基于院长负责制的公立医院治理结构研究

通过对温州市公立医院治理结构实施现状的研究,指出现行公立医院治理结构缺陷成因包括三权制衡难以有效实施、院长权力的绝对性与局限性、院长负责制的家长制倾向;并对理事会领导下的院长负责制进行充分论证,认为公立医院治理结构的改革是个持续完善的过程,有效的激励、监督和竞争机制对提高医院运营效率有着重要的意义.

Abstract：

This paper studied the present governance practice in public hospitals in Wenzhou,Zhejiang province. Points made in the paper cover the following: failure of the check-and-balance of the three powers due to defects of the existing governance mechanism of public hospitals, absolute power and limitation of the hospital director as well as the patriarchal tendency of the director responsibility system.The author also demonstrated the director responsibility system under the board of directors, holding that the reform of the public hospital governance is a process of ongoing improvements, for which the mechanism of effective incentives, supervision and competition mechanism plays a key role for efficient hospital operations.

Public hospital governance under the director responsibility system

This paper studied the present governance practice in public hospitals in Wenzhou,Zhejiang province. Points made in the paper cover the following: failure of the check-and-balance of the three powers due to defects of the existing governance mechanism of public hospitals, absolute power and limitation of the hospital director as well as the patriarchal tendency of the director responsibility system.The author also demonstrated the director responsibility system under the board of directors, holding that the reform of the public hospital governance is a process of ongoing improvements, for which the mechanism of effective incentives, supervision and competition mechanism plays a key role for efficient hospital operations.