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Do hospitals need to establish multiple hospital districts? A hospital-based perspective on the benefits of scale
BACKGROUND: During the fight against COVID-19, China’s public hospitals played the main role in taking on the most urgent, dangerous and arduous medical treatment and work. Therefore, in order to promote the high-quality development of hospitals, it is necessary to support some potential public hosp...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081678/ https://www.ncbi.nlm.nih.gov/pubmed/37033018 http://dx.doi.org/10.3389/fpubh.2023.1019331 |
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author | Zheng, Yuan Yuqing, Zhang Mengping, Zhang Jun, Li |
author_facet | Zheng, Yuan Yuqing, Zhang Mengping, Zhang Jun, Li |
author_sort | Zheng, Yuan |
collection | PubMed |
description | BACKGROUND: During the fight against COVID-19, China’s public hospitals played the main role in taking on the most urgent, dangerous and arduous medical treatment and work. Therefore, in order to promote the high-quality development of hospitals, it is necessary to support some potential public hospitals to build and develop a “One Hospital with Multiple Campuses System” (OHMC) based on controlling the size of single hospitals, and to quickly convert their functions in the event of a severe epidemic. METHODS: The Cobb–Douglas production function and log-transformed production function were used to measure the appropriate hospital size for 22 public hospitals in a region of China. RESULTS: The eight OHMC hospitals that planned to be build are basically qualified to handle the conditions and potential of multi-districts from the perspective of economy of scale. The OHMC hospitals in operation appear to have weakened incremental scale rewards, because they are in the process of development, but they are still higher than the overall level of single-campus hospitals. CONCLUSION: The expansion of hospital scale may bring the advantages of group development, but it may also bring about problems including rising hospital cost, increasing management and operation cost, inefficient allocation of medical resources and unbalanced development. |
format | Online Article Text |
id | pubmed-10081678 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100816782023-04-08 Do hospitals need to establish multiple hospital districts? A hospital-based perspective on the benefits of scale Zheng, Yuan Yuqing, Zhang Mengping, Zhang Jun, Li Front Public Health Public Health BACKGROUND: During the fight against COVID-19, China’s public hospitals played the main role in taking on the most urgent, dangerous and arduous medical treatment and work. Therefore, in order to promote the high-quality development of hospitals, it is necessary to support some potential public hospitals to build and develop a “One Hospital with Multiple Campuses System” (OHMC) based on controlling the size of single hospitals, and to quickly convert their functions in the event of a severe epidemic. METHODS: The Cobb–Douglas production function and log-transformed production function were used to measure the appropriate hospital size for 22 public hospitals in a region of China. RESULTS: The eight OHMC hospitals that planned to be build are basically qualified to handle the conditions and potential of multi-districts from the perspective of economy of scale. The OHMC hospitals in operation appear to have weakened incremental scale rewards, because they are in the process of development, but they are still higher than the overall level of single-campus hospitals. CONCLUSION: The expansion of hospital scale may bring the advantages of group development, but it may also bring about problems including rising hospital cost, increasing management and operation cost, inefficient allocation of medical resources and unbalanced development. Frontiers Media S.A. 2023-03-24 /pmc/articles/PMC10081678/ /pubmed/37033018 http://dx.doi.org/10.3389/fpubh.2023.1019331 Text en Copyright © 2023 Zheng, Yuqing, Mengping and Jun. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Zheng, Yuan Yuqing, Zhang Mengping, Zhang Jun, Li Do hospitals need to establish multiple hospital districts? A hospital-based perspective on the benefits of scale |
title | Do hospitals need to establish multiple hospital districts? A hospital-based perspective on the benefits of scale |
title_full | Do hospitals need to establish multiple hospital districts? A hospital-based perspective on the benefits of scale |
title_fullStr | Do hospitals need to establish multiple hospital districts? A hospital-based perspective on the benefits of scale |
title_full_unstemmed | Do hospitals need to establish multiple hospital districts? A hospital-based perspective on the benefits of scale |
title_short | Do hospitals need to establish multiple hospital districts? A hospital-based perspective on the benefits of scale |
title_sort | do hospitals need to establish multiple hospital districts? a hospital-based perspective on the benefits of scale |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081678/ https://www.ncbi.nlm.nih.gov/pubmed/37033018 http://dx.doi.org/10.3389/fpubh.2023.1019331 |
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