Full
Outline
In response to the continuously expanding debt scale and increasingly prominent debt risks of public hospitals in China, this study aims to construct a debt risk evaluation model suitable for public hospitals. This study empirically evaluates debt risk patterns across public hospitals by administrative level, type, and grade, aiming to support targeted risk mitigation policies.
Using the relevant data from the 2023 financial annual reports of 408 public hospitals under the Health Commission of Sichuan Province as the sample, this study selected 11 indicators highly correlated with debt risk and established a risk early-warning model through factor analysis.
Factor analysis identified four common factors, with a cumulative variance contribution rate of 87.026%, which collectively constitute the core determinants of debt risk. Debt risk distribution exhibited significant variations across hospitals grouped by different dimensions. At the administrative level, prefecture-level hospitals had the highest proportion of high-risk cases, standing at 28.38%. By hospital type, traditional Chinese medicine hospitals recorded the highest share of high-risk instances, reaching 31.16%. By hospital grade, secondary hospitals accounted for the largest proportion of high-risk cases, at 27.38%.
The debt risk model constructed using factor analysis demonstrates good applicability and effectiveness, enabling a scientific assessment of public hospitals’ debt risk levels. Based on the evaluation findings, we recommend a coordinated approach across multiple areas: strengthening planning constraints and government investment, deepening health insurance price reforms and enhancing internal management, establishing a monitoring and early-warning system. This comprehensive strategy aims to resolve existing debt in a tiered and categorized manner and prevent systemic risks.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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