| 摘要: |
| 目的:对华中以北地区的军队医院规模经济进行测定。方法:收集3个地区57家军队医院2005～2007年的面板数据,共171个观测值,通过个体固定效应模型拟合多产出成本函数,并计算医院规模经济。结果:军队总医院在891~1 230张床位显示规模经济,超过1 300张床位规模不经济;编号医院规模经济与展开床位关系不明显。结论:较大的市场规模和行政资源配置方式使总医院在较大规模上实现经济性;规模不是经济性的决定因素,要素配置结构的优化和分工、专业化的合理才是使规模产生经济的重要因素。 |
| 关键词: 面板数据 成本及成本分析 军队医院 规模经济 |
| DOI：10.3724/SP.J.1008.2009.01173 |
| 投稿时间：2009-03-11修订日期：2009-07-20 |
| 基金项目: |
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| Panel data-based study on economy of scale in military hospitals |
| SUN Jing1,SUN Qing-wen2,GUO Qiang1*,guoqiang |
| (1.Division of Training,Second Military Medical University,Shanghai 200433,China;2.Department of Mathematics and Physics,College of Basic Medical Sciences,Second Military Medical University,Shanghai 200433) |
| Abstract: |
| Objective:To measure the economic scale of military hospitals locating to the north of Central China.Methods: We collected the 2005-2007 panel data of 57 military hospitals in 3 different regions,and there were 171 observations.These data were used to estimate the total variable cost function by fixed effected model.The coefficient estimates were used to calculate the economic scale of hospitals of different categories.Results: The general hospitals with 891-1 230 beds showed economy of scale,those with more than 1 300 beds displayed diseconomy of scale.There was no obvious relation between beds and scale economy for the numbered hospitals.Conclusion: Larger market scale and disposition of administrative resources lead to economy of scale on expanded level in the general hospitals.Scale is not the determining factor; optimized allocation of resources,division of labor,and rational specialization are important for economy of scale. |
| Key words: panel data cost and cost analysis military hospitals economies of scale |
