某区域军队医院可持续发展的评价

发布时间：2018-04-18 22:20

  本文选题：医院 + 军队　； 参考：《第二军医大学学报》2003年10期

【摘要】：目的:评价军队医院可持续发展能力,科学解释卫生资源配置结构与医疗经济合理增长以及医院可持续发展的内涵关系。方法:对某区域23所综合医院1996～2000年卫生资源现况进行调研,采用计量经济学评价模型与逻辑模型构建评价框架,对该23所医院进行可持续发展现况的评价。结果:军队医院可持续发展的基本理论框架为在外生性卫生资源获得一定总量的基础上,通过外生性卫生资源结构优化,获得内生性卫生资源总量增加,从而转变外生性经济增长为内生性经济增长,实现可持续发展。军队医院可持续发展的系统性问题是以外生性卫生资源总量增加为特征的外生性经济增长,表现为效率低下。军队医院可持续发展的表征评价:模式是集约经济增长,能力是临床学科综合水平,基础是高级卫生人力资源,核心是医院科技进步,标志是医院综合竞争力。结论:军队医院可持续发展正处于由资源总量增加带动的外生性经济增长到资源结构优化带动的内生性经济增长、规模发展到可持续发展的转型时期,即具备了规模效益的基础,显现了集约发展模式的趋势,是实现可持续发展的关键时期。
[Abstract]:Objective: to evaluate the ability of sustainable development of military hospitals and explain scientifically the relationship between the allocation structure of health resources and the rational growth of medical economy and the sustainable development of hospitals.Methods: the present situation of health resources in 23 general hospitals in a certain region from 1996 to 2000 was investigated. The evaluation framework was constructed by using econometric evaluation model and logical model to evaluate the status of sustainable development in 23 hospitals.Results: the basic theoretical framework of sustainable development of military hospitals was based on the total quantity of exogenous health resources, and the total amount of endogenous health resources was increased by optimizing the structure of exogenous health resources.Thus transforming exogenous economic growth into endogenous economic growth to achieve sustainable development.The systemic problem of the sustainable development of military hospitals is the external economic growth characterized by the increase of the total amount of exogenous health resources, which is characterized by inefficiency.Evaluation of the sustainable development of military hospitals: the model is intensive economic growth, the ability is the comprehensive level of clinical subjects, the basis is advanced health human resources, the core is the scientific and technological progress of hospitals, and the symbol is the comprehensive competitiveness of hospitals.Conclusion: the sustainable development of military hospitals is in the transition period of sustainable development from the external economic growth driven by the increase of total resources to the endogenous economic growth driven by the optimization of the resource structure.That is to say, it has the foundation of scale benefit and the trend of intensive development mode, which is the key period to realize sustainable development.
【作者单位】： 第二军医大学卫生勤务学系卫生事业管理学教研室 第二军医大学卫生勤务学系卫生事业管理学教研室 第二军医大学卫生勤务学系卫生事业管理学教研室 第二军医大学卫生勤务学系卫生事业管理学教研室 第二军医大学卫生勤务学系卫生事业管理学教研室
【基金】：军队医药科研“十五”规划重点课题(01Z101-1) ，

本文编号：1770334