调整资源结构后医院的成本效益评价

目的 探讨调整资源供给结构和病人就诊流向后，衡量医院成本效益的定量方法及医院效益的变化。方法 根据成本效益的定义，用每名医生的工作量表示成本，每名医生的医院住院收入表示效益。结果 推导出调整资源结构及结合相应的改革措施后衡量医院成本效益的一般公式；用实例说明医院效益的变化。结论 调整资源供给结构后，医院产生同样效益所需成本减少。医院结合相应的改革措施也可以使产生同样效益的成本减少，改变目前三级医院医生工作量过重的情况，真正发挥三级医院的作用。

Cost-benefit analysis of Hospitals after Adjustment of Resource Structure

Objective Quantitative assessments about cost benefit for higher ranked hospitals are explored by the examples after adjustment of resource structure. Methods By the definition of cost and benefit, the cost was expressed by the workload of physicians, benefit was expressed by the hospital's medical income for inpatient of each physician.Results The general formulas for assessing cost benefit of hospitals for in patient after adjustment of resource structure and taking some reform measures are derived; examples were given to show the change of the benefit of hospitals.Conclusion The cost for same benefit as that of before would be decreased after adjustment of resource structure. The results also showed that if the higher ranked hospitals incorporate some reform measures, increase benefit, decrease cost and improve the over loading of medical staffs, and hence the higher ranked hospitals might play their inherent role sufficiently.