中文摘要：

目的了解湖北省公立医院的经济运行现状，分析其对公立医院公益性的影响。方法采用现场调查的方法收集数据，结合相关统计资料对湖北省公立医院的经济运行现状进行分析。结果湖北省公立医院的财务收支不断增加并趋于平衡；政府财政补助有限，90％以上的公立医院收入来源于医疗收入和药品收入；公立医院人均业务收入呈逐年增长的趋势；湖北省公立医院的资产负债率相对较高。结论宏观经济体制和卫生政策的变革、经济利益的诱导阻碍了公立医院公益性的实现。完善公立医院的财政补偿机制，规范公立医院的财务管理机制。

英文摘要：

Objective To understand the current econom,cal operation ot pubnc nospltms m rluoel province and its effect on their public welfare performance. Methods To collect data in field survey and to analyze the current economic situation of such hospitals in the province based on relevant statistics. Results Financial revenue and expenditure of these hospitals keep rising and achieving a balance in general~ for the insufficient government financial subsidy, 90% of the revenue of such hospitals come from their medical services and drugs sold ; the per capita revenue of these public hospitals maintains a yearly rising trend; their asset-liability ra：io was relatively high. Conclusions The public welfare performance of these hospitals tends to be impeded by the reform on the macro economic system and health policy changes, on top of the attraction of economic interests. Improving the government subsidy mechanism for public hospitals and standardizing the financial management mechanism of public hospitals.