【摘要】：醫(yī)院作為保障人民生活健康的服務(wù)行業(yè)，，它的發(fā)展?fàn)顩r在相當(dāng)程度上反映了一個國家的國民生活質(zhì)量和社會福利水平。隨著我國社會經(jīng)濟的迅速發(fā)展以及人們對健康需求的逐步增強，“看病就醫(yī)”問題已經(jīng)成為關(guān)系人民群眾日常生活最切身的根本利益之一。在我國，公立醫(yī)院所占比例為95%左右，是老百姓最主要的就醫(yī)場所，由于目前我國的公立醫(yī)院運行機制和管理體制比較滯后，導(dǎo)致近年來老百姓“看病難、看病貴”問題愈發(fā)凸顯，這一矛盾的激化也最終誘發(fā)了我國新一輪醫(yī)改的實施。因此，研究公立醫(yī)院改革問題具有一定的理論價值和實踐意義。 本文以新公共管理理論、政府治理理論和公平與效率關(guān)系理論作為理論基礎(chǔ)，對現(xiàn)階段我國公立醫(yī)院存在的問題進行了詳細(xì)分析，同時結(jié)合國內(nèi)現(xiàn)行案例分析和國外公立醫(yī)院改革的經(jīng)驗借鑒，最后提出對策建議。本文在結(jié)構(gòu)上分為7章。其中：第1章為導(dǎo)論；第2章相關(guān)理論概述；第3章我國公立醫(yī)院運行過程中的突出矛盾；第4章為我國公立醫(yī)院改革的地位和目標(biāo)；第5章為我國公立醫(yī)院改革的路徑分析；第6章為深化公立醫(yī)院改革的對策建議；第7章為結(jié)論與展望。 文章重點分析了目前我國公立醫(yī)院在經(jīng)營、發(fā)展和運行中存在的突出矛盾，然后從公立醫(yī)院改革的價值取向、新醫(yī)改中的公立醫(yī)院改革以及公立醫(yī)院改革中的管理體制改革和我國公立醫(yī)院改革法人治理結(jié)構(gòu)的目標(biāo)模式等四個方面詳細(xì)論述了我國公立醫(yī)院改革的目標(biāo)以及未來的發(fā)展方向，并對我國公立醫(yī)院新一輪改革的第一批試點城市的試點情況進行了介紹，同時對各地在探索公立醫(yī)院改革中的經(jīng)驗進行了分享，對存在不足進行了評價，然后挑選個別公立醫(yī)院改革案例進行論證分析，列舉了幾個在公立醫(yī)院改革方面取得成效的國家的經(jīng)驗借鑒，最后從優(yōu)化整體醫(yī)療資源配置、改革公立醫(yī)院補償機制、改革公立醫(yī)院管理體制、改革公立醫(yī)院治理機制、改革公立醫(yī)院醫(yī)務(wù)人員激勵機制等方面對我國公立醫(yī)院改革提出具體對策建議。
[Abstract]:As a service industry to guarantee people's health, the development of hospital reflects to a certain extent the quality of life and the level of social welfare of a country. With the rapid development of our country's social economy and the gradual enhancement of people's health demand, the problem of "seeing a doctor and seeking medical treatment" has become one of the most important fundamental interests of people's daily life. In our country, the proportion of public hospitals is about 95%, which is the most important place for ordinary people to seek medical treatment. Because of the lagging operation mechanism and management system of public hospitals in our country, in recent years, it is difficult for ordinary people to see a doctor. The problem of expensive medical treatment becomes more and more prominent, and the intensification of this contradiction finally induces the implementation of a new round of medical reform in China. Therefore, the study of public hospital reform has certain theoretical value and practical significance. Based on the theory of new public management, the theory of government governance and the theory of the relationship between fairness and efficiency, this paper makes a detailed analysis of the problems existing in public hospitals in China at this stage. At the same time, combined with the domestic current case analysis and foreign public hospital reform experience, finally put forward countermeasures and suggestions. The structure of this paper is divided into seven chapters. The first chapter is the introduction; the second chapter is the summary of relevant theories; the third chapter is the prominent contradiction in the process of public hospital operation; the fourth chapter is the status and goal of our country's public hospital reform; the fifth chapter is the path analysis of our country's public hospital reform; Chapter 6 is the countermeasures and suggestions for deepening the reform of public hospitals, and chapter 7 is the conclusion and prospect. This paper analyzes the prominent contradictions in the management, development and operation of public hospitals in China, and then analyzes the value orientation of the reform of public hospitals. In this paper, the public hospital reform in the new medical reform, the management system reform in the public hospital reform and the target mode of the legal person governance structure of the public hospital reform in our country are discussed in detail, and the goal of the public hospital reform in our country is discussed in detail. The future direction of development, It also introduces the first batch of pilot cities in the new round of reform of public hospitals in our country, shares the experiences of other places in exploring the reform of public hospitals, and evaluates the shortcomings. Then select individual cases of public hospital reform for demonstration and analysis, enumerate the experience of several countries that have achieved good results in the reform of public hospitals, and finally optimize the overall allocation of medical resources and reform the compensation mechanism of public hospitals. To reform the management system of public hospitals, to reform the governance mechanism of public hospitals, and to reform the incentive mechanism of medical personnel in public hospitals, this paper puts forward concrete countermeasures and suggestions for the reform of public hospitals in our country.
【學(xué)位授予單位】：南昌大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R197.3

【引證文獻】

相關(guān)期刊論文 前1條

1 周云風(fēng);;新醫(yī)改下公立醫(yī)院財務(wù)管理目標(biāo)及實現(xiàn)途徑[J];時代金融;2015年35期

相關(guān)碩士學(xué)位論文 前3條

1 賀湘焱;新醫(yī)改背景下克拉瑪依市公立醫(yī)院運行效果研究[D];新疆醫(yī)科大學(xué);2016年

2 馬銀華;�？乒⑨t(yī)院運行機制改革研究[D];吉林大學(xué);2015年

3 李玉霞;重慶市某三甲公立醫(yī)院的醫(yī)院文化類型評價[D];重慶醫(yī)科大學(xué);2015年

本文編號：2305300