杭州市公立医院集团化发展现状分析与对策研究

我国公立医院集团化发展已取得了一定进展，但对区域性公立医院集团化发展缺乏阶段性的实证跟踪研究。以杭州市为例介绍了公立医院通过横向联合、纵向合作等方式组建集团的基本情况。对公立医院集团发展取得的成效和存在的问题进行了分析．最后从政府和医院两个层面提出对策建议。强化政府规划，投入监管职能．规范公立医院集团化发展。如明确政府职责探索建立市级医院管理委员会，创新建立债效评价体系等。发挥公立医院自主创新作用，加快公立医院集团化发展，如完善管理集团组建方式，深化集团医院运行机制改革，塑造独特服务品牌等。公立医院实施集团化发展战略是顺应我们深化医药卫生体制改革新形式。运用市场环境等条件自我发展壮大的途径之一。

Situation Analysis and Countermeasures of Public Hospitals Collectivize Development in Hangzhou

Public hospitals＇ collectivize development in China has achieved certain progress, but for the tracking study of development of regional public hospitals collectivize. For example, Hangzhou is introduced by building cooperation group up, such as transverse joint and public hospital longitudinal. The basic situation of public hospital group development achievement and the existing problems are analyzed. Finally, some countermeasures and suggestions are put forward from two planes, which are the government and the hospital. It is suggested that the government functions of planning, input and super vision should be strengthened, such as clarifying government duty, exploring to establish muniapal hospital management council, and establishing performance and evaluation system innovative, etc. It is also proposed that the innovation of public hospitals should be taken into effect to quicken public hospitals＇ collectivize development, such as perfecting the management of group formulation, deepening the operation mechanism of public hospitals, and building special service brand, etc. Public hospitals＇ collectivize development is an important way of complying medical and health care reform, and developing by using market factors, etc.