{"text_format":"3","workbook":"xls","n_sheets":5,"sheets":["附件1-1","附件1-2","附件1-3","附件1-4","附件1-5"],"not_rendered":{"external_links":1,"defined_names":8},"read":"whole","date_system":"1900","formulas":"cached_only"}

{"sheet":"附件1-1","index":0,"n_rows":16,"n_cols":5,"rows_kept":16,"merged":[[2,0,2,4],[3,3,3,4],[4,0,5,0],[4,1,5,1],[4,2,4,3],[4,4,5,4],[15,0,15,4]],"flags":["formulas_cached_only"]}
["附件1"]
[]
["2021年中央财政医疗服务与保障能力\n提升项目补助资金安排情况表"]
[{"$nulls":3},"金额单位：万元"]
["地区（单位）","合计","按行政区划因素分配资金数",null,"按人口因素分配资金数"]
[null,null,"县级公立医院改革补助","城市公立医院改革补助"]
["云浮市合计\n（不含直管县）",{"v":1057,"d":"1057.00"},{"v":180,"d":"180.00"},{"v":720,"d":"720.00"},{"v":157,"d":"157.00"}]
["市本级小计",{"v":600,"d":"600.00"},"-",{"v":600,"d":"600.00"},"-"]
["市人民医院",357.09,"-",357.09,"-"]
["市中医院",149.68,"-",149.68,"-"]
["市妇幼保健院",83.78,"-",83.78,"-"]
["市慢性病防治中心",9.45,"-",9.45,"-"]
["云城区",{"v":115,"d":"115.00"},"-",{"v":60,"d":"60.00"},{"v":55,"d":"55.00"}]
["云安区",{"v":102,"d":"102.00"},"-",{"v":60,"d":"60.00"},{"v":42,"d":"42.00"}]
["郁南县",{"v":240,"d":"240.00"},{"v":180,"d":"180.00"},{"v":0,"d":"0.00"},{"v":60,"d":"60.00"}]
["备注：\n1.此次区划因素安排我市资金为900万元：原国家县级公立医院综合改革试点县每县（市、区）补助180万、有区属公立医院的市辖区每区补助60万，每个城市补助600万。\n2.此次人口因素共安排我市资金为157万元，参照国家按照各县（市）、各区2018年末常住人口数量占比计算各县（市）、区金额。\n3.本次下达云城区、云安区和郁南县的公立医院综合改革补助专项资金均由省戴帽，其中，城市公立医院改革补助云浮市本级600万元需二次分配到市直公立医院，该项资金分配方案详见表3-1。"]

{"sheet":"附件1-2","index":1,"n_rows":8,"n_cols":2,"rows_kept":8,"merged":[[1,0,1,1],[2,0,2,1],[6,0,6,1]],"flags":["formulas_cached_only"]}
["附件1-2"]
["2021年中央财政公立医院综合改革（县级\n公立医院）补助资金测算表"]
["金额单位：万元"]
["地区","补助资金"]
["云浮市小计\n（不含直管县）",180]
["郁南县",180]
["备注：1.该项目为省带帽资金，无需二次分配。"]
["      2.补助资金用于支持各地推进公立医院综合改革。"]

{"sheet":"附件1-3","index":2,"n_rows":14,"n_cols":2,"rows_kept":14,"merged":[[1,0,1,1],[2,0,2,1],[12,0,12,1],[13,0,13,1]],"flags":["formulas_cached_only"]}
["附件1-3"]
["2021年中央财政公立医院综合改革（城市\n公立医院）补助资金测算表"]
["金额单位：万元"]
["地区（单位）","补助资金"]
["云浮市小计\n（不含直管县）",{"v":720,"d":"720.00"}]
["           市本级",{"v":600,"d":"600.00"}]
["             市人民医院",357.09]
["             市中医院",149.68]
["             市妇幼保健院",83.78]
["             市慢性病防治中心",9.45]
["           云城区",{"v":60,"d":"60.00"}]
["           云安区",{"v":60,"d":"60.00"}]
["备注：1.该项目为省带帽资金，其中，城市公立医院综合改革补助省戴帽分\n        配云城区60万元，云安区60万元，云浮市本级600万元。云浮市本级\n        部分资金需二次分配，分配明细详见表3-1。\n      2.补助资金用于支持各地推进城市公立医院综合改革。"]
["     "]

