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希腊公立医院的额外资金机制:干尼亚精神卫生医院案例。

Additional funding mechanisms for Public Hospitals in Greece: the case of Chania Mental Health Hospital.

机构信息

Health Policy and Health Economics, Faculty of Social Sciences, University of Peloponnese, Corinth, 20100, Greece.

出版信息

Int J Ment Health Syst. 2010 Nov 10;4:27. doi: 10.1186/1752-4458-4-27.

DOI:10.1186/1752-4458-4-27
PMID:21067580
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2994784/
Abstract

OBJECTIVES

To investigate whether the long term lease of public hospital owned land could be an additional financing mechanism for Greek public (mental) health hospitals.

METHODS

We performed a financial analysis of the official 2008 data of a case - study hospital (Mental Health Hospital of Chania). We used a capital budgeting approach to investigate whether value is created for the public hospital by engaging its assets in a project for the development of a private renal dialysis Unit.

RESULTS

The development of the private unit in hospital owned land is a good investment decision, as it generates high project Net Present Value and Internal Rate of Return. When the project commences generating operating cash flows, nearly €400.000 will be paid annually to the Mental Health Hospital of Chania as rent, thereby gradually decreasing the annual deficit of the hospital.

CONCLUSIONS

Revenue generated from the long term lease of public hospital land is crucial to gradually eliminate hospital deficit. The Ministry of Health should encourage similar forms of Public Private Partnerships in order to ensure the sustainability of public (mental) hospitals.

摘要

目的

研究公立医院拥有土地的长期租赁是否可以成为希腊公立(精神)卫生医院的额外融资机制。

方法

我们对一家案例研究医院(干尼亚精神卫生医院)的官方 2008 年数据进行了财务分析。我们采用资本预算方法,研究通过将其资产用于开发私人肾脏透析单位的项目,是否为公立医院创造了价值。

结果

在医院自有土地上开发私人单位是一项良好的投资决策,因为它产生了较高的项目净现值和内部收益率。当项目开始产生运营现金流时,每年将有近 40 万欧元作为租金支付给 干尼亚精神卫生医院,从而逐渐减少医院的年度亏损。

结论

从公立医院土地的长期租赁中获得的收入对于逐渐消除医院的亏损至关重要。卫生部应鼓励类似的公私合作伙伴关系形式,以确保公立(精神)医院的可持续性。

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本文引用的文献

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The European perspective of psychiatric reform.欧洲视角下的精神科改革。
Acta Psychiatr Scand Suppl. 2001(410):8-14. doi: 10.1034/j.1600-0447.2001.1040s2008.x.