Public Hospitals With Public Welfare Oriented Compensation Mechanism Research

In China，all public hospital are run by the state. And they should hold theprinciple of public service and not-for-profit.But in today’s society,"medicaltreatment is difficult, expensive medical treatment," but the increasing demands.In the eyes of many people in public hospitals are gradually losing its public welfare.Many hospital managers talk about such issues, however, most of this comes down tothe government medical service charges pricing unreasonable compensation mechanismis not in place, the public hospitals are often difficult to balance the socialresponsibility, the development of this patient safety and hospital survival Therelationship between the three. China’s "medical separation" reform explore pathsaround a lot, but the reform of the yaoyangyi little effect. Start from the premiseof "medical separation" of12of the Shanghai municipal general hospitals of theirfinancial data, cost accounting data and internal performance data analysis.In-depth study of the financial assistance of the Government of the large publichospitals, costing, performance appraisal, the compensation made by the hospitalsto provide medical services and medicines income compensation and other aspects ofthe problem, try to establish a national nonprofit public hospitals orientedcompensation mechanisms.The main contents are as follows: the first part of the introduction introducesthe research background, the purpose and significance of research methods and thebasic structure and the innovation of this study. The main disadvantage of the secondpart of the study of large public hospital compensation mechanism, as well as theimpact of the mechanism of the hospital medical behavior and internal incentivecompensation mechanism of simultaneous contrast of public hospitals abroad on thecurrent compensation mechanism. The third part, the study is in order to ensure the public welfare of the public hospitals. The implementation of the Dean of performanceappraisal level hospitals, Shanghai Medicare assessment methods for the specificcase of role and drawbacks of these assessment measures. The fourth part of thestakeholders before and after the game pharmaceutical separate drugs supply anddemand balance established mathematical model, using mathematical models to provethe specific impact of medical separation of drug supply and demand balance, inparticular, there are the Medicare conditions under the impact. Also analyzed themedicine after the separation of the high levels of physician incentives, andpharmaceutical separate reform path, including the specific principles and meansof compensation. Each of the five parts try to build a separate medicine for thepremise of performance-oriented compensation mechanism of public hospitals,hospital limited financial ability to compensate completely balanced socialresponsibility by virtue of this mechanism can make patient safety and hospitalsurvival and development of three those relations, public hospitals should alwaysmaintain the public welfare. Part VI is a summary. Summary This paper main ideasand content, the proposed research inadequacies and future research direction.