公立医院改革“管办分开”的实践争议  

Practical Disputes about Separating Management and Running in Public Hospital Reform

作　　者：胡薇[1] 

机构地区：[1]国家行政学院社会和文化教研部,北京100089

出　　处：《山东师范大学学报（人文社会科学版）》2012年第5期95-100,共6页Journal of Shandong Normal University(Humanities and Social Sciences)

基　　金：作者主持研究的国家社科基金青年项目"中国社会福利体系转型中的国家责任研究"(项目编号10CSH046)的阶段性成果

摘　　要："管办分开"是公立医院改革中的重点也是难点,实践中对它的理解和具体操作呈现出非常复杂的形态。从"管办分开"的几种代表性模式来看,其改革实践都存在一些具体争议。这些实践中的争议集中体现在以"办医机构"为核心的纵横交错的五对关系之中,而这五对关系则又集中体现了实践中对"管办分开"内涵的理解差异。管办分开的实质是分离公立医院的监管权、所有权和运营权,因此理清三项职能之间的相互关系、把握管办分开的实践特点将有助于下一步公立医院改革的全面推进。Separation of management and running is the key point and the main difficulty in public hospital reform, but a practical understanding and operating about it is rather complicated. With a few typical pilot models in view, this paper discusses the practical disputes around the separation of management and running. The research finds that practical reforms are influenced by an understanding of the essence of separating management and running. Actually, the essence of the reform is separating three kinds of authorities, namely supervision, ownership and operation. Therefore, clarifying the boundary and relationship between these authorities will help push forward public hosoital reform.

关 键 词：管办分开 监督权 所有权 运营权 

分 类 号：C913.4[经济管理]