公立医院管理与考核的国际经验及启示

本文考察了英国、澳大利亚、美国和WHO在欧洲推荐的公立医院管理和考核评估制度的情况,从重视管理与考核在公立医院改革中不可替代的地位、建立集中统一的公立医院管理机构、正确处理"管医院"和"办医院"的关系、正确处理考核监督和医院自主权的关系、建立层层问责的责任体系、建立完善的考核机构、考核指标和考核制度等方面,讨论了各国公立医院管理与考核的经验和结论,并提出完善我国公立医院管理、特别是考核评估的政策建议,包括明确公立医院考核评估机构、建立完善的考核评估制度、在充分调研和征求意见的基础上,构造科学的公益性考核指标等。

Public hospital management and evaluation: lessons from the international experience

This paper investigates the public hospital management and evaluation system in UK,Australia,USA and WHO European.Their experience can be concluded as： management and performance evaluation plays a key role in public hospital reform;constructing integrated public hospital management organization;integrating the management and regulation properly;giving the public hospitals limited power;constructing obligation system;constructing the evaluation indicator systems.Then we proposal to improve China＇s public hospital management,including constructing the evaluation authority,constructing evaluation indicators and evaluation systems based on survey and research.