保加利亚大学综合医院积极治疗收入变化研究

Hristo Stoyanov, Rumyana Yaneva
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引用次数: 0

摘要

医院医疗保健系统的成功需要通过它如何有效地满足其所提供服务的用户的需求来衡量。新冠肺炎疫情蔓延带来的困难,并没有妨碍高校综合积极救治医院继续履行公共服务职能,在承担最重要的部分新冠肺炎患者救治工作的同时,继续为未来医学专科医生开展实践医学教育提供必要条件。该研究的目的是对2019 - 2021年期间大学多侧医院积极治疗的收入变化进行比较分析。方法:处理和分析收到的信息采用了以下方法:文献法————资料来源是医院医疗设施的年度报告,这些报告每年由卫生部国家公共卫生和分析中心接收和处理;系统分析法;Comparative-analytical方法;经济分析;财务会计分析;统计方法包括:动态现象分析和图形分析-将获得的结果可视化。结果:在研究期间,UMHAT的总收入有32.6%的增长趋势。自2019冠状病毒病大流行爆发以来的第一年(2020年),卫生部的收入增长最为强劲,其次是捐赠收入。2021年,来自自愿医疗保险公司的收入增长最为显著,但来自卫生部的收入有所减少。讨论:在卫生部关于公民健康的报告中指出,与卫生部系统中2019年报告的费用相比,2020年的费用增长了58%以上,这是由于复杂的流行病背景,为此,该部启动了一些活动,以确保受影响者得到治疗并限制感染的传播。结论:基于环境的变化,以及医院服务需求的动态变化,现代大学医院在开展教学活动的同时,需要更加灵活地适应环境的变化。建议:大学医院确保病人和未来医学专家所期望的质量的一个必要条件是吸引额外的财政资源,以改善其物质基础并作为实施成功的人事政策的一种手段。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
STUDY OF REVENUE CHANGE IN UNIVERSITY MULTIPROFILE HOSPITALS FOR ACTIVE TREATMENT IN BULGARIA
The success of a hospital medical care system needs to be measured by how efficiently and effectively it addresses the needs of the users of the services it provides. The difficulties caused by the spread of COVID-19 did not prevent the University Multiprofile Hospitals for Active Treatment from continuing to perform their public service functions - they took over the treatment of the most significant part of patients with SARS-CoV-2 infection, while at the same time continued to provide the necessary conditions for conducting practical medical education for future medical specialists. The aim of the study is to perform a comparative analysis of the change in revenue of the University Multiprofile Hospitals for Active Treatment for the period 2019 – 2021. Methodology: The following methods were used for processing and analyzing the received information: Documentary method - the source of the information is the annual reports of the medical facilities for hospital care, which are received and processed annually at the National Center for Public Health and Analyzes at the Ministry of Health; System analysis method; Comparative-analytical method; Economical analysis; Financial and accounting analysis; Statistical methods, including: analysis of the dynamics of phenomena and graphic analysis - to visualize the obtained results. Results: There is a trend of increasing the total revenues of UMHAT for the studied period by 32.6%. The first year since the onset of the COVID-19 pandemic (2020) has seen the strongest increase in revenue from the Ministry of Health, followed by revenue from donations. In 2021, the increase in revenues from voluntary health insurance companies was most pronounced, but there was a decrease in revenues from the Ministry of Health. Discussion: In the Report on the health of citizens of the Minister of Health, it is stated that the growth of costs in 2020 compared to those reported in 2019 in the system of the Ministry of Health by more than 58% is due to the complicated epidemic background, in connection with which the ministry initiated a number of activities to ensure the treatment of those affected and limit the spread of the infection. Conclusion: Based on the changes in the environment, as well as to the dynamically changing needs of hospital services, a more flexible adaptation to them is necessary for the modern university hospitals, in which teaching activities are carried out in addition to treatment. Recommendations: An essential condition for University Hospitals to ensure the quality that patients and future medical specialists are looking for is the attraction of additional financial resources, both to improve their material base and as a means of conducting a successful personnel policy.
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