基于Preker-Harding模型的国外公立医院自主化实践特点及启示  

The Characteristics and Inspiration of Foreign Public Hospital Autonomy Practice:Based on Preker-Har⁃ding Model

作　　者：邓清文 魏艳[1] 陈英耀[1] Deng Qingwen;Wei Yan;Chen Yingyao(School of Public Health,Fudan University/Key Lab of Health Technology Assessment,National Health Commission,Shanghai,200032,China;不详)

机构地区：[1]复旦大学公共卫生学院·国家卫生健康委员会卫生技术评估重点实验室(复旦大学),上海200032

出　　处：《中国医院管理》2023年第6期93-96,共4页Chinese Hospital Management

摘　　要：面对公立医院存在的效率低下等问题,改革治理结构赋予医院更多的财务和管理自主权是各国普遍采取的手段之一。随着要求高质、高效健康服务的呼声日渐强烈,公立医院自主化改革应运而生。通过文献研究法对公立医院自主化的有关理论和内涵进行梳理,基于Preker-Harding模型归纳、总结国外公立医院自主化实践的主要特点,分析当前国外公立医院自主化实践的成效和影响,并就转变政府角色、建立现代医院管理制度、加强利益相关者各方问责、提高组织准备度等方面对我国公立医院的治理提出参考建议。In the face of inefficiencies in public hospitals,reforming the governance structure to give hospitals more financial and management autonomy is one of the common tools adopted by countries.Public hospital autono⁃my reform has emerged in response to the increased need for high-quality and efficient health care.It sorts out the theoretical basis and connotations of public hospital autonomy through literature research,summarizes the characteris⁃tics of foreign public hospital autonomy based on the Preker-Harding model,analyzes the results and impacts of cur⁃rent public hospital autonomy practices,and proposes countermeasures in terms of changing the role of govern⁃ment,establishing a modern hospital management system,strengthening the accountability of all stakeholders,and improving organizational readiness。

关 键 词：公立医院 自主化 Preker-Harding模型 

分 类 号：R197.3[医药卫生—卫生事业管理]