基于卫生经济学理论的医院平均住院日影响因素研究  

Research on Influencing Factors of Hospital Average Length of Stay Based on Health Economics

作　　者：吕轶娟 LV Yijuan(Guizhou Province Hospital of Traditional Chinese Medicine,Guiyang 550001,China)

机构地区：[1]贵阳中医学院第一附属医院,贵州贵阳550001

出　　处：《现代医院》2018年第5期658-661,665,共5页Modern Hospitals

摘　　要：目的探讨医院平均住院日影响因素。方法基于卫生经济学理论,从资源利用率、实物资本投入、医疗资金投入、服务能力、劳动力投入、技术人员分布6个方面,构建医院平均住院日影响因素的理论模型,并提出理论假说。根据《中国卫生和计划生育统计年鉴》相关数据,使用面板数据分析方法,对2010—2015年我国31省(直辖市、自治区)医院的平均住院日影响因素进行实证分析。结果我国医院平均住院日呈逐年下降趋势,资源利用率、服务能力、卫生技术人员人数、医生及医技人员比例对缩短平均住院日具有显著影响。结论提高资源利用率,提高服务能力,增加卫生技术人员投入,提升医、技人员比例将有助于缩短医院平均住院日。Objective Based on Health Economics,the author did research on influencing factors of hospital average length of stay. Method The author proposed theoretical hypothesis of average length of stay influencing factors from resource utilization rate,real capital,medical capital,services capability,labor input and proportion of medical technicians. And then,the author used panel data analysis method to do research on 2010—2015 Chinese 31 provinces influencing factors of hospital average length of stay on the data of China Health and Family Planning Statistics Yearbook. Result Hospital average length of stay is declining with each passing year. Resource utilization rate,services capability,labor input and proportion of medical technicians have a significant impact on hospital average length of stay. Conclusion Improving resource utilization rate,services capability,labor input and proportion of medical technicians will help shorten hospital average length of stay.

关 键 词：卫生经济学 平均住院日 影响因素 

分 类 号：R197.322[医药卫生—卫生事业管理] R1-9[医药卫生—公共卫生与预防医学]