美国医院社会责任管理实践及启示  

Practice and Implications of Hospital Social Responsibility in USA

作　　者：刘雨[1] 徐爱军[1] 陆家玉[1] 

机构地区：[1]南京中医药大学经贸管理学院,江苏南京210046

出　　处：《医学与哲学（A）》2016年第5期60-64,共5页Medicine & Philosophy:Humanistic & Social Medicine Edition

基　　金：2012年度国家自然科学基金项目;项目编号:71203101;2015年度江苏省社会科学基金项目;项目编号:15GLB019;2013年度江苏省高校优秀中青年教师和校长境外研修计划资助项目

摘　　要：通过对美国两个政府机构(美国国内税收署、老人医疗保险和穷人医疗救助服务中心)以及四个医疗行业组织(美国医院协会、美国基督健康协会、美国非营利医院联盟组织、美国医疗保健财务管理协会)发布的医院社会责任标准/指南进行了梳理和比较分析,介绍了美国联邦层面的标准/指南之间的内在联系。达成的共识是将慈善医疗、经过经济情况调查的政府医疗保健项目的未补偿成本定义为社会责任,而在将坏账、老人医疗保险的未补偿成本定义为社会责任方面存在分歧。提出我国医院社会责任不仅需考虑慈善医疗、未补偿的医疗成本以及对公众的责任,更要根据国情来制定相关标准。This article introduced the intrinsic link between different standards/guidelines at the federal level of the USA by comparing the modes of two American government agencies （Internal Revenue Service, Centers for Medicare ＆ Medicaid Services） and four social organizations （American Hospital Association, Catholic Health Association of the United States, Voluntary Hospitals of America, Health care Financial Management Association）. There was a consensus that the medical charity, the uncompensated medical cost of government health care programs after the economic survey were defined as social responsibility. However, there were divergences of the bad debts, the uncompensated medical cost of Medicare for the elderly being defined as social responsibility. Finally, this article put forward the suggestions that the establishment of hospital social responsibility in China did not only need to consider the charitable medical, the uncompensated medical cost and the public responsibility, but also needed to consider our national conditions.

关 键 词：医院社会责任 慈善医疗 美国社会责任标准 

分 类 号：R197[医药卫生—卫生事业管理]