公立医院运行机制的形成与强化及其改革探讨  

Analysis of the Formation and Intensify of Operating Mechanism and the Exploration of its Reform in the PublicAna Hospital

作　　者：张舒雅[1] 宫尔君 马磊[1] 江一峰[1] 祝延红[1] 

机构地区：[1]上海交通大学附属第一人民医院上海200080

出　　处：《中国医院管理》2013年第12期1-3,共3页Chinese Hospital Management

摘　　要：我国大型公立医院运行机制存在的弊端表现为趋利性的经营运作模式与粗放型的经营管理模式,不适应外部政策导向及自身发展。系统分析我国大型公立医院运行机制形成及强化的机制,得出我国大型公立医院发展呈现出路径依赖性质并"锁定"在无效率的状态。对此从内部、外部两大方面对其改革路径进行探讨并提出相关政策建议。Defects existing in Chinese major public hospital operating mechanism are characterized in two aspects：profit-oriented management conception and extensive operation mode,which doesn＇t adapt to the externai policy guidance and its own diversified development requirements.Based on the analysis of operating and strengthening of major public hospitals＇ operating mechanism systematically,it is concluded that development of Chinese major public hospitals presents the nature of path dependence and is ＂locked＂ in the inefficient state.So internal and external reform path is discussed and relevant policy suggestions are put forward.

关 键 词：大型公立医院 运行机制 强化机制 

分 类 号：R197.3[医药卫生—卫生事业管理]