北京大学学报（医学版）2011，Vol.43Issue(3)：403-406,4.DOI:10.3969/j.issn.1671-167X.2011.03.018
北京地区公立综合医院规模与住院服务产出关系的实证分析
Empirical analysis of relationship between scales and outputs of inpatient services of public comprehensive hospitals in Beijing area
简伟研 1汤淑女 1胡牧2
作者信息
- 1. 北京大学公共卫生学院卫生政策与管理系,北京100191
- 2. 北京大学第三医院医疗保险办公室,北京100191
- 折叠
摘要
Abstract
Objective:To analyze the relationship between scale and outputs of inpatient services of public general hospitals. Methods: Data on hospital scales and outputs were drawn from Beijing Health Statistics Annuals and the Database of Inpatient Record administered by Beijing Health Bureau. The outputs of inpatient services were measured, risk-adjusted by Beijing Diagnosis Related Groups (BJDRGs). Based on the Cobb-Douglas production function, regression analysis was used to evaluate the contribution of manpower and material resources to the changes in outputs of hospitals on different scales,respectively. Results: Public general hospitals with 200 -800 beds were at the stage of economical scale. In the 200 -500-bed hospitals, investment of both human and material resources contributed to output changes. In the 501 - 800-bed hospitals, output changes were positively correlated with manpower input, but not with material resources. Conclusion: In the specific environment in Beijing, mediumsized hospitals are appropriate when the government plan to build hospitals mainly focused on inpatient services. The larger the scale of hospitals is, the more important is the manpower imput. The personnel system reform for public hospitals is urgent.关键词
医院,公立/规模经济/住院服务Key words
Hospitals/public/ Economy of scale/ Inpatient services分类
医药卫生引用本文复制引用
简伟研,汤淑女,胡牧..北京地区公立综合医院规模与住院服务产出关系的实证分析[J].北京大学学报（医学版）,2011,43(3):403-406,4.
