Research On Social Medical Expenses In Hunan Province Based On The 2010-2014 Survey

Social medicine,means the social capital medical institutions,refers to the relative state sponsored medical institutions,is not affiliated with the health administrative departments and non financial allocation and organized,including individual,private,joint-stock,joint-stock cooperative system,Sino foreign joint venture and other forms of non-public medical institutions.Social medical expenses reflects the social capital held by medical institutions after the initial run,in the process of operation,resulting in the total outflow opening and initial investment,asset cost and revenue and total inflow.To carry out investigation and Research on the cost of medical treatment in Hunan province is conducive to the scientific definition of the accounting index of social medical expenses,And to promote the formation of a mature social accounting system,It is of great significance to regulate the total cost accounting,to improve the accuracy of the calculation of the total health expenditure in Hunan Province,to optimize the structure of health financing and to guide the healthy development of the society.According to the different areas of Hunan province’s economic development level,select6 representative citys to do social sample questionnaire survey,and do a comprehensive analysis of the survey data and information.First,the rapid growth of the scale of social medical institutions in Hunan ProvinceThe initial investment scale of individual clinics in Hunan Increased from 0.37 million yuan to 0.83 million yuan,an average increase of 17.48%;Private hospital initial investment scale increased from 10.14 million yuan to 25.23 million yuan,an average increase of19.99%.The total assets of private hospitals increased from 13.23 million to 19.42 million,an average increase of 5.70%;total assets of individual clinics increased from 0.24 million yuan to 0.69 million yuan,an average increase of 23.09%.Second,the social service efficiency has improvedEmergency department in Hunan province of social medical institutions increase 15.38%;the average number of hospital bed occupancy rate increase 1%;the average increase 1.31%;the average hospitalization days the average annual reduce 4.34%;out-patient costs anaverage increase 2.19%;average hospitalization cost average increase 7.03%.Third,the cost of social medical expenses grew fasterThe average total social medical institutions revenue increased from 9.04 million yuan per year to 19.05 million yuan,an average increase of 16.17%,faster than the growth rate of public hospitals by one percentage point.Fourth,Hunan social medical institutionspersonnel expenses is high but the overall quality of medical staff.In the initial investment,the total cost of private hospitals increased from139.92 million yuan to 449.77 million yuan,increase of 26.31%;the total cost of individual clinics increased from5.97 million yuan to 15 million yuan,increase of 20.23%.In total expenditure,the expenditure for each individual clinic staff increased from 5.95 million yuan to11.09 million yuan,increase of 13.26%;Each private hospital staff expenses increased from 234.47 million yuan to 414.31 million yuan,increase of 12.06%.But in the health professional title and educational structure,the primary title of private hospitals accounted for 51.92%-54.39%,no title accounted for 18.36%-20.46% individual clinics;junior titles accounted for 36.93%-41.91%,no title accounted for 28.68%-33.52%.Private hospitals and individual clinics are based on Tertiary Education(accounting for 43.13%-45.56%,43.43%-45.96%),with secondary and lower education accounting for 30.96%-38.31% and 26.14%-33.33%respectively.Fifth,the social income and expenditure of medical expenses grew fasterThe total income of individual clinics increased from 0.29 million yuan to 0.30 million yuan,an average increase of 0.68%,the total income of private hospitals increased from11.19 million yuan to 18.85 million yuan,an average increase of 11%;Individual clinics total expenditure increased from 0.11 million yuan to 0.31 million yuan,an average increase of12.25%,total private hospitals increased from 10.36 million yuan to 21.79 million yuan,an average increase of 16.03%.The result of the investigation is much larger than that the original Hunan provincial medical expenses accounting results and the national average level,Social management of the initial investment in a narrow statistical caliber,due to the lack of direct reporting system and the cost of social medical data distortion,that is an important incentive.Compared with publichospitals,there are still some problems such as poor policy implementation,lack of high-end technical personnel,low service efficiency and weak competitiveness of medical market.It is recommended to further regulate the Social medical institutions cost caliber;improve Social medical institutions cost estimation method;promote shehuibanyi policy "landing",eliminate invisible barriers,create a fair development environment.