{"sheet":"附件1-4","index":3,"n_rows":25,"n_cols":19,"rows_kept":25,"merged":[[1,0,1,18],[2,17,2,18],[3,0,5,1],[3,2,4,2],[3,4,4,4],[3,6,4,6],[3,8,4,8],[3,10,4,10],[3,12,4,12],[3,14,4,14],[3,16,4,16],[3,18,4,18],[10,0,10,1],[11,0,11,18],[12,0,12,18],[13,0,13,18],[14,0,14,18],[15,0,15,18],[16,0,16,18],[17,0,17,18],[18,0,18,18],[19,0,19,18],[20,0,20,18],[21,0,21,18],[22,0,22,18],[23,0,23,18],[24,0,24,18]],"flags":["formulas_cached_only"]}
["附件1-4"]
["2021年中央财政公立医院改革（城市公立医院）补助资金测算表（市直部分）"]
[{"$nulls":17},"金额单位：万元"]
["项目单位",null,"药品收入（不含中草药收入）(万元)",null,"医疗费用增幅<10%",null,"次均门诊费用增幅<9%",null,"人员支出占比>40%",null,"公立医院药占比(不含中药饮片)<30%",null,"医疗服务收入占比≥35%",null,"公立医院实施临床路径管理的病例数占公立医院出院病例总数比例>30%",null,"百元医疗收入（不含药品收入）消耗的卫生材料费≤20元",null,"本次下达资金合计"]
[{"$nulls":3},"按79%比例分配资金",null,"按3%比例分配资金",null,"按3%比例分配资金",null,"按3%比例分配资金",null,"按3%比例分配资金",null,"按3%比例分配资金",null,"按3%比例分配资金",null,"按3%比例分配资金"]
[null,null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,"17=2+4+6+8+10+12+14+16"]
[1,"云浮市人民医院",18244.04,314.41,14.05,7.29,7.85,5.67,37.85,5.05,31.46,4.22,26.85,5.58,{"v":58.3,"d":"58.30"},{"v":10.5150300601202,"d":"10.52"},{"v":32.7345757931657,"d":"32.73"},4.36,357.09]
[2,"云浮市中医院",6397.67,110.26,14.92,2.97,6.68,6.66,40.24,5.37,28.25,6.52,28.46,5.91,34.74,{"v":6.26573146292585,"d":"6.27"},23.66,5.72,149.68]
[3,"云浮市妇幼保健院",{"v":2314.2,"d":"2314.20"},39.88,5.72,7.74,6.69,5.67,56.78,7.58,18.26,7.26,{"v":31.3,"d":"31.30"},6.51,6.76,{"v":1.21923847695391,"d":"1.22"},{"v":18,"d":"18.00"},7.92,83.78]
[4,"云浮市慢性病防治中心",{"v":548.4,"d":"548.40"},9.45,{"$nulls":14},9.45]
["市直小计",null,27504.31,{"v":474,"d":"474.00"},34.69,{"v":18,"d":"18.00"},21.22,{"v":18,"d":"18.00"},134.87,{"v":18,"d":"18.00"},77.97,{"v":18,"d":"18.00"},86.61,{"v":18,"d":"18.00"},{"v":99.8,"d":"99.80"},{"v":17.999999999999957,"d":"18.00"},74.39,{"v":18,"d":"18.00"},{"v":600,"d":"600.00"}]
["备注：根据粤财社〔2020〕304号文，2021年中央财政补助公立医院改革（城市公立医院）市本级资金600万元，文件要求实行因素法分配，我市依据医改主要指标（参照广东省卫生健康委员会财务信息直报平台2019年财务数据）按比例分配。云浮市慢性病防治中心只开设门诊无住院部，因此只按药品收入（不含中草药收入）指标分配                                                                                  "]
["指标计算公式："]
["              2.  600万元×79%×（单位药品收入（不含中草药收入）÷4间医院药品收入（不含中草药收入）合计）"]
["              4.  600万元×3%×（单位医疗费用增幅÷3间医院医疗费用增幅总和），然后按照排位，数值最低，安排资金最高，依次类推"]
["              6.  600万元×3%×（单位次均门诊费用增幅÷3间医院次均门诊费用增幅总和），然后按照排位，数值最低，安排资金最高，依次类推"]
["              7.  人员支出占比=人员支出÷业务支出×100%"]
["              8.  600万元×3%×（单位人员支出占比÷3间医院人员支出占比总和）"]
["              9.  药占比（不含中药饮片）=（药品收入-中草药收入）÷医疗收入×100%"]
["             10.  600万元×3%×（公立医院药占比÷3间医院药占比总和），然后按照排位，数值最低，安排资金最高，依次类推"]
["             11.  医疗服务收入占比=（医疗收入-药品收入-卫生材料收入-检查收入-化验收入）÷业务收入×100%"]
["             12.  600万元×3%×（医疗服务收入占比÷3间医院医疗服务收入占比总和）"]
["             14.  600万元×3%×（公立医院实施临床路径管理的病例数占公立医院出院病例总数比例÷3间医院实施临床路径管理的病例数占公立医院出院病例总数比例总和）"]
["             15.  公立医院百元医疗收入（不含药品收入）消耗的卫生材料=卫生材料费÷（医疗收入-药品收入）×100元"]
["             16.  600万元×3%×〔公立医院百元医疗收入（不含药品收入）消耗的卫生材料总和÷3间公立医院百元医疗收入（不含药品收入）消耗的卫生材料总和〕，\n                   然后按照排位，数值最低，安排资金最高，依次类推"]

{"sheet":"附件1-5","index":4,"n_rows":10,"n_cols":3,"rows_kept":10,"merged":[[1,0,1,2],[9,0,9,2]],"flags":["formulas_cached_only"]}
["附件1-5"]
["2021年中央财政补助公立医院综合改革\n资金测算表（人口因素）"]
[null,null,"金额单位：万元"]
["地区","2018常住人口（万人）","补助金额"]
["栏次","A","B=157*A/∑A"]
["云浮市小计\n（不含直管县）",108.43,157]
["云城区",37.94,55]
["云安区",28.88,42]
["郁南县",41.61,60]
["备注：该项目为省戴帽资金，无需二次分配。"]