| [purpose]This study is based on the income and expenditure analysis of the psychiatric specialty hospitals’ departmental total cost accounting,in-depth analysis of the development status and existing problems of municipal-level psychiatric specialty hospitals under different special development models,and comparative analysis of the scope and standards of financial subsidies for psychiatric specialist hospitals.The problems existing at the level explore the financial subsidy input of municipal-level psychiatric specialist hospitals in line with the actual demand and supply of doctors and patients,and construct financial subsidies input models for municipal-level psychiatric specialist hospitals,in order to promote the sustainable development of municipal-level psychiatric specialist hospitals and improve psychiatric specialist hospitals provide the basis for the financial compensation policy.[methods]This study obtained information on the operation of the municipal-level psychiatric specialist hospitals,the development model of the specialists,the financial subsides input related literature,data,and policy information through document retrieval,interviews with key figures,data collection,etc.,and combined qualitative and quantitative analysis.The analysis method analyzes the operation and development mode of the municipal-level psychiatric specialist hospitals,the development mode,the status quo of the financial subsidy and the existing problems.From the "discovery of problems and solutions to problems",it clarifies the financial subsidy input for municipal-level psychiatric specialist hospitals.Based on this,combined with data envelopment analysis and time series analysis to establish a scientific model and verify it.[result]1.Prefectural and municipal psychiatric specialist hospitals exhibit the same common problems.The balance of total revenue and expenditure losses.The level of financial subsidy is greatly affected by local government financial resources,sources of financial resources,and fiscal policies.The financial input is mainly used to maintain the basic operation of the hospital and compensate personnel costs,but the level of coverage is obviously insufficient.The construction of key disciplines,public health tasks,and infrastructure construction are not well compensated and government responsibilities cannot be well performed.The debt arrears situation is not optimistic.2.Empirical analysis of the root cause of the problem found that the operation characteristics of municipal-level psychiatric specialist hospitals formed the operational dilemma of "light assets,less diagnosis and treatment,low income,heavy tasks,difficulty in shifting the bed,and difficult recovery".The resource utilization rate of the medical and nursing combined department is obviously higher than that of the comprehensive department,which can improve the internal operating efficiency of the hospital and the development of the nursing specialty.With the cost of control at a good level,the risk of hospital operations is high.Under the current price and medical insurance policies,with the allocation of the hospital’s existing resources,medical income cannot be increased by increasing the workload of medical services.After the implementation of the "Cancellation of Drug Additions" policy,drug sales revenue cannot make up for the full cost of medicines,causing further losses in medical income and expenditure.3.From the perspective of the economic operation and development model of municipal-level psychiatric specialist hospitals,there is a lack of fairness in financial subsidy input,low input efficiency,unreasonable input structure,inadequate implementation of responsibilities of governments at all levels,and very weak subsidies for science and education.Combining the six major compensation scopes already defined in the current fiscal policy,scholars at home and abroad have further summarized and summarized the findings of financial compensation,and put forward specific ideas from the perspectives of compensation scope,compensation standards,government responsibilities,and input efficiency.4.According to the idea of financial assistance investment,the public hospital financial subsidy model proposed by the predecessors was used for improvement.The model clarifies the calculation process and specific methods for the total financial input of the required mental health professional institutions in the region and the financial input for the psychiatric specialist hospitals in individual cities and districts.It proposes to establish comparable principles for the efficiency of the same types of work departments at all levels and in all types of hospitals,and establish regional health Plan dynamic adjustment factor.[conclusions]The idea of financial subsidies for municipal-level psychiatric specialist hospitals should be based on the characteristics of municipal-level psychiatric specialists,promote innovative development models,focus on solving the public welfare of psychiatric specialist hospitals,improve the internal operational efficiency of the hospitals,and improve regional mental health resources.Balanced state 3 key appeals.This research has been improved in the previous theoretical model and put forward the regional financial planning area to carry out the total financial input of the psychiatric specialty department hospital and the financial subsidy theoretical model and measurement method of a psychiatric specialty hospital.Through data validation,the results of the calculation are relatively good.Reasonable,can be accepted by the financial department. |
