Research on the relationship between supply structure of health resources and growth of medical expenses in medical institutions from supply perspective: based on data from Fujian province / 中华医院管理杂志

ABSTRACT

Objective To compare such supply structure differences of health resources as number of beds and manpower at medical institutions of different types,and to analyze the extent and direction of the health resources supply in affecting the growth of medical expenses.Methods Clustering analysis was used to cluster health resources indicators in Fujian province.The hierarchical regression model was used to estimate the impact of such factors as population,social economy and health resource supply structure on medical cost growth.All the sample data were logarithmically processed to eliminate the influence of different index measurement units on the analysis results.Results The clustering indicators of health resources were classified into two categoriesbasic and quality health resources indicators.The per capita GDP had a positive impact on the per capita total hospital expenses (β =0.228,P ＜ 0.05),and the number of basic beds had a negative impact on the per capita total hospital expenses (β =-0.719,P ＜ 0.001).The increase in basic bed allocation had a significant effect on reducing the total cost of hospitalization per capita,but the regression results of quality health resources were generally not significant.Conclusions From the perspective of supply-side reform policy,the supply structure of health resources should be in line with the growth level of medical expenses,and the control of medical expenses should be strengthened.The government should strengthen the pertinence in the selection and target of health resource investment to ensure the sustainable and healthy development of health care.