睢宁县医疗服务市场结构分析

Analysis of medical service market structure in Suining county

目的分析睢宁县医疗服务市场结构以及竞争现状，并根据存在问题提出建议。方法对睢宁县14个一甲及以上医疗机构的年业务收入、床位数、卫技人员数3个指标，进行市场集中度分析和赫尔芬达尔-赫希曼指数（Herfindahl—Hirschmanindex，HHI）分析。结果3个指标的市场集中度均达到60．0％以上，且HHI均为1700以上，说明睢宁县县镇级医院市场高度集中，市场结构为极高寡占型。结论睢宁县医疗服务市场竞争环境较差，需引入竞争机制、优化资源配置、推行信息公开、提高镇级医院自身服务水平。

Objective To analyze the medical service market structure and the competitive status and in Suining county to make recommendations in accordance with the existing problems. Methods Data of annual business income, number of bed and health personnel in 14 hospitals of the third class and above were collected to do market concentration analysis and Herfindahl-Hirschman index （ HHI ）analy- sis. Results Market concentration degrees of three indicators were above 60.0% and the HHI score were all above 1700, which demonstrated that hospitals in Suining county was highly concentrated and the market structure of oligopoly was high. Conclusions Medical service market competition environment in Suining county is bad, therefore, it is necessary to introduce competition mechanism, optimize resource allocation, carry out open information thus to improve the service level of the township hospitals.