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目的通过对上海市郊区新建4家三级公立医院运营情况的调查,评估郊区新建三级公立医院服务量与费用增长的关系。方法收集2013—2014年上海市郊区新建4家公立医院的门急诊、住院医疗服务数据及费用资料,评估服务量和费用增长关系。结果 2013—2014年4家新院费量增长迅速,费用增长的主要带动因素是业务量的增加;与市区母院相比,4家新院费量增长结构更为合理。结论在城市郊区建立三级公立医院分院,初步达到下沉优质市区医疗资源的目标,仍有不足,需开展大型公立医院内部优化。
Objective To investigate the relationship between the service volume and the cost increase of newly-built public hospitals in the suburbs through the investigation of the operation of four new third-level public hospitals in the suburbs of Shanghai. Methods The data of outpatient and emergency department, inpatient medical services and cost information of 4 newly-built public hospitals in Shanghai suburbs during 2013-2014 were collected to evaluate the relationship between the growth of service volume and expenses. Results The four new homes grew rapidly in 2013-2014. The main driving factor for the increase in costs was the increase in business volume. Compared with the urban maternal home, the four new hospital growth rates were more reasonable. Conclusion There are still some shortcomings in setting up the third-level public hospital branch in the suburbs of cities and initially achieving the goal of sinking high-quality urban medical resources. Internal optimization of large public hospitals is needed.