新医改形势下公立医院适宜规模的经济学分析DA.pdfVIP

20 10 2 1 34 M odern H osp italM anagem en t N o. 1 Feb. 20 10 ( SN. 34) ! 9! 郑大喜 ( , 430030) 公立医院规模受社会政治经济文化等因素影响, 适宜床位数的设置 与区域卫生规划 相结合在确定医院规模时承担的医疗任务要与区域医疗需求相一致, 医疗人才的承受能力要与发展 空间相匹配, 床位数量要与周边医疗资源配置相协调, 综合效益要与群众生活水平和服务宗旨相吻合, 规模扩展要与自身环境设施相适 公立医院 规模经济 适宜规模 区域卫生规划 R 197 A 1672- 4232 ( 2010) 01- 0009- 03 The E conom ic A na ly sis of A pp ropriate S izes in Pub lic H osp itals under the N ew Situation ofM ed ical Reform Zheng D a xi (T ongji Ho spita l A ilia ted to T ongjiM edica l C o llege Hua zhong U n iv ersity o Science and T echno lo gy, Wuhan 430030, C hina ) A bstract: T he public ho spita ls are in luenced by the acto rs o soc ial po litic s, econom y, culture and o thers, and the set up o the appropr ia te num ber o beds shou ld be in acco rdance w ith the reg ional hea lth p lann ing. T he m ed ica l task s should m a tch the reg io na lm ed ica l requirem ents w hile de ining the sizes o the ho sp itals and the bear ing capability o m ed ica l ta l ents to m ate the deve lopm ent space, the num ber o beds sho uld be in goo d co ordina tion w ith m ed ica l re so urce s w ithin the per mi eter, the com b ined revenues gear to the liv ing standa rd o the m a sses and the serv ice purpo se and the scale expansio n sho uld be ag reeable w ith the env iro nm enta l ac ilitie s o itse l . K ey w ord s: pubic ho spita l; scale econom y; appropr ia te size; reg io na l hea lth p lann ing. , 1 , , 20 90, , , , , , , , , ,