From seeking medical advice, do medicine, is in charge of curing the angle, look forward to the new mode that the public hospital reform brings
The public hospital reform is a focal point of the new medical reform, it is the difficult point too, its success or failure concerns the succeeding or not of the whole new medical reform, if the starting point of the medical reform is to solve a patient " It is expensive, difficult to see the doctor to see the doctor " Question and their system foundation, undoubtedly the subversion in such aspects as property right, corporate governance structure, operating mechanism, management system of public hospital is reformed to cure and make into the key frustrated. Published in the 10th periodical of magazine of " Chinese hospital " " Sociology of the process of reform of public hospital is analyzed " In the article, the new mode that the market second directors of people apt favourable China in Wuxi brings after the author succeed in to the public hospital reform from seeking medical advice, do medicine, is in charge of three angles of medicine does a prospect, produce reason, do, dissect thoroughly too to it at the same time, as to explore public the intersection of hospital and reform and the intersection of hospital and management innovation move towards further. The author points out, " public beneficial " of the public hospital Not merely lie in the price level that the patient sees the doctor, lie in even more who pays. The government pays, reflect and strengthen " public beneficial "ly ; The patient takes care of oneself for the main fact, " public beneficial " Weaken. " the difficulty and high cost of getting medical treatment " at present Subject problem lie in patient take care of oneself fee use high,different levels be lasted disparity grade hospitalization cost. The crux of this question is suffering from the side, but the system question of lying in running in the hospital either mainly. The government should replenish enough medical treatment, the ones that reduced a patient and diagnosed the illness paid the proportion for itself, reflect the difference of medical care of different levels at the same time. Our country has public hospital huge teams now, the structure is complicated, although are all public, but situations are different. Through the public hospital reform, the ones that should be set up in pluralism do and cure the mode newly, it is to set up the corporate governance structure based on modern hospital system that the future public hospital is in charge of curing the mode. It solves the present public hospital and " makes the investment, makes policy, manages the subject indeterminately to set up the modern hospital system with clear property right, government, hospital duty misplace, offside " Wait for the only way of the question, it is the inevitable requirement of the system reform of the hygiene at the same time. The corporate governance structure is the most central organization's framework in the modern hospital system, solve wanted it the intersection of owner and relation with the operator's commission and agency, it is the right of owner and operator that disposes the pattern, it is the arrangement regarding institutionalized in government, public hospital and the public hospital administrator's duties, rights and obligations.
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