Study On Operational Mechanism About Strengthening The Public Welfare In Public Hospitals

The public hospital is that the government or society organizes other for societypublic good purpose, the capital making use of state-owned assets or society is held,can be brought into the hospital that the financial budget manages. Talk from the mainbody on the attribute, public hospital dispute sex institution making profit, be bothhygiene cause public good practitioner and, the provider that public good serves, bearsociety function providing impartial, effective health and medical community servicefor the broad masses of the people. Building-up accompanying our countrymarketplace economic system since the reform and openness, medical treatment isserved becoming market-oriented inclining to be outstanding. Face the deficiency thatthe government throws into under the public hospital being driven in reformation tide,as well as the inside stimulates the machine-made request, be ask for survival andkeep a foothold on medical treatment marketplace, the idea "managing" occupiesadvantage, the improvement of economic results becomes the first target, medicaltreatment serves public good border-rization, lead to introductory medical treatmentmarketplace nothing competition."See a doctor difficult "to see a doctor " expensive "already have become a people unbearable that has been painful, has touched thehealth and medical community administrative department also deeply. In recent yearsthe medical treatment institutional reform, also looks on public hospital reformationas priority, fail to form the comparatively mature public hospital reformation schemebut so far. Both need to emphasize public good, and bring the enthusiasm into play;The person takes making profit as purpose now that the block of wood is allowable,will again the person has improved the utilization ratio that limited finance throwsinto, the director indeed has brought forward a difficult problem to the public hospital.Simultaneous how to being insisting on public hospital public good, realizessustainable development of the public hospital, not only being a director and problemof the public hospital. The main body of a book being guided by the medical reformcurrently in effect spirit, from fundamental public good connotation and epitaxial discussion are point of penetration, the current situation specifically for our countrypublic hospital public good hiatus, analyses it’s behaviour and cause on the basismaking the public hospital public good category clear, suggest that the perfect publichospital runs machine-made several measure, aims at providing the theory basisdrawing lessons to the medical reform but giving supplies to ultimately.Part I, the concept having discussed public hospital public good’s and theiroperating mechanism design philosophy, thinks that public good of the public hospitalis that what be had takes improving national health as purpose under effectiveguarantee in the government public hospital and standard mechanism, to providefairness, but reach, high-effect, proper health and medical community service is ameans, takes making profit as purpose and concentrates efforts on the fundamentalcharacter satisfying entire crowd’s healthy need, improving social benefits. Publicgood of the public hospital is embodied in: The health and medical communityservice providing fundamental hygiene service, bearing unexpected nature publichealth event, provides medical treatment and charitable service of hygiene, bearsmedical treatment technological innovation and aspect such as new techniqueextension and medical science teaching research. Structure public hospital publicgood operating mechanism needing to take that the Central Committee of theCommunist Party of China, State Council’s document about public hospitalreformation are vigorous as direction, strengthen public good and arouse enthusiasmfirst, second giving consideration to both.Part II, it has examined working public hospital public good current situation,has developed and analysis to the factor analysis restricting public good, has thoughtthat our country public hospital holds all the trumps not only everywhere on quantity,the technology is advanced, the profitability far exceeds and the people camp medicalestablishment, can’t stay in position important, it’s public good function bringsnegative ultimate liability of our country medical treatment service have problem intoplay out not yet, the public hospital responds to but comparing with position gotalong by it. Behaviour that public hospital public good weakens: The public hospital"fosters medicine phenomenon with medicine" the medical personnel recieve patient "red-paper-packed money" with "discount" of medicine company, heavy economybenefit make light of service quality gravely,;"Difficult to see a doctor, see a doctorexpensive " be that a universal phenomenon, medicine trouble concern tension,medical malpractice is ceaseless, the hospital believes the hiatus, excessive medicaltreatment of guidance really, the hospital directs on the unexpected event reflect alow grade. The cause bringing about the public hospital public good hiatus is indeedthat there exists the problem in operating mechanism, macroscopic policy guiding isinclined to become market-oriented operation of encouragement medicalestablishment, the tube handles macro-control system going ahead not dividing,government affairs makes no difference of, is short of the mechanism checkingsupervision. Internal operating mechanism of public hospital have problem is more,hospital reformation and the financing developing beneficial to not building up intime are machine-made, fund usage way is unreasonable, the excitation ismachine-made improper, and so on.Part III, it has the pertinency field to have suggested that perfect public hospitalpublic good runs machine-made idea, point out heavy structure macroscopic publichospital management system, classify and managing to public hospital effectuation,the hospital of all kinds bears different public good medical treatment servicerespectively; The organization that the public hospital asks to build science governsmechanism, perfects corporate management structure, decision-making mechanismof innovative public hospital, to make clear that right duty, rise run efficiency; Thegovernment who perfects a public hospital throws into and compensates mechanism,improve the availability factor that common medical treatment throws into; Financialcontrol of standard public hospital mechanism, blocks up the fund leak, guardsagainst a dissipation; The assignment reforming a public hospital is machine-made,effectuation post achievement imitates assignment system of integration of wagesystem with annual salary system, enthusiasm arousing the director and the employee;The centering on patient long building-up effect manages mechanism, optimizesservice technological process, standardize with medicine, examination and medicaltreatment behavior. Abide by "people-oriented " principle, everything takes the patient into consideration, take patient right as one’s own post. Need to be ready forcharitable medical treatment service, the favor and the difficult patient group, exemptand reduce a project in order the difficult group sets up service; Building-up publichospital public good checks supervision mechanism, structure public hospital publicgood valuation system, if science valuation public hospital have realized public goodand realization degree. Need to improve supervision mechanism at the same time,perfect the government and society check supervision of the public hospitalmechanism, under the supervision placing activity of the public hospital in entiresociety, ensure that it’s high limit field bears up common medical treatmentcommunity responsibility.