"十四五"时期我国现代医院管理制度实施的思考  

The critical path and thinking of the implementation of modern hospital management system in"14th five-year Plan"period of China

作　　者：方鹏骞[1] 孙煜 Fang Pengqian;Sun Yu(School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology Academy of Health Policy and Management(Think Tank),Huazhong University of Science and Technology,Wuhan 430030,China;School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院华中科技大学健康政策与管理研究院(智库),武汉430030 [2]华中科技大学同济医学院医药卫生管理学院,武汉430030

出　　处：《中华医院管理杂志》2021年第3期177-181,共5页Chinese Journal of Hospital Administration

基　　金：国家社会科学基金(重大项目)(15ZDC037)。

摘　　要："十三五"时期是我国现代医院管理制度立柱架梁的关键时期,初步构建起宏观外部管理制度与微观内部管理制度相结合的基本框架,以患者需求为导向、以高质量发展为引领、保障可持续的医院运行新机制取得新进展。2021年我国已迈入"十四五"时期,现代医院管理制度将步入全面落实阶段。针对现代医院管理制度目前在宏观、中观、微观层面存在的问题,作者从改革管理体制以推进医院治理体系现代化、营造良好政策环境以促进医院管理科学规范、深化内部管理制度改革以实现治理能力现代化3个方面提出有关路径,包括依据医院章程建立内部治理体系、推动人事编制改革创新、提高医院应急管理能力、重建临床医生能力评价体系、加强学科建设和人才建设等,为"十四五"期间现代医院管理制度的实施提供参考。The"13th five-year Plan"period is a critical period for the modern hospital management system in China.The basic framework of the combination of the macro-external management system and the micro-internal management system has been preliminarily constructed,and new progress has been made in the new hospital operation mechanism that is guided by the needs of patients,high-quality development and guaranteed sustainable.In 2021,China has entered the"14th five-year Plan"period,and the modern hospital management system will enter the comprehensive implementation stage.In view of the problems existing in the modern hospital management system at the macro,medium and micro levels,the authors put forward relevant approaches from three aspects:reforming the management system to promote the modernization of hospital governance system,creating a good policy environment to promote the scientific and standardized hospital management,and deepening the reform of internal management system to realize the modernization of governance ability.For example,according to the constitution of the hospital,the internal governance system should be established,the reform and innovation of personnel establishment should be promoted,the emergency management capacity of the hospital should be improved,the ability evaluation system of clinicians should be rebuilt,the discipline construction and talent construction should be strengthened,etc.,which can provide reference for the implementation of the modern hospital management system during the"14th five-year Plan"period.

关 键 词：组织和管理 "十四五"规划 现代医院管理制度 医院章程 

分 类 号：R197.3[医药卫生—卫生事业管理]