The Reform Of China’s County Level Public Hospital Corporate Governance Structure

Public hospitals under the county level are the public sector under the administrative departments of public health, and the current management model is a typical administrative governance model. This kind of administrative pattern, its main characteristic is the public hospital hospital president does not have the management authority and the control, the hospital specific decision-making must obey the administrative system decision-making, the hospital management personnel by the government administration appointed, the government allocates medical resources of the motive not from the actual needs, and according to the administrative task to develop the hospital in public health, safety production, family planning and other administrative target. Such administrative goal is mostly qualitative target, for hospital managers lack performance benchmark of incentive and restraint mechanisms, resulting in public hospitals to provide medical services in the hospital market with monopoly advantage, public hospitals overall operating efficiency is not high and demand of patients with widespread low reaction. Many local practices show that the rationality and effectiveness of hospital corporate governance structure has a profound impact on improving the comprehensive performance of public hospitals in the county. At present, the most important measure is to deepen the reform of the medical and health system, and the most important measure is how to effectively promote the reform of corporate governance structure in the hospital management system. From the beginning of 2011, National Guard meter Planning Commission in the country to carry out to the county public hospital comprehensive reform as the focus of health care reform, and the reform of public hospitals at the county level management mechanism reform as a breakthrough, improve public hospital corporate governance structure, establish the decision-making, executive and supervision in each division, mutual restriction of rights operation mechanism, reasonable definition of the government and the public hospitals in the assets, personnel, financial and other aspects of the relationship between rights and responsibilities, implement the county hospital as an independent legal entity and independent management in the establishment of modern hospital management system.Shishi in the aspects of hospital management mechanism of county level public hospital, explore the implementation of the reform of hospital corporate governance structure, this paper is to explore the practice of Shishi and based on the public administration theory, the application of Shishi county public hospital corporate governance structure are summarized. From the theoretical point of view, effectively complement the existing literatures and related policies on the basic concept and connotation of hospital corporate governance structure, put forward the public hospital corporate governance structure in order to reflect the government public function and purpose, a modern hospital management system about the government, hospitals, patients, hospital managers and other stakeholders. From the practical sense, the lions will corporate governance structure used in the reform of the management mechanism of public hospitals, the establishment of the Management Committee of public hospital reform(hereinafter referred to as the "committee"), as a government funded, the centralized organization, propaganda, economic, financial, health and human service department of the medical office duties, responsible for state-owned assets in public hospitals the management, financial supervision, public welfare index assessment, the appointment of dean. The implementation of president responsibility system under the leadership of the CMC, the president of the appointment system, annual salary system and the annual target responsibility system, clear the Dean right of management in the organization, personnel, assets purchase etc.. The establishment of the third party supervision mechanism, so as to improve the operational efficiency of public hospitals, to ensure the realization of public interest objectives, provides a template for the reform of the management mechanism reform of public hospitals at County level.