| 摘要: |
| 目的 对全国中医类医院的床位数及规模效益进行评价，从床位，规模收益等指标中总结医院资源分配及利用情况，结合分级诊疗政策，浅谈该政策实施现状。方法 主要运用文献研究法，时间序列法分析整理全国2002年到2013年全国政府办中医类医院的基本信息，并采用超效率DEA对全国政府办中医类医院进行评价，对医院的床位规模及规模收益进行分析。结果 目前全国政府办中医类医院床位规模较大，而且正在以比较快的发展趋势增长，三级医院的床位增长速度尤为迅速。床位越多，规模收益越容易出现递减的趋势，三级医院的规模收益递减的现象较多。结论 三级医院人满为患的现象与一、二级相比最为严重，分级诊疗的实施现状并不理想，效果有待加强。 |
| 关键词: 中医类医院 床位 规模收益 分级诊疗 |
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| A Discussion of the Present Situation of Hierarchical Medical System Based on a Perspective of the Return to Scale of Traditional Chinese Medicine Hospital |
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| Abstract: |
| Objective To evaluate the beds and return to scale of traditional Chinese medicine (TCM) hospital in China, summarize the hospital’s resource allocation and utilization from the indicators, such as beds, return to scale and other indicators, discuss the situation of the implementation combined with hierarchical medical system policy. Methods This dissertation used literature research and time series analysis to organize the basic information of the national government’s TCM hospital from 2002 to 2013. Adopting super efficiency DEA model to evaluate TCM hospital and analyze hospital’s beds scale and return to scale. Results At present, the scale of beds of national government’s TCM hospital is pretty large and it’s growing rapidly, especially the tertiary hospital. The more beds, the more prone to the trend of decrease return to scale, and the phenomenon of decreasing return to scale of the tertiary hospital is more than the others. Conclusion The situation of overcrowding of the tertiary hospital is the worst among the hospital. The implementation of hierarchical medical system is not ideal and it needs to be improved. |
| Key words: traditional chinese medicine hospital,beds, return to scale, hierarchical medical system |
