均衡各方利益促进公立医院集团化健康发展  

Balancing the interests of different stakeholders to promote the development of collectivization of public hospitals

作　　者：李洁[1] 冉素娟[2] 张清华[1] 吴元圆 黄海平[1] 

机构地区：[1]重庆医科大学公共卫生与管理学院.医学与社会研究中心.健康领域社会风险预测治理协同创新中心,重庆400016 [2]重庆医科大学附属儿童医院科研处

出　　处：《中国卫生事业管理》2015年第5期326-328,340,共4页Chinese Health Service Management

基　　金：重庆市卫生局医学科研项目:基于"网络指导医院"实践构建区域儿科联盟可行性研究(编号:2012-2-098)

摘　　要：目的:分析我国公立医疗机构间集团化发展中存在的问题,分析各利益相关者的利益需求,探讨促进公立医院集团化发展的策略。方法:用系统评价的方法筛选出描述我国公立医疗机构间集团化合作的实例文献,采用利益相关者理论分析各利益相关者的利益与责任。结果:22篇文献14个公立医院集团化发展实体在发展过程中存在11类问题与各方利益相关。结论:政府相关部门、患者、医院集团化实体以及医院集团中的核心医院与成员医院等各方利益需求的均衡性是影响公立医院集团化发展的主要因素,唯有明确各方角色、均衡各方利益,方能促进公立医院集团化健康发展。Objective To analyze the problems in the development of collectivization of public hospitals and the stakeholders＇ interests, and explore the strategies to promote their development. Methods Literatures of projects of collectivization of public hospi- tals were screened by systematical review. And the stakeholders＇ interests and responsibilities were analyzed with stakeholder theo- ry. Results There had 11 kinds of different problems which were related with the stakeholders＇ interests in the development of col- lectivization of 14 public hospitals. Conclusion The balance of interests from all the stakeholders, the government, patients, public hospital entities, core of collective hospitals and the members, is the key factor to influence the development of public hospital col- lectivization.

关 键 词：利益相关者理论 公立医疗机构 合作 系统评价 

分 类 号：R197.3[医药卫生—卫生事业管理]