Table 1.
The reformed structure of government subsidies for primary health institutions befor and after the reform
| Items | Before reform* (24 months) |
After the pilot reform (36 months) |
After COVID-19 pandemic (36 months) |
||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 2015 | 2016 | Mean | 2017 | 2018 | 2019 | Mean | 2020 | 2021 | 2022 | Mean | |
| Total revenue (¥ million) (1) | 360.80 | 400.47 | 380.64 | 479.62 | 528.79 | 581.78 | 530.06 | 550.12 | 590.87 | 689.72 | 610.24 |
| Total expenditure (¥ million) (2) | 364.13 | 415.76 | 389.95 | 474.35 | 510.46 | 564.98 | 516.60 | 541.73 | 570.69 | 673.57 | 595.33 |
| Net income(¥million) (3) = (1) - (2) | −3.33 | −15.29 | −9.31 | 5.27 | 18.33 | 16.81 | 13.47 | 8.39 | 17.21 | 18.00 | 14.53 |
| Total financial subsidy (¥ million) (4) | 113.26 | 114.81 | 114.04 | 153.26 | 172.9 | 176.65 | 167.60 | 176.05 | 175.12 | 242.46 | 197.88 |
| #NEPHSP subsidy (5) | 32.21 | 34.12 | 33.17 | 36.83 | 43.40 | 45.86 | 42.03 | 46.71 | 52.66 | 55.00 | 51.46 |
| #Subsidy covering expenditure–revenue deficits (6) | 30.27 | 57.08 | 43.68 | 65.78 | 67.45 | 76.33 | 69.85 | 81.03 | 82.65 | 84.95 | 82.88 |
| Sum of reform (7) = (5) + (6) = (8) + (10) | 62.48 | 91.20 | 76.84 | 102.61 | 110.85 | 122.19 | 111.88 | 127.74 | 132.52 | 139.95 | 133.40 |
| # Basic salaries (¥ million) (8) | 23.96 | 46.98 | 35.47 | 51.41 | 50.23 | 51.74 | 51.13 | 56.21 | 56.57 | 62.49 | 58.42 |
| As % of total financial subsidy (9) = (8)/(4) × 100% | 21.15 | 40.92 | 31.10 | 33.54 | 29.05 | 29.29 | 30.50 | 31.93 | 32.30 | 25.77 | 29.53 |
| #RBRVS payments (¥ million) (10) | 38.52 | 44.22 | 41.37 | 51.20 | 60.62 | 70.45 | 60.76 | 71.53 | 72.95 | 74.47 | 72.98 |
| As % of total financial subsidy(11) = (10)/(4) × 100% | 34.01 | 38.52 | 36.28 | 33.41 | 35.06 | 39.88 | 36.25 | 40.63 | 41.66 | 30.71 | 36.88 |
| Total RBRVS (thousand RVUs) (12) | 3266.7 | 4434.6 | 3850.6 | 5299.3 | 5805.4 | 6133.1 | 5745.9 | 6306.7 | 6741.5 | 6834.8 | 6627.7 |
| Total employees (13) | 1509 | 1539 | 1524 | 1484 | 1381 | 1368 | 1411 | 1356 | 1409 | 1446 | 1404 |
| RVUs per employee (14) = (12)/(13) | 2164.8 | 2881.5 | 2526.7 | 3571.0 | 4203.8 | 4483.3 | 4072.2 | 4651.0 | 4784.6 | 4726.7 | 4721.7 |
| Average salary per employee (¥ thousand) (15) | 78.6 | 96.1 | 87.4 | 119.6 | 129.7 | 127.2 | 125.4 | 127.5 | 130.9 | 156.8 | 138.7 |
Note: *Pre-reform (2015–2016) monetary and RVU values were generated by a static micro-simulation model; RVUs = relative-value units