论三项改革联动和公立医院管理体制改革

文章从医院面临的问题入手,分析三项改革联动与公立医院管理体制改革的关系,继而分析包含管理管理体制改革在内的三项改革联动步骤,尤其是突破口。文章认为三项改革联动的突破口是：改革医院支付方式和补偿机制,变现有按服务项目支付为“总量控制与按服务量支付”,能形成医院主动追求“内涵发展”的政策环境和经营氛围。这在种环境下,医院只有成本最小化,方能达到自身收益最大化,三项改革联动的基本目的就有望一揽子解决。在此基础上,推导医院管理体制和机制改革的相关模型。

On the coordination of the "three reforms" and the reform of the management system of public hospitals

Proceeding from the problems confronting hospitals, the paper first offers an analysis of the relationship between the coordination of the "three reforms" and the reform of the management system of public hospitals and then provides some views on the steps for the coordination of the "three reforms" including the reform of the management system of public hospitals, the breakthrough point of the issue in particular. The author holds that the breakthrough point of the coordination lies in reforming the mode of payment and the compensation mechanism of hospitals. The current method of payment by service items ought to be changed into the mode of total quantity control and payment by the amount of service so as to form a policy and operational environment wherein hospitals will seek substantial development on their own initiative. Under such an environment, hospitals can achieve maximum benefits only by minimizing the costs and the primary goals of the coordination of the "three reforms" can thus expect to be attained. On the basis of this, relevant models for the reform of the management system of public hospitals can be promoted. system; Public; Reform