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发挥规模经济效确和优化人、财、物等投入要素的组合是当前县医院深化改革,发挥两个效益的重要基础。本文应用生产函数原理对华东四省8个县人民医院十年(80—89)业务工作投入产出分析。结果表明对服务产出量作用的重要程序依次为床位、临床人员和其他职工。适当增加病床,有利于发挥医院规模效益,而医院人员结构的组合规模报酬已处于递减状态。发现十年来,县医院人、财、物的组合并不是逐步优化其经济规模,而是呈劣化趋势,值得重视。
Exerting the effect of economies of scale and optimizing the combination of input factors such as people, finance, and material are important foundations for the current deep reform of county hospitals and the use of two benefits. This paper applies the principle of production function to analyze the input and output of ten years (80-89) business work in the People’s Hospitals in eight counties of four provinces in East China. The results show that the important procedures for the service output are beds, clinical staff and other employees. Appropriately increasing the number of beds will be beneficial to the scale of hospital benefits, and the combined scale of compensation for hospital staff structures has been decreasing. In the past ten years, the combination of people, finances, and materials in county hospitals has not gradually optimized their economies of scale, but has shown a trend of deterioration, which deserves attention.