Study On Financial Investment Strategy Of General Public Hospital

Objective:This essay tries to analyze problems lying in the current financial investment system of public hospitals in order to identity the key problem and propose some advice to improve the financial investment system and put them into practice.Methods:To collect relevant data and information in the ways of literature search, insider interviews and gathering hospital financial statements and report forms, then analyze those data in different methods including literature analysis, normative analysis, data envelopment analysis and statistical analysis.Results:⑴Personnel expenses took more than 70 percent of hospital's financial investment, the project expenditures accounted for less than 30 percent. Secondary hospitals' overall efficiency dropped to 0.792 from the 0.828, technical efficiency declined significantly, but the tertiary hospital showed a slight increase. Secondary and tertiary hospitals' outpatient cost annual growth rate was less than 7 percent, per bed a day's cost was a little more than 12 percent, and the annual growth rate for each in-patient cost was 4.07 percent and 8.63 percent. Financial investment was more than the loss, and the extreme input gap between different hospitals was more than 10,000 yuan.⑵Financial investment in the UK and Australia were both based on the volume of services, Domestic theoretical studies also showed that investment in accordance with the volume of services was welcomed by most researchers.⑶A ccording to the theoretical calculation model, 3.2 billion yuan was needed for the secondary and the tertiary public hospitals in Wuhan in 2010, which was less than the predicted financial investment to 4.2 billion yuan.Conclusion:⑴There is a great improvement in public hospitals'financial investment and an effective control on residents'medical expense in recent years. However, there are some problems such as fairness problem and hospitals'poor operational efficiency because of inappropriate financial investment, which need much attention and quick reformation.⑵Research at home and abroad shows that financial investment based on service volume is the appropriate choice for China in future. The input calculation model based on this choice is proved feasible, which could be used as reference in financial investment calculation.⑶This essay holds the opinion that public hospital should take the way of fixed subsidy along with given item's subsidy, and the measurement process should be based on the hospitals'current financial situation and relative efficiency, and calculating the investment according to the service volume, besides, an assessment index system should be established, and we should regulate and control the measurement result dynamically.