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<section data-role="paragraph" data-color="rgb(182, 228, 253)" data-custom="rgb(182, 228, 253)"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section><p><p><img src="image/20201014/86b79d371e9862b01189f0252a03b2cd_1.png" /></p></p></section><section><section><span><strong></strong></span></section><p><span>医疗器械媒体报道先锋</span></p><p><span>分享专业医疗器械知识</span></p></section><section><section><section><span>关注</span><span></span></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section><section data-role="paragraph" data-color="rgb(182, 228, 253)" data-custom="rgb(182, 228, 253)"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><br /></section><section data-support="96编辑器" data-style-id="26080" data-color="rgb(55, 74, 174)"><section><section><section><section><span>新冠疫情下，医院是否可以独善其身？医院的运营现状如何？医院当下面临的最大压力又是什么？为了弄清楚这些问题，广州艾力彼特意设计了医院运营问卷进行调查，共回收316份问卷，覆盖26个省市，其中公立医院204家，社会办医医院112家，三级及以上医院占比63.92%。</span></section></section></section></section></section><section data-color="rgb(55, 74, 174)"><p><br /></p><p><p><img src="image/20201014/dc9122287bd259942eec474bf5d32ec5_2.png" /></p></p><p><p><img src="image/20201014/686dc5f48be0363328f3fd8e8ef01822_3.png" /></p></p></section><section data-support="96编辑器" data-style-id="26075"><section><section><section><section><br /></section></section></section></section></section><section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><em><strong>01</strong></em></p></section></section></section></section><section><section powered-by="gulangu"><p><strong><span>疫情期间，医院运营现状如何？</span></strong></p></section></section></section></section></section></section></section><p><br /></p><p><strong><span>1、所有受访医院业务同比大幅下滑！</span></strong><span></span></p><p><span><br /></span></p></section><section><span>调查显示，所有受访的医院在2020年2月份的业务量和营收都同比出现了下滑。其中99.37%的医院的门诊量出现了下滑，100%的医院的住院量和手术量出现下滑,住院和手术量下滑最为严重。</span></section><section><span><br /></span></section><section><span> (1)门诊量同比下滑接近40%：调查显示，今年2月份门诊量同比下滑40%以上的医院占比78.48%，下滑30%-40%的医院为11.39%，下滑不到10%的医院只占1.9%。</span></section><section><br /></section><p><p><img src="image/20201014/ebffe6cc18b1cbca3a8e98cd3931a184_4.png" /></p></p><p><span>表1.2020年2月医院门诊量同比变化表</span></p><p><br /></p><section><span>（2）近六成医院住院量和手术量下滑超过50%: 调查显示，今年2月份，受访医院的住院量同比下滑50%以上的医院占比58.86%，下滑40%-50%占比15.82%，下滑不到20%的医院占比仅为6.33%。手术量上，下滑60%以上的医院占比56.33%，下滑50%-60%的医院占比14.56%，下滑30%以下的医院占比8.86%。</span></section><section><br /></section><p><p><img src="image/20201014/b287cca643dc114541e07b1c070f1c3f_5.png" /></p><span>表2. 2020年2月医院住院量同比变化表</span></p><p><br /></p><p><p><img src="image/20201014/112a569e467987e640aaef8ccefb99e0_6.png" /></p></p><p><span>表3. 2020年2月医院手术量同比变化表</span></p><p><br /></p><p><strong><span>2、医院支出有升有降，人力成本占比平均飙升超10%！</span></strong></p><p><span><br /></span></p><section><span>调查显示，55.1%的受访医院2月份的支出比去年同期增加，44.9%的医院2月份的支出出现同比下降。</span></section><section><span><br /></span></section><section><span>在人力成本占医院总成本的比重上，疫情之前，53.5%的医院的人力成本占总成本的比重在30%-40%之间，只有8.9%的医院这一比重超过50%，在疫情以后，人力成本占比开始大幅攀升，其中人力成本占比40%-50%区间的比重由疫情前的15.9%上升到28.4%，人力成本占比50%以上区间的占比由疫情前的8.9%快速上升到32.3%，这说明疫情期间人力成本支出，成为了大部分医院最主要的支出，也是对医院现金流压力最大的支出。</span></section><section><span><br /></span></section><p><p><img src="image/20201014/a4c1a8abe1777368a4f123d963847026_7.png" /></p></p><p><span> </span></p><p><strong><span>3、九成医院存在资金压力，50%的医院现金流支撑不足2个月！</span></strong></p><p><span><br /></span></p><section><span>调查显示：94.1%的医院在疫情期间出现了现金流的同比下降，其中76.6%的医院下降幅度超过20%，15.6%的医院下降在10%-20%之间，只有4.5%的医院基本没有影响。</span></section><section><span> </span></section><p><p><img src="image/20201014/1f3eca57a366603940b3ffd696a58592_8.png" /></p></p><section><br /></section><section><span>调查显示：有88.6%的医院存在资金压力，其中压力山大的医院占比21.7%，有较大压力医院占比36.3%，有一定压力的医院占比30.6%。 </span></section><section><span><br /></span></section><p><p><img src="image/20201014/eaf16d6eda6fd3e8e92076f6dfb32e4f_9.png" /></p></p><section><br /></section><section><span>此外，调查显示，有50%的医院现有资金支撑不够2个月，其中24.4%的医院现有的资金只能支撑一个月，这其中，公立医院中，现金流可以支撑2个月以下的，占公立医院调查问卷比重的45.1%，社会办医医院现金流可以支撑两个月以下的占被调查社会办医医院的57.1%，数据结果显示，社会办医在疫情期间的现金流压力更大一些。</span></section><p><span> </span></p><p><p><img src="image/20201014/4beae7d09c3600926cc18b77e35d49d8_10.png" /></p></p><p><br /></p><p><strong><span>4、社会办医医院抗风险能力更低。</span></strong></p><p><span><br /></span></p><section><span>在短期资金的补充来源上，调查显示，公立医院中，有31%的医院在疫情期间可以从财政上获得补贴，27%的公立医院有银行贷款渠道，16%的公立医院可以通过向供应商进行赊账或融资，有14%的公立医没有短期资金来源渠道。</span></section><section><span><br /></span></section><section><span>而社会办医医院中，29%的医院没有短期资金来源，有23%的医院可以获得银行贷款，9%的医院可以从投资人处获得追加投资。调查结果显示，社会办医医院在短期资金的补充上，相对于公立医院，资金渠道更为匮乏，面对突发疫情的抗风险能力也更低。</span></section><p><span><br /></span></p><p><p><img src="image/20201014/5d413f52e3cc1ae19853c80c9a613fcd_11.png" /></p></p><p><p><img src="image/20201014/eb6de0758e6511143b65a98bf618c443_12.png" /></p></p><p><br /></p><section data-support="96编辑器" data-style-id="26075"><section><section><section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><em><strong>02</strong></em></p></section></section></section></section><section><section powered-by="gulangu"><p><strong><span>疫情结束后，医院的挑战与展望</span></strong></p></section></section></section></section></section></section></section><p><br /></p></section></section></section></section><p><strong><span>1.业务恢复和资金压力是疫情结束后医院面临的最大压力</span></strong><span></span></p><p><span><br /></span></p><section><span>调查显示，对医院来说，未来半年至一年最大的压力来自于业务的恢复，特别是住院业务的恢复，这一比例占调查问卷的38.61%，其次是资金压力，有34.81%的医院认为资金压力是未来半年至一年最大的压力。</span></section><section><br /></section><p><p><img src="image/20201014/8c06ab27d3db084a3730c5a26b5f8e18_13.png" /></p></p><p><br /></p><p><strong><span>2、八成医院希望政府给与财政补贴，近七成医院希望给予医保扶持。</span></strong><span></span></p><p><span><br /></span></p><section><span>在疫情后，医院今年最希望得到的支持上，79.11%的医院希望政府能够在财政上给予医院补贴，67.72%的医院希望医保能给予扶持，53.16%的医院希望政府给与财税方面的政策倾斜。</span></section><p><span><br /></span></p><p><p><img src="image/20201014/5a6ac0be9fc4b99786a73bddd2b269dc_14.png" /></p></p><p><br /></p><p><strong><span>3、医院的“互联网化”和“智能化”或将加速！</span></strong><span></span></p><p><span><br /></span></p><section><span>受此次疫情影响，在未来的运营模式优化上，大部分医院都选择了向计算机和互联网技术看齐，有55.06%的医院选择未来向线上诊疗拓展，有55.7%的医院选择未来将加大人工智能（AI）、远程医疗服务领域的投入，同时医院希望相关配套措施完善的愿望也更加的强烈，例如有58.86%的被调查医院希望线上诊疗的医保报销能够早日实现。相信在不久的将来，随着相关配套政策和措施的逐步到位，医院的“互联网化”和“智能化”的速度会加快。</span></section><section><span><br /></span></section><section><br /></section><section><span>来源：广州艾力彼医院管理研究中心<br /></span></section><section><span>王兴琳，单涛，蔡华，刘佳</span></section><section><br /></section></section></section></section></section></section></section></section></section></section></section></section></section></section><section data-role="outer" label="Powered by gulangu"><section data-role="paragraph" data-color="#757576"><section data-role="paragraph"><section><section><section data-brushtype="text"><strong>相关阅读</strong></section></section></section><section><section><br /></section></section><section data-width="100%"><section><section><section><section data-width="100%"><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" 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发表于 2020-10-14 12:44:20