Study On Governance Mechanism Of Non-profit Medical Organizations In China

Since the 21st century,health service management has been becoming more challenging.In Chinese health affairs,regulation practice by government will transform into governance model gradually and realize from government to governance and from good government to good governance.As the main provider of public health service,non-profit hospitals play a key role in the transformation.According to modern non-profit organization governance,governance subjects should be plural and a good governance frame should be organized by different subject partnership.Therefore,based on organization theory and new public management concept,the governance frame of non-profit health insitutions refers to series of systems concluding goverance-structure-centered internal mechanism and plural-supervision-centered external machanism.Finally,the author tries to give a necessary frame in China.This paper consists of four parts:Part 1: basic theory about non-profit medical instition governance,such as the origin of non-profit organization,the connotation of governance under new public management context and the development of governance theory in different styles of organizations.From corporate governance structure to non-profit medical institution governance,the theory shows some new trend on the level of organization.Part 2: the policy background of national non-profit hospital's birth,that is classified management of medical organization.Within macro-ground of medical system reforming,this part analyzes the main content and essential significance of the classified management policy,and the conclusion of policy evaluation is that all of it hasn't reached expected effect.Part 3: the governance difficulties of national non-profit medical organization after the classified management policy implements,containing unsystematic internal governance and the lack of external governance.Part 4: a complete governance frame how to improve national non-profit medical organizations,series of systems concluded as goverance-structure-centered internal mechanism and plural-supervision-centered external machanism.Meanwhile,by using experience of health reform overseas as reference, this part provides some suggestions about further enforcement of this policy.