The Comparison And Application Study Of Quantitative Analysis Model Of Health Human Resources Cost Of Hospital

Objectives:In view of the reality of the problem of expanding scale of the tertiary general hospital and high proportion the health human resources costs accounted for, this study using the production function model to analyze the economies of scale of the tertiary general hospital, then using recursive system model to explore the structure of influence factor of health human resources cost of tertiary general hospital. This study discuss the appropriate quantitative analysis method for health human resources cost, providing the reference methods for the study of related issues and effective decision-making references for hospital management and cost control of human resources, finally improving the social and economic benefits of hospital.Method:In this study, the research object is two tertiary general hospital in central and eastern regions in China, collecting data through field investigation. Then Using Excel2010 to establish the database of raw data and excluding the missing data. We apply the SPSS 18.0 software to do the descriptive statistical analysis and model analysis for the data. Eviews5.0 is used to finish the stationary test for time series. Results:(1) The results of production function model show that A and B hospital health human resources cost input-output elasticity coefficients are-0.145 and 0.740 respectively, the input-output elasticity coefficient of material capital were 1.277 and 0. The sum of two elastic coefficient of A hospital is greater than 1,α+β=1.132>1, which indicates A hospital in progressing scale stage. The sum of two elastic coefficient of B hospital is less than 1,α+β=0.740<1, which indicates B hospital in diminishing returns stage. At the same time, the influence of the fixed assets investment of output is greater than the influence of human resources investment for A hospital, and for B hospital, the influence of human resources investment of output is greater than the influence of the fixed assets investment.(2) The influence factor analysis model of health human resources cost results show that the influence factors of human resources cost of A hospital includes the average cost of hospitalization, the hospital ’s total revenue, number of days of hospitalization, number of hospitalizations, the number of people surgery, hospital number, the number of outpatient visits and health technical personnel, the total effect of each variable to the health human resources costs in the descending order is: the number of health workers, the average cost of hospitalization, the number of people surgery, the number of outpatient visits, the hospital ’s total revenue, number of days of hospitalization, number of hospitalizations, outpatient visits. The influence factors of human resources cost of B hospital is same as A hospital, the total effect of each variable to the health human resources costs in the descending order is: the number of health workers, the average cost of hospitalization, outpatient visits, hospital number, number of days of hospitalization, the hospital ’s total revenue, the number of people surgery, number of hospitalizations. Conclusions:(1) Two sample hospitals are at different stages of the scale of the remuneration, A hospital in progressing scale stage, B hospital at the diminishing returns of scale stage, but the two sample hospitals cannot expand scale blindly, especially for human resources cost, and the human cost of the sample hospitals are in the fast growth tendency, so the two hospitals should strengthen the control of their own health human resources cost; Sample hospitals cannot improve the efficiency of hospital services just relying on the increasing investment. Only improving the levels of overall service and consummating the hospital management model can hospital improve the efficiency radically.(2)The influence factors of health human resources cost of two sample hospitals including average cost of hospitalization, the hospital ’s total revenue, number of days of hospitalization, number of hospitalizations, the number of people surgery, hospital number, the number of outpatient visits and health technical personnel. The number of health workers, the average cost of hospitalization is the top two influential factors of the human resources cost, which is consistent with the results of the relevant theoretical research on health human resources cost, so hospital can control the human resources costs by regulate the number of health workers and the average cost of hospitalization.(3) Recursive system model could search for inner structure of the relationship between variables, this model shows clearly complex hierarchical relationships between factors affecting health human resources costs, the regression analysis results is accurate, explaining that the selection and application of model is ideal.