發(fā)布時間：2018-07-10 16:54

  本文選題：績效 + 有所權(quán)激勵　； 參考：《武漢工程大學(xué)》2013年碩士論文

【摘要】：本論文首先從提升醫(yī)療服務(wù)業(yè)績效的制度安排：理論框架。圍繞醫(yī)療運(yùn)營效率提高以及醫(yī)療服務(wù)質(zhì)量改善的醫(yī)療服務(wù)業(yè)績效提升問題，通過比較醫(yī)院績效提升的內(nèi)部方法和外部方法，強(qiáng)調(diào)了外部方法對提升醫(yī)院績效的特殊作用。進(jìn)而針對外部方法中的市場和管制對醫(yī)院的激勵和約束作用，闡明市場與管制間的關(guān)系。最后從所有權(quán)對醫(yī)療服務(wù)業(yè)績效的激勵作用，以及市場與管制間的權(quán)衡全面分析提升醫(yī)療服務(wù)業(yè)績效的制度框架。特別強(qiáng)調(diào)了管制對醫(yī)療服務(wù)業(yè)績效提升的局限性，指出應(yīng)該通過提高醫(yī)療服務(wù)市場透明度增加醫(yī)療服務(wù)市場的運(yùn)行效率，，以及通過實施反應(yīng)靈敏型的管制提高管制效率。 發(fā)達(dá)國家提升醫(yī)療服務(wù)業(yè)績效的制度安排：以美國和英國為例。世界各國在建立了確保公平的醫(yī)療保險體系后，均面臨如何提升醫(yī)療服務(wù)業(yè)績效問題。因為醫(yī)療服務(wù)業(yè)績效提升是確保公眾長期享受醫(yī)療服務(wù)公平的支撐。圍繞醫(yī)療服務(wù)業(yè)績效提升時確保公眾長期享受醫(yī)療服務(wù)公平的支撐。其中以美國和英國最具有代表性。通過對美國和英國為提升醫(yī)療服務(wù)業(yè)績效的醫(yī)療改革實踐的梳理，總結(jié)出可以為中國借鑒的經(jīng)驗。 中國提升醫(yī)療服務(wù)業(yè)績效的制度安排。在對中國醫(yī)療改革的演變歷史進(jìn)行簡單回顧的基礎(chǔ)上,基于所有權(quán)對醫(yī)療服務(wù)業(yè)績效的激勵作用，研究建立符合中國實際的醫(yī)院所有權(quán)格局和公立醫(yī)院法人治理結(jié)構(gòu)，進(jìn)而設(shè)計市場與管制相融合的有利于提升醫(yī)療服務(wù)業(yè)績效的模式及其制度框架。最后提出了我國提升醫(yī)療服務(wù)體系的良性的運(yùn)作制度“社區(qū)看門人”。
[Abstract]:Firstly, this thesis starts with the institutional arrangement of improving the performance of medical service industry: theoretical framework. Focusing on the improvement of medical operation efficiency and the improvement of medical service quality, this paper compares the internal and external methods of hospital performance improvement, and emphasizes the special role of external methods in improving hospital performance. Furthermore, the relationship between market and regulation is clarified in view of the incentive and restraint effect of market and regulation on hospital. Finally, the institutional framework of improving the performance of medical service industry is analyzed comprehensively from the incentive effect of ownership on the performance of medical service industry and the tradeoff between market and regulation. The limitation of regulation on the performance of medical service industry is emphasized, and it is pointed out that the efficiency of regulation should be improved by improving the transparency of medical service market and by implementing responsive regulation. Institutional arrangements for improving the performance of Medical Services in developed countries: take the United States and the United Kingdom as examples. After establishing a fair medical insurance system, countries all over the world are faced with the problem of how to improve the performance of medical service industry. Because the health service industry performance improvement is to ensure the public long-term health care service fair support. Around the performance improvement of the medical service industry to ensure that the public enjoy the health care service equity support for a long time. Among them, the United States and Britain are the most representative. By combing the practice of health care reform in the United States and Britain to improve the performance of the medical service industry, the experiences that can be used for reference by China are summarized. China's institutional arrangements for improving the performance of medical services. On the basis of a brief review of the evolution history of China's medical reform, and on the basis of the incentive effect of ownership on the performance of medical service industry, this paper studies the establishment of hospital ownership pattern and corporate governance structure of public hospitals in line with the actual situation in China. Furthermore, the paper designs the model and institutional framework of the integration of market and regulation to improve the performance of medical service industry. Finally, it puts forward the healthy operation system of improving medical service system in our country, community gatekeeper.
【學(xué)位授予單位】：武漢工程大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：F719;R197.322

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本文編號：2114013