到底哪个医院科室最“赚钱”？

2016-12-14 大鹏医学界

当前公立医院的成本状况与运营效益如何，哪种类型的医院与科室的成本收益率最高？日前，《医学界智库》发布了一项数据报告：“运营一家公立医院成本这么高”（数据来自HIA《中国首部公立医院成本报告》）。用读图的形式，直观展示了公立医院的“成本时代”，在医疗及引起了广泛关注。公立医院的收入，一直是社会各界都关心的话题，尤其是各个科室的收入构成。那么，公立医院收入真相到底在哪？在绝大多数人的眼里，临床科室应该

当前公立医院的成本状况与运营效益如何，哪种类型的医院与科室的成本收益率最高？

日前，《医学界智库》发布了一项数据报告：“运营一家公立医院成本这么高”（数据来自HIA《中国首部公立医院成本报告》）。用读图的形式，直观展示了公立医院的“成本时代”，在医疗及引起了广泛关注。公立医院的收入，一直是社会各界都关心的话题，尤其是各个科室的收入构成。那么，公立医院收入真相到底在哪？

在绝大多数人的眼里，临床科室应该承担着为医院“创收”的重任。然而根据调研结果，医药“最赚钱”的两个科室为检验科和放射科，均为医技科室。

医学检验科以高达89%的成本收益率（成本收益率表明单位成本获得的利润，反映成本与利润的关系，一般成本收益率越高，企业的运营效率越高），位居各一级医技科室之首，医技科室成本收益率远超临床科室。这一数据着实让人震惊！

在临床科室方面，放疗科以高达20%的成本收益率位居各临床科室的第一位。虽然放疗科有高达20%的成本收益率，但根据报告内容，绝大多数临床科室的成本收益率为负。而相比执行，医技科室的成本收益率则要高得多，不仅是医学检验科高达89%，排在第二位的放射科也高达80%。

那么，为什么会出现这种情况呢？

“说明医疗服务费用太低，医院要靠检查费赚钱。”一位三甲医院的管理者毫不讳言地表示，调整医院和医生的收入结构，破除以药养医，医疗服务价格改革是题中之义。

据观察，目前我国的医疗服务价格是2002年前后确立的，十几年来，社会物价总水平一直在提高，而医疗服务价格并没有多大的提高。而且当初测算的价格还只是成本的一半。医疗服务价格改革迫在眉睫。今年7月1日，国家发改委公布了《关于印发推进医疗服务价格改革意见的通知》，意在启动新一轮医疗服务价格改革改革。然而，与之相配套的实施细则尚未落地，各地的执行状况也不一。

作为“医改的核心问题”所在，医疗价格改革一直是个敏感的话题。中欧国际工商学院医疗管理与政策研究中心主任蔡江南教授也认为，“价格一直是制约医疗体制改革的一个瓶颈，整个医疗行业的改革，最根本的还是医疗服务价格的改革。”

国家卫计委卫生发展研究中心医疗保障研究室副主任顾雪非认为，现有医疗服务价格存在的问题，主要体现在三个方面：一是医疗服务价格过低，导致医务人员的劳动价值得不到体现；二是医疗服务定价标准与成本投入严重背离；三是没有建立医疗服务价格管理体制。

数据报告中出现的“医技科室成本收益率远超临床科室”的情况，正如顾雪非所言，是由于医疗服务价格过低，导致了医务人员的劳动价值得不到体现。

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2017-07-03 tonychen21

#医院科室#

41 0
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2016-12-24 inter158

这个是影像和检验

69 0
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2016-12-15 西风染林

千万记住千万记住！

60 0
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2016-12-15 西风染林

学什么都别学检验！

61 0
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2016-12-15 西风染林

所以说很尴尬啊！科室效益基本算最好，拿得算是最少。尴尬！

0 0
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2016-12-15 西风染林

申请了，他们去买，和我们没关系，感觉就是豢养起来做实验的廉价劳动力，之前喜欢的姑娘，跟我说了一句话，害得我几年都没敢去追求她，现在也只好错过——她说：我们这专业养不活老婆的。我心想，我们都养不活老婆，我哪里敢追求你？所以现在天各一方还只是朋友罢了…哎

63 0
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2016-12-15 西风染林

我学的检验，我跟你们讲讲——确实试剂成本低，仪器公司送，但，亲，请搞清楚！收取费用的是医院啊！检验科只负责“做”，不负责“收”，钱和我们没关系的，全部是医院收取了。换句话说：检验科试剂成本低廉，检验科医生劳动力也低廉。钱都是医院的，和我们没关系，试剂用完了，跟医院申请…

24 0
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2016-12-14 cmn

放疗科。。。。学习了

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