上海交通大学学报（医学版）

›› 2010, Vol. 30 ›› Issue (1): 91-.

• 论著（卫生事业管理） • 上一篇    下一篇

浙江省公立医院规模经济实证分析

赵 明1, 马 进2   

  1. 上海交通大学 1. 安泰经济与管理学院, 上海 200052；2. 公共卫生学院, 上海 200025
  • 出版日期:2010-01-26 发布日期:2010-01-26
  • 通讯作者: 马 进, 电子信箱: majin_sph@sjtu.edu.cn。
  • 作者简介:赵 明（1982—）, 女, 博士生；电子信箱: zhaoming123@gmail.com。
  • 基金资助:

    国家自然科学基金（70873083）

Empirical analysis of economies of scale in public hospitals of Zhejiang Province

ZHAO Ming1, MA Jin2   

  1. 1. Antai College of Economics and Management, Shanghai Jiaotong University, Shanghai 200052, China；2. School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China
  • Online:2010-01-26 Published:2010-01-26
  • Supported by:

    National Natural Science Foundation of China, 70873083

PDF (PC)

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摘要：

目的 分析浙江省公立医院的规模经济情况。方法 选取浙江省125所二级乙等以上公立医院为样本，运用道格拉斯生产函数，分别以医院服务量和医院业务收入作为因变量建立两种生产模型，分析2004—2006年样本医院投入与不同产出变量的关系。结果 2004—2006年，样本医院的服务量与业务收入两大产出均处于规模经济阶段。产出增长率高于投入增长率；三级医院的服务量、业务收入、总资产和职工总数均明显高于二级医院（P=0.000）。结论 规模经济是当前医院不断扩张的根本动因。为防止医院过度扩张所导致的医疗服务供给问题，医院应理性控制其规模的发展。

关键词: 公立医院, 规模经济, 浙江省

Abstract:

Objective To analyse the economies of scale in public hospitals in Zhejiang Province. Methods One hundred and twenty-five public hospitals in Zhejiang Province with qualification no less than class two level two were selected as sample hospitals. Douglas production function was employed to analyse the relationship between investment and output in sample hospitals between 2004 to 2006, with two types of production models established by medical service and incomes in hospitals as dependent variables. Results From 2004 to 2006, the medical service and incomes of sample hospitals were in line with economies of scale. The production increase rate was higher than investment increase rate. The medical service, incomes, total assets and number of staff in class three hospitals were higher than those in class two hospitals （P=0.000）. Conclusion Economies of scale is the ultimate incentive to continuous outstretch for hospitals. Hospitals should rationally control the scale so as to avoid problems in medical service caused by overstretch.

Key words: public hospital, economies of scale, Zhejiang Province