基于政府主导视角的公立医院公益性的影响因素及对策探讨  

An exploration on the impact factors for public interests of public hospitals and relevant solutions based on government-led perspective

作　　者：蒋沫怡[1] 朱婉秋[1] 李军[1] 刘建[2] 张健[2] 王力红[3] 张为远[4] 申昆玲[5] 郑东翔[6] 周保利[7] 李秀兰[8] 史培娜[2] 尹娜[1] 

机构地区：[1]首都卫生管理与政策研究基地.首都医科大学卫生管理与教育学院 [2]首都医科大学附属北京友谊医院,北京市西城区永安路95号100050 [3]首都医科大学宣武医院,北京市西城区长椿街45号100053 [4]首都医科大学附属北京妇产医院 [5]首都医科大学附属北京北京儿童医院,北京市西城区南礼士路56号100045 [6]首都医科大学附属北京口腔医院,北京市东城区天坛西里4号100050 [7]首都医科大学附属北京世纪坛医院 [8]首都医科大学附属北京地坛医院,北京市朝阳区京顺东街8号100015

出　　处：《中国医院》2014年第9期19-21,共3页Chinese Hospitals

基　　金：北京市哲学社会科学规划重点项目(10AbZH186);"北京市教育委员会社会医学与卫生事业管理重点学科建设经费"资助项目

摘　　要：目的:从政府主导视角,探索影响公立医院公益性的因素及对策。方法:基于文献的内容分析方法。结果:公立医院公益性淡化的影响因素主要有卫生改革的历史遗留问题、卫生管理体系不完善、监管体制不顺畅、受经济相关因素制约等4个方面;相应对策包括合理引导、优化资源,健全机制、统一管理,严格监督、综合考评,经济补偿、费用控制。结论:探讨公立医院公益性的影响因素及对策是实现医疗卫生公益性的基础性工作,能够为卫生体制改革提供一定的决策参考。To explore the impact factors for public interests in public hospitals and relevant solutions in view of government-led. Methods： Literature review. Results： It shows there are various deep-seated influential factors for the lack of public interests of several public hospitals, which mainly presents at four facets： leftover problems of health reformation, imperfect management systems, blocked regulatory system, economic relative factors constraints. Relevant solutions include： leading reasonable, conserving resources; improving mechanisms, unified management; strict supervision, evaluating generally; economic compensation and regulating expenditure. Conclusion： Exploring the impact factors for public interests in public hospitals and relevant solutions are the primary task to carry out the public interests of medical and health services. It can also provide certain decision-making reference for the direction of health management reformation.

关 键 词：公立医院 公益性 影响因素 政府主导 

分 类 号：R197.3[医药卫生—卫生事业管理]