Factors Affecting Opening and Closure of Small Hospitals in Taiwan
劉容華(Jung-Hua Liu)；江東亮(Tung-Liang Chiang)
小型醫院 ； 醫院新設 ； 醫院歇業 ； Small Hospitals ； Hospital Opening ； Hospital Closure.
|Volume or Term/Year and Month of Publication||
20卷1期（2001 / 02 / 01）
27 - 33
Objective: This study aims to examine the factors associated with the establishment of new hospitals and hospital closures (all with less than 100 beds) in Taiwan from 1987 to 1997. Methods: Secondary data were used for analysis. These data were obtained from “The Annual National Hospital Survey”, conducted by the Department of Health, and the “Taiwan-Fukien Demographic Fact Book”, published yearly by the Ministry of the Interior. Multiple logistic regression was applied to explore whether hospital characteristics and environmental factors were associated with opening and closure of hospitals. Results: Between 1987 and 1997, there were 193 new hospitals and 371 hospital closures. As a result, the total number of hospitals in Taiwan decreased from 802 to 624. In terms of size, 89.6% of the new hospitals and 99.7% of the closed hospitals were with to 624. In terms of size, 89.6% of the new hospitals and 99.7% of the closed hospitals were with less than 100 beds. Our multiple regression models reveals that, compared with existing hospitals, most of the newly opened hospitals had less than 50 beds. Similarly, a majority of the hospitals that closed between 1987-1997 were privately owned with less than 50 beds. Moreover, these hospitals tended to be located in districts where medical centers and regional hospitals already exist, as well as in districts with a lower Herfindahl index. Conclusions: Both hospital characteristics and environmental factors were associated with the opening and closure of small hospitals in Taiwan.
醫藥衛生 > 社會醫學