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目的:以武汉市16家三级医院近3年规模经济数据分析结果为背景,利用动态能力理论,研究适合医院长期发展的战略路径。方法:采用总可变成本模型,整理医院近3年的数据作回归分析,计算规模经济结果。结果:16家医院中有10家近3年均处于规模不经济状态,4家医院在近3年中存在过规模经济状态,还有1家医院近3年均处于规模经济状态。结论:多数医院处在规模不经济的状态下;在国家对医院规模严格控制的背景下,各医院需要以动态能力为基础从多方面选择制定规模替代发展战略。
Objective: Based on the results of scale economic data analysis of 16 tertiary hospitals in Wuhan in the past 3 years, this paper studies the strategic path suitable for the long-term development of hospitals by using the theory of dynamic capabilities. Methods: Using the total variable cost model, the hospital data for nearly 3 years for regression analysis, the calculation of economies of scale. Results: 10 out of 16 hospitals were in a state of diseconomies of scale in almost three years. Four hospitals had economies of scale in the past three years and one in nearly three years were in a state of economies of scale. Conclusions: Most hospitals are in a state of diseconomy of scale; under the background of strict control over the size of a hospital in the country, hospitals need to choose a scale alternative development strategy in many aspects based on their dynamic capabilities.