城市医院后勤保障社会化的理论与实践

医院后勤服务保障社会化已成为城市大医院后勤改革的发展趋势。应用核心竞争力理论阐述后勤保障社会化的理论基础,如果某一业务不能或者很难为竞争优势做贡献,那么就可以考虑外包(社会化),后勤服务保障社会化的前提条件是某项业务存在专业化、规模化经营供应市场,目前医院支持性业务中的餐饮服务、人员服务和非技术性的建筑及设施服务完全具备成熟的市场化前提条件。适宜后勤服务保障社会化,技术性的建筑及设施服务只宜部分后勤服务保障社会化。而患者服务在我国尚不具备供应商市场,不宜社会化。此外,当医院的后勤服务保障社会化购买成本、后勤服务保障社会化管理成本、医院资源的机会成本之和小于内部化的生产和管理成本时,就应寻求社会化服务。作者结合医院后勤保障社会化的实践,探索如何构建与社会化服务保障相适应的监管体系、以及社会化保障工作的思路、方法、体会。

The Theory and the Practice of the Socialized Logistic Guarantee in Urban Hospitals

Logistic service guarantee is a non-strategic process in hospitals,which can be outsourced.However,the precondition is that the external environment of the outsourced service items should be provided by professional and large-scale service teams（market）.The practice of the socialized logistic guarantee,the making of service items,contents and contract details,the assessment of quality standards and quality and the construction of regulatory system directly affect and restrict the quality and guarantee safety of socialized service.