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自负盈亏,以医助防是当前乡镇卫生院维持简单再生产的基本特征。本文引用生产函数对卫生服务投入和产出进行综合分析。结果表明卫生院处于递减规模报酬状态,提示了同质水平增加人、财和物的收入并不能改善卫生院的经济困难,同质人、财和物优化组合虽然可以减少成本,但难以从根本上缓和这种局面,只有提高技术水平或改变成本补偿来源和水平才有出路。分析结果表明在投入诸要素中,重要地位依次是固定资产、医生和其他职工,固定资产和医生的边际替代率为1∶3,类似地,医生和其他卫技人员为1∶3,医生和其他职工1∶5。
Self-financing and self-defense are the basic characteristics of township hospitals to maintain simple reproduction. This article cites the production function to comprehensively analyze the input and output of health services. The results show that the hospitals are in a diminishing scale of remuneration, suggesting that increasing the income of people, finances and goods at the same level does not improve the economic difficulties of the hospitals. Although the optimized combination of homogenous people, finances and goods can reduce costs, it is difficult to fundamentally In order to ease this situation, there is only a way out if we increase the level of technology or change the source and level of cost compensation. The analysis results show that in the input elements, the important status is fixed assets, doctors, and other employees in order. The marginal replacement ratio of fixed assets and doctors is 1:3. Similarly, doctors and other health workers are 1:3. Other workers 1:5.