an example,two principal components were extracted from each dimension by principal component analysis.Based on this,a comprehensive score model was constructed and the score of performance was calculated.According to the results of the analysis,it is found that the financial investment performance of the seven public hospitals is very different,the main influence factors of differences are financial investment amount,financial investment structure,the number of services,medical expenses,patients and human capital efficiency,cost control,personnel structure,education and professional title structure.Finally,on the basis of empirical analysis,the problems in the financial investment performance of public hospitals in Lanzhou City were discovered.and some countermeasures and suggestions were strengthened.For example: strengthening the financial investment performance evaluation,ensure the leverage effect of investment funds;expanding government health financing capacity,to ensure the public hospital financial investment;promoting the modernization of management of public hospitals,improving the supply of medical services;controlling the unreasonable increase of medical cost,improving the sense of obtaining medical services for patients,etc.