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首页> 美国卫生研究院文献>Inquiry: A Journal of Medical Care Organization Provision and Financing >The Evolving Hospital Market in China After the 2009 Healthcare Reform
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The Evolving Hospital Market in China After the 2009 Healthcare Reform

机译：2009年中国卫生改革后中国不断发展的医院市场

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摘要

Since the initiation of national healthcare reform in 2009, China’s hospital market has witnessed significant change. To provide a brief description about its evolving process, China Health Statistical Yearbook data and Sichuan administrative data from 2009 to 2017 were used in this article. An overall upward trend of hospital delivery capacity was found in this study, which increased from 3.12 million beds and 1.09 million doctors in 2009 to 6.12 million and 1.80 million in 2017, respectively, while the primary healthcare institutions presented fairly slow development pace. Growing proportion of medical resources and patients gathered in hospitals, especially tertiary hospitals. While private hospitals demonstrated an increasingly important role in hospital market with growing share of capacity and service, their average capacity, especially the human resource, was found to be much lower than that of public hospitals and the gaps are still widening. The competition among hospitals grouped by homogeneous ownership types has predominated the increasingly intensified hospital market competition in China. In order to adapt to the raising demand of health care in China, it is highly recommended that strategies forged at governmental levels be focused on primary care promotion, guiding the development of private hospitals as well as on promoting orderly competition in the hospital market.
机译：自2009年的国家医疗改革开始以来，中国医院市场目睹了重大变化。为了提供关于其不断发展的过程的简要描述，本文使用了2009年至2017年的中国健康统计年鉴数据和四川行政数据。本研究发现了一系列医院送货能力的上升趋势，分别从312亿张床上增加到了2009年的1112万张和109万名医生，分别于2017年的612万和180万张，而主要医疗机构展示了相当缓慢的发展步伐。日益增长的医疗资源和患者聚集在医院，尤其是高等教育医院。虽然私立医院在医院市场上表现出越来越重要的作用，但由于能力和服务的份额日益增加，他们的平均能力，特别是人力资源被发现远低于公立医院，差距仍在扩大。由同质所有权类型分组的医院的竞争占据了中国日益激烈的医院市场竞争。为了适应中国医疗保健的提高，强烈建议在政府层面锻造的策略专注于初级保健促进，指导私立医院的发展，以及促进医院市场的有序竞争。

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