摘要:随着社会的发展,人民对健康的愿望越来越强,对医疗卫生

的要求越来越高。但在目前我国的医疗卫生体制现状并不得到群众

的认可,虽然我国的卫生体制改革一直在不断进行,但是“看病难,

看病贵”的问题依然突出。近二十余年来,随着社会的进步,我国一

些医院的规模也在迅速壮大,医院作为一个经济实体,存在规模经

济现象。医院经济运行与其规模经济效益、集约化程度的关联越来

越紧密,在如今医改进行到攻坚时期的状况下,如何有效评价与提

升医院经济运行效率,这一直是一个值得研究的课题。

本论文通过科学的分析方法对长沙市DS医院近10余年来的医

疗工作量、业务支出收入、人员设备等情况进行分析得出:DS医院

在规模扩张中应谨遵最优规模的基本原则,注重质量效益型发展与

精细信息化管理。DS医院规模与收益关系的实证研究表明:医院病

床数、固定资产增值、医院员工数对人均业务收入与人均住院人次

费用有着显著影响,对平均住院天数无显著影响;医院病床数与固

定资产值对人均业务收入有正面影响,对人均住院人次费用有负面

影响;医院员工数对人均业务收入有较大负面影响,对人均住院人

次费用有正面影响。论文研究结果对分析医院规模经济范围、控制

医疗费用、提高医疗资源使用效率并解决我国现存医疗卫生问题有

着一定的参考与指导作用。

关键词:医院,规模经济,医院发展

分类号:

II

Study on Evaluation and improvement of Economy

operational efficiency of DS Hospital of Changsha

ABSTRACT: With the progress of society, the people's aspiration of

health is growing, medical and health have become increasingly

demanding. But in the current status of our health care system is not

recognized by the masses, although the health reform in China has been

deepening, but medical treatment is difficult and expensive, the

problems still outstanding. Some hospitals in China over the past decades

with the progress of society are rapidly expanding the scale. Hospital as

an economic entity, have the presence of economies of scale phenomenon.

Economic operation of hospital is more and more closely associated with

its economies of scale and intensification. So, how to effectively assess

and improve hospital efficiency of economic operation is a subject

worthy of study.

In this thesis, through scientific methods of analysis in Changsha DS

hospital with the past 10 years medical workload, expenses/income,

personnel, equipment, etc. Concluded that, DS hospital's expansion

should endeavor to comply optimal size as the basic principles, and

should focus on quality and efficiency of development and refinement of

information management. The empirical studies of the relationship of DS

hospital's scale and income have shown that: the number of beds, the

value of fixed assets and the number of employees have significant

impacts to per capita revenue and per capita cost of hospital visits, and

have no significant impacts to average length of stay in hospital. The

number of beds and the value of fixed assets have positive effect to per

capita revenue and have negative effect to per capita cost of hospital

visits. The number of employees has big negative effect to per capita

revenue and has positive effect to per capita cost of hospital visits. The

results of this thesis have important value of reference and guidance with

hospital's economies of scale analysis, control medical costs, improving

efficiency in the use of medical resources and ultimately resolve our

existing medical problems.

Key words: hospital, economies of scale, development of hospital

Classification: