我国大型医院床位适宜规模理论与实证研究

项目名称： 我国大型医院床位适宜规模理论与实证研究

项目编号： No.71273274

项目类型： 面上项目

立项/批准年度： 2013

项目学科： 管理科学

项目作者： 刘丽华

作者单位： 中国人民解放军总医院

项目金额： 58万元

中文摘要： 近年我国大型医院床位规模持续增长，在满足医疗服务需求的同时，也引起了一系列问题，如优质资源稀释、医疗服务体系"正三角"被破坏、费用快速增长等，合理控制医院规模成为我国公立医院改革主要任务之一，也是国际医改的热点。本研究以我国1000张床位以上的医院为研究对象，抽取不同地区样本医院数据，运用经济学、管理学和运筹学理论方法开展研究。内容包括：理论上，运用规模经济、交易成本理论对床位规模进行经济学评价。实证上，采用面板数据，构建Cobb-Douglas生产函数等计量经济模型，从三方平衡角度考量医院床位适宜规模：从患者角度，探讨床位规模与质量、费用之间的关系；从医院角度，探讨床位规模与效率效益之间的关系；从政府角度，探讨床位规模与医疗资源配置的关系，分别确定最优规模。最后应用平衡计分卡，寻找医院床位规模针对患者、员工、医疗质量、效率效益四个方面最优医院规模的交集，最终确定大型医院床位的适宜模式。

中文关键词： 医院；床位规模；理论研究；实证研究；适宜规模

英文摘要： In recent years ,the bed size of large hospitals is increasing continuously in China, which leads to several problems ,such as attenuate high-quality healthcare resources, damaged triangle structure of health care delivery system, high medical expenditure, other than satisfing the medical care demand. Controlling hospital bed size is a significant issue for public hospital reform in current health care reform in China, attracting international attention as well. Focusing on the large hospitals with over 1000 beds , our research will analyze data of selected hospitals from different regions with economics methods, management science and operation theory. We will explore the following topics: First, we will conduct economic evaluation on hospital bed size using theory including economics of scale, transition cost, et al. Second, using panal data and taking advandage of econometric models such as Cobb-Douglas productivity function, the suitable hospital bed size will be investigated with the balance of 3 aspects,which is, a) the relationship between bed size and quality, cost from patient perspective, b) the relationship between bed size and hospital efficiency, benifit from hospital perspective, and c) the relationship between bed size and health care resource alloation from government perspective. Third, with the

英文关键词： hospital；bed size；theoretical study；empirical study；suitable size