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谢伏瞻
    中国社会科学院学部委员,学部主席团主席,研究员,博士生导师。历任中国社会科学院院长、党组书记,国务院发展中心副主... 详情>>
蔡 昉
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李培林
    男,汉族,出生于1955年5月,山东济南人,博士,研究员,全国人民代表大会社会建设委员会副主任委员,中国社会科学... 详情>>

    “十三五”期间我国社会办医发展状况

    摘要

    本报告利用2017~2021年《中国卫生健康统计年鉴》数据,对“十三五”期间民营医院的服务资源、服务能力及非公立医疗卫生机构的经营状况进行分析。民营医院作为我国医疗服务体系的重要补充,其发展呈现亦喜亦忧的状况。2020年末,民营医院数量占我国医院总数量的66。46%。尤其是三级民营医院数量在“十三五”期间逐渐攀升,且床位规模及卫技人员数量也在增加。2016~2019年民营医院在诊疗人次、住院人次和手术人次方面均呈现上升趋势,但受新冠肺炎疫情影响,2019~2020年呈现明显的下降趋势。新冠肺炎疫情的冲击使得我国社会办医面临的问题与挑战更加严峻。民营医院小而散的总体情况并未发生根本性转变,新型资本为我国民营医院的发展带来了更大的资本规模和更高的起点。与此同时,民营医院的人力准入、市场准入、价格管制、发展空间、发展模式等均是下一步发展过程中亟待解决的问题。推动社会办医的发展,在一系列利好政策的激励下,需进一步规范医疗行为,全面提高医疗质量,实现民营医院由数量向质量的转型发展。

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    Abstract

    This report provides a descriptive analysis of the service resources,service capacity and operating condition of private hospitals during the “13th Five-Year Plan” period,using data from the China Health and Health Statistics Yearbook 2017-2021. As an important supplement to China’s healthcare system,the development of private hospitals has shown both good and bad conditions. 66.46% of the total number of hospitals in China were private hospitals at the end of 2020. In particular,the number of tertiary private hospitals is gradually increasing during the “13th Five-Year Plan” period,and the size of beds and the number of health technicians are also expanding. The outpatient,inpatient and surgical capacity of private hospitals showed an upward trend from 2016 to 2019,but turned on a significant downward trend from 2019 to 2020 influenced by COVID-19 epidemic. Profit rate of non-public hospitals is deficit and negative assets. Under the pressure of COVID-19 epidemic,private hospitals have to face more problems and challenges. Private hospitals are still small and scattered. New investors push larger capital scale and higher starting point for the development in the future. At the same time,there are lots of problems should be resolved,e.g. manpower,market,pricing governance,development space,development model,etc. Promote the development of socially run hospitals,in a series of favorable policy incentives,need to further standardize medical practices,improvision of medical quality,to achieve the transformation of private hospitals from quantity to quality development.

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    作者简介
    冯文:冯文,博士,北京大学公共卫生学院硕士生导师、副研究员,主要研究方向为医院管理。
    卫安乐:卫安乐,北京大学公共卫生学院硕士研究生,主要研究方向为卫生事业管理。
    杨喜旺:杨喜旺,北京大学公共卫生学院硕士研究生,主要研究方向为卫生事业管理。
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