本文關(guān)鍵詞： 公立醫(yī)院 管辦分離 政府職能 政府治理 系統(tǒng)　出處：《云南大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：管辦分離已成為國際主流的公立醫(yī)院改革方向,國內(nèi)外有關(guān)實踐經(jīng)驗層出不窮,然而不同的地域由于政治經(jīng)濟條件不同,具體的改革經(jīng)驗存在較大的差異,但試點城市的改革經(jīng)驗仍是推進我國公立醫(yī)院管辦分離改革的重要經(jīng)驗參考。改革過程中,要及時回顧和反思改革目標(biāo),才能牢牢把握住改革方向,避免在改革目標(biāo)上出現(xiàn)偏差。隨著國內(nèi)改革試點城市涌現(xiàn)出來的各種管辦分離經(jīng)驗來看,人們對于公立醫(yī)院管辦分離的認(rèn)識和理解也呈現(xiàn)多樣化,這無疑是不利于后續(xù)具體政策制定和執(zhí)行的。同時,管辦分離概念的模糊也加大了改革在全國范圍內(nèi)進行推廣的難度。 目前我國尚未建立起對公立醫(yī)院管辦分離改革進行研究的理論框架,具體改革措施的設(shè)計和決策缺乏系統(tǒng)性,對改革試點的研究較為零散且在推廣層面上局限性較大。從經(jīng)濟學(xué)角度來對公立醫(yī)院管理體制改革進行思考,其本質(zhì)是提高提供特殊服務(wù)性質(zhì)的衛(wèi)生組織的供給效率及組織運行效率,因此從最基本的供需關(guān)系為入手,發(fā)現(xiàn)目前公立醫(yī)院管理體制存在問題主要是由于傳統(tǒng)的管辦合一下的一系列問題與不斷提高的公民對基本醫(yī)療衛(wèi)生服務(wù)需求間的矛盾,由此確定本文的研究對象——公立醫(yī)院管辦分離管理模式。 本文通過對文獻資料的整理分析,對公立醫(yī)院管辦分離的研究現(xiàn)狀有了一個大致的了解,厘清我國公立醫(yī)院管辦分離改革產(chǎn)生的原因和管辦分離的內(nèi)涵；明確了改革深入過程中公立醫(yī)院管理體系自身和其系統(tǒng)環(huán)境中存在的問題。然后通過對國內(nèi)現(xiàn)有的典型改革經(jīng)驗進行對比分析和參考借鑒發(fā)達(dá)國家的先進經(jīng)驗,針對管理體系存在的問題以及系統(tǒng)環(huán)境的阻力提出針對性的政策建議。
[Abstract]:Management separation has become the international mainstream of the reform of public hospitals, domestic and foreign experience in practice emerge one after another, but different regions due to different political and economic conditions, the specific experience of reform has great differences. However, the reform experience of the pilot cities is still an important reference to promote the reform of the separation of public hospitals and offices. In the process of reform, we must review and reflect on the reform objectives in order to firmly grasp the direction of reform. To avoid the deviation in the reform goal. With the emergence of a variety of management and separation experience in the pilot cities of domestic reform, people's understanding of the separation of public hospitals is also diversified. At the same time, the ambiguity of the concept of management separation also increases the difficulty of popularizing the reform in the whole country. At present, China has not established a theoretical framework for the research on the reform of separation of management and office in public hospitals, and the design and decision-making of specific reform measures are lacking in a systematic manner. The research on the pilot reform is scattered and limited in the aspect of popularization. From the angle of economics, the author thinks about the reform of the management system of public hospitals. Its essence is to improve the supply efficiency and organization operation efficiency of WHO, which provides special services, so it starts with the most basic supply and demand relationship. It is found that the existing problems in the management system of public hospitals are mainly due to the contradiction between the traditional management system and the increasing needs of citizens for basic medical and health services. From this, determine the object of this study-public hospital management separation management model. Based on the analysis of the literature, this paper has a general understanding of the current research situation of the separation of management and office in public hospitals, and clarifies the causes of the reform and the connotation of the separation of management and office in public hospitals in China. The problems of the public hospital management system and its system environment in the deep process of reform are clarified. Then through the comparative analysis of the existing typical reform experience and the reference to the advanced experience of the developed countries. Aiming at the problems existing in the management system and the resistance of the system environment, this paper puts forward some relevant policy suggestions.
【學(xué)位授予單位】：云南大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R197.3

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本文編號：1455782