The Research Of Hospital Trusteeship Mode In Shanghai Outer Suburbs

Medical and health care is to protect human health,benefit the people's cause,the relationship between economic development and social stability of the overall situation,plays an irreplaceable role.In our country "difficult and expensive to see a doctor" has become a hot issue of the broad masses of the people concerned,and this problem is produced between the people's growing demand for health and overall health care resources is insufficient and uneven allocation between closely related,widespread in the country is not balanced allocation of medical resources.Shanghai city as one of the large domestic medical resources enrichment is inevitable,especially in the suburban areas,municipal premises without three level hospitals in the region,the local people are ignoring the disease treatment in the city center three order of priority,hospitals,further exacerbating the downtown three hospital difficult and the excessive use of medical quality the problem of resources,and the two level a deserted house,the local hospital operating difficulties,serious waste of medical resources.In 2010,the former Ministry of Health issued the document No.[2010]20 "on public hospital reform pilot guidance",the main content of the "pilot's perfect service system" put forward a public hospital,"through cooperation and trust,restructuring,promote the rational allocation of medical resources",which is hosted by the hospital is a convenient to achieve high quality resources to sink.The hospital managed to hospital ownership and management of the appropriate segmentation,the property owner will be legal or natural person the right to operate the hospital has been entrusted to the contract form has certain management ability and can bear the corresponding rights and obligations or to risk management.Can be entrusted to a certain professional medical management background of the group or company management,can also be entrusted to a certain technology,brand effect and management advantages of large public hospitals take over.Through the signing of the contract,the trustee manages and manages the assets of the trustee,to realize the optimization of the assets of the trusteeship hospital,so as to realize the value of the custody of the hospital.In this paper,in the process of writing,the author combined with their actual work,extensive investigation,serious thinking,and the case of the hospital two custody of the relevant indicators of information for a full grasp.Because of the large amount of information obtained through first-hand information,and is the actual two managed mode in the process of the existing problems are discussed based on the research,this paper has strong empirical,exercisable by the conclusions and suggestions.The purpose of this paper is based on theoretical discussion and case analysis,to provide suggestions for problems trusteeship suburb of Shanghai city public hospitals,so as to further enhance the managed suburb public hospital overall effect and the optimal allocation of medical resources.This paper mainly discusses from four chapters.The first chapter of the thesis research object defines the concepts such as the Shanghai City suburb,public hospital,hospital trusteeship,theoretical basis and analysis of hospital trusteeship,pointed out that many foreign forming theory and diverse,sophisticated analytical tools,for our hospital trusteeship process provides a strong theoretical support,but to so far,foreign and have not formed the trusteeship system and universal hospital formulary.It also reminded in China in the process of deepening reform,if you want to go the hospital hosting this way,it must be according to local conditions,profound grasp the characteristics of China medical industry,a comprehensive understanding of the dual hospital trusteeship,attaches great importance to the scientific and public hospital trusteeship,only in this way,the reform will be more smooth,will succeed.The second chapter analyzes the present situation of public hospital in Shanghai City suburb by population density,the financial allocation mode,high-quality medical resources allocation,recruitment and loss of the situation,Shanghai suburb public hospitals as convenience is not as good as first level hospitals,the overall strength of less than third level hospitals,was gradually neglected in the first choice of people outside the scope,and gradually become unfit for a higher post but unwilling to take a lower one on the special group\,and hospital trusteeship may be one of the ways to change this situation,at the same time hosting the existing mode of Hospital of Shanghai City Office separation trusteeship mode for business trusteeship,helping of trusteeship,and carries on the elaboration,pointed out the characteristics of each managed mode,but for living in the suburbs the public hospital,not the best managed mode,only the most fit the trusteeship and management of the medical center because of Shen Kang The hospital are all three hospitals in Shanghai suburbs,such hospitals are scarce,it is not within the scope of this paper.The third chapter of the case hospital has experienced level of operating mode and mode of helping managed situation from managed hosting,hosting parties overview before situation,objectives,principles,managed hosting,hosting hosting measures are described,then the two managed differentiation analysis,the effect of hosting(service number,service quality and service efficiency the financial situation,comparative analysis,in the paper)certainly two managed mode to be managed have turn at the same time,there are some differences,such as the operation of the trusteeship mode more emphasis on profit,to obtain the relevant management returns through the overall strength of ascension is hosting party at the same time;to promote the development of helping more managed mode the emphasis on public service and health care throughout the region.The premise of successful business model is hosted and managed by hosting a win-win between the parties,but for the welfare of the hospital did not consider much;and helping of trusteeship in improving the level of medical services is hosting party and pay more attention to improve the service efficiency and is hosting party adhere to the public hospital,at the same time as the advantages of location,is managed and hosted between seamless more closely,the release of further help hosting dividend.The fourth chapter is the dilemma facing public suburban district hospital of Shanghai city hospital in the case with some measures from the government level,local government support,allocated special funds,strengthen the construction of information and material aid;trust level is clear by the hospital trusteeship market positioning and dispatch management effectively,implement flexible talent flow mechanism to strengthen the cultural depth of integration;is hosting party level: to strengthen the ideological guidance,strengthen the focus on staff training,training to increase hospital propaganda put forward relevant suggestions on trust mode.