The Analysis On The Institutional Reform Of Management Of The Public Hospital In China

With our country, the pace of reform and opening up successive steps is accelerated. Chinese economy develops in course of swiftly and violently forward. Living standard of the people improves to some extent also with that. Changing that rise and the disease compose unceasingly, the need that the people serves to medical treatment being accompanying the people living standard also display put up diversity and many arrangement of ideas. But because of the public hospital of our country does not have the management way that shaking off original planned economy completely falling behind, system contradiction and structure contradiction that the long range accumulates are day by day outstanding. It is running poor efficiency, scientific research is backward in technique, the attitude in waiting on guests is bad, the price of medicines is expensive and so on. Since those problems, public hospitals already have no way to satisfy the people's gradually growing health serves need. Having reformed and started new aspect, but reformation is really not easy, the government function does not change, Property Right's vague is still in existence, and existence the unreasonable operating mechanism and entire medical security of mechanism system overall situation even gravely. The main body of a book is moved towards the theory analysis to start from the Property Right, analyzing the problems of management institutional reform and the way solving of our public hospital. The article is divided into five parts totally:Firstly, Our country public hospital management institutional reform's history and importance. To be studying a problem, to be going to make it's clear first nature, develop process and the significance of study. Contain content three aspects according to this one train of thought. The first, fundamental connotation of the public hospital management institutional reform. By summarizing the connotation of the public hospital and it's management institution respectively, sum up out public hospital management institutional reform's nature need to change the available public hospital system pattern now, building clearly property right, well defined power and responsibility, separation of enterprise from administration, science's management, shows solicitude for social benefits especially while ensuring that the economic effect increases by. Secondly, changes of our country's public hospital management system. Having introduced the period of rapid economic growth management system changes after our country's public hospital arrives at the nineties from planned economy to reform and openness initial stage. Third, the importance of our public hospital management institutional reform. It can be said that the management of our country public hospital institutional reform has important significance to the stability promoting development of socialist market economy and ensuring socialist democracy society.Secondly, the theoretical analysis that our public hospital management system and operating mechanism reforms. This part discusses the basis of theoretical that our public hospital institutional reform carrying out and the rationale that operating mechanism reforms. Theoretical analysis first, carrying out property right of public hospital management institutional reform. The theory contrast studies by the fact that property right in economics reasons of west with Marxism property right, summarizing that the property right basic defines and important function in reasoning with in public hospital management institutional reform. Secondly, carry out theoretical analysis of income and distribution in public hospital management institutional reform. In the same way, compare by theory of income and distribution in west economics and Marxism theory of income and distribution being carried out, explain that our public hospital ought to increase income and distribution system reform momentum, achieve indeed will combine remuneration according to work and remuneration according to factors of production put in, build new post payment system, increase the distance between the income gap, improve the ratio of resource assignment and the utilization. Third, analyses public hospital operating mechanism. Explain an impact of public hospital operating mechanism over management system.The third part is summing up the experience drawing lessons with abroad hospital management. According to the author's research train of thought, the property order to introduce property right reform abroad first. Introducing USA, United Kingdom and hospital of Singapore's property right reform process respectively. Proceed to the next step by studying at present this three country hospitals managing current situation, carries out a summary on the advanced experience, includes content in three aspects. Firstly, reduces working cost, carry out the property right order reformation, alter the functions of the government. Second, reduces medical treatment service charge, leads into market mechanism. Third, changes operating mechanism and improves it's efficiency.The fourth part mainly discussed the primal problem that there exists in public hospital management institutional reform. In excessiveness transforming period from planned economy to marketplace economic system, reform of the public hospital system exactly also in acting in responses. But there are many difficulties. Firstly, the government function can not still change at all to be reforming a frontage. The country is still holding the post of the role "who runs a hospital ". Public hospital property right order is not clear second. This leads to public hospital lost autonomy right in management, financing mechanism is unitary, short of the consciousness competing. Third, not with the operating mechanism that adapts to management institution and business efficiency low. If in the process of institutional reform, the operating mechanism still continuing to use the tradition ossification, will certainly delay the reforming step, fetters and handcuffs in forming an institutional reform. Fourth, medical security system does not improve and perfect. Society medical security is the major premise that the entire public hospital reforms and developing. The outside environment of hospital reforms being short of stability, this will be reformed the difficulty bringing about a maximum difficulty if the social security system does not improve and perfect.In the last part, I propound the path to deepen our country public hospital management institutional