| 上海市整合与未整合医院差异及整合影响因素分析 |
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| 引用本文： | 刘霞,何梦乔,刘君,曹建文,程英升. 上海市整合与未整合医院差异及整合影响因素分析[J]. 上海交通大学学报(医学版), 2009, 29(3) |
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| 作者姓名： | 刘霞 何梦乔 刘君 曹建文 程英升 |
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| 作者单位： | 刘霞,刘君,LIU Xia,LIU Jun(上海交通大学安泰经济与管理学院,上海,200052);何梦乔,HE Meng-qiao(上海交通大学第六人民医院院长办公室,上海,200233);曹建文,CAO Jian-wen(上海交通大学科教处,上海,200233);程英升,CHENG Ying-sheng(上海交通大学医院管理研究中心,上海,200233) |
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| 摘 要： | 目的 比较上海市2000～2004年进行整合的二级医院与未整合的二级医院在医疗质量、医院规模、医院产出、效率、费用及财务状况等方面的差异,分析整合的影响因素.方法 将上海市在2000～2004年进行整合的11家二级甲等医院作为实验组,以未进行整合的40家二级医院作为对照组(其中30家二级甲等医院,10家二级乙等医院).利用样本1999年的相关数据,采用Mann-Whitney U检验分析两组的差异;Logistic回归分析整合的影响因素.结果两组医院在医疗质量、医院规模和医院产出方面的差异有统计学意义(P<0.05);两组医院的效率和费用情况差异无统计学意义(P>0.05).Logistic多因素回归分析显示,影响整合的因素主要是医院的规模、医院产出水平、医疗质量及财务状况.结论 与三级医院整合的二级医院在医疗质量、医院规模、产出水平及财务状况方面均优于未整合医院.规模大、产出多且财务状况和医疗质量较好的二级医院参与整合的可能性相对较大.
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| 关 键 词： | 医院整合 医疗质量 医院规模 医院产出 医院效率 费用 财务状况 |
Differences between system-affiliated hospitals and freestanding hospitals and determinants of hospital integration in Shanghai |
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| LIU Xia,HE Meng-qiao,LIU Jun,CAO Jian-wen,CHENG Ying-sheng. Differences between system-affiliated hospitals and freestanding hospitals and determinants of hospital integration in Shanghai[J]. Journal of Shanghai Jiaotong University:Medical Science, 2009, 29(3) |
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| Authors: | LIU Xia HE Meng-qiao LIU Jun CAO Jian-wen CHENG Ying-sheng |
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| Affiliation: | 1. Antai College of Economics & Management;Shanghai Jiaotong University;Shanghai 200052;China;2. Director Office;3.Department of Science Research and Education;4. Research Center of Hospital Management;The Sixth People's Hospital;Shanghai 200233;China |
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| Abstract: | Objective To explore the differences in health care quality,scale,output,efficiency,cost and financial condition between freestanding secondary hospitals and system-affiliated secondary hospitals in Shanghai,and analyse the determinants of hospital integration. Methods Eleven upper secondary hospitals in Shanghai integrated between 2000 and 2004 were selected,and another 40 secondary hospitals (including 30 upper secondary hospitals and 10 middle secondary hospitals) without integration were served as contr... |
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| Keywords: | hospital integration health care quality scale output efficiency cost financial condition |
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