Research On The Status And Influencing Factors Of Scale Economics In A Triple A Hospital And Department

Objective:Through a comprehensive investment in public hospitals to analyze elements and output elements, and the establishment of the production function model, in-depth study of economies of scale within the hospital development. To enhance the core competitiveness of the hospital, targeted to improve the quality and efficiency within the hospital to promote the hospital's internal management, improve the internal supervision and control capabilities, provides a theoretical basis.Method:The purpose of this study is to sample hospital hygiene management information system to provide the data, on-site survey the hospital and selected representative five post-anesthesia 2006 to 2009 data, descriptive statistical method to sample public hospital and the size of the sample department present situation and medical quality and efficiency index describe and comparative analysis; Cobb-Douglas production function using input-output to hospital analysis; Adopt TOPSIS method to sample hospital and represent the comprehensive benefit of section is analyzed.Results:1. The number of beds of sample sections and the hospital were showed an increasing trend year by year, as of 2009, the hospital beds increased by 29% over 2006, which increase in number of beds in the orthopedic and gynecology at most.2.2009 hospital discharges increased by 24%, which Medicare patients account for 45% of hospital discharges, growth of 56%.3. Expand With the increase in number of beds, the hospital overall efficiency of a sharp decline in 2008, but the overall efficiency of the hospital in 2009 rose to a record high level.4. Increasing returns to scale in the sample stage hospitals, hospital beds number of health professionals and health services, and revenue had a positive effect, in which health professionals impact on output is more significant.Conclusion:1. Beds of hospital in 2009 after expansion in the number of stages of increasing returns to scale. Increase health professionals, the investment of assets and number of beds in hospitals can improve the volume of output (the volume of services and medical revenue).2. With comprehensive benefits will not necessarily increase the expansion of number of beds. 2009, orthopedics, oncology beds reached a record high, but because the bed occupancy rate dropped significantly expand the overall efficiency index for the calendar year which led to a minimum. Show orthopedics and oncology at this stage should not continue to expand the number of beds...