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我国医院规模随着市场经济体制的逐步建立而快速扩张,同时导致医院经营风险扩大和资源利用效率下降等问题。经济学规模经济理论揭示在生产领域存在规模经济现象,医疗服务提供的生产性提示在医院可能存在适宜规模问题。国内外的研究对医院规模经济的理论基础、投入产出指标、规模经济和效率测量方法、规模影响因素等进行了初步探讨,一些研究发现了医院存在规模经济的证据,另一些研究则认为不存在或存在较弱的规模经济。对医院规模经济问题的进一步研究有助于为澄清我国医院发展是否规模经济这一重大理论问题提供新的证据,进而为医院规模发展提供理论支持,为政府实现卫生资源有效配置提供决策参考。
With the gradual establishment of the market economy system, the hospital scale in China has rapidly expanded. At the same time, it has led to the problems of expanding the operating risks and decreasing the efficiency of resource utilization. Economies of scale theory of economy reveals the existence of economies of scale in the field of production, the production of medical services provided tips may exist in the hospital scale problem. The domestic and foreign researches have made preliminary discussions on the theoretical basis, input-output index, scale economy and efficiency measurement methods, and the factors influencing the scale of hospital scale economy. Some studies have found evidence of economies of scale in hospitals, while others do not think it There is or there is a weak economy of scale. Further research on hospital scale economy will help to provide new evidence to clarify the major theoretical issue of whether hospital development is economies of scale in our country, and then provide theoretical support for the development of hospital scale and provide decision-making reference for the government to effectively allocate health resources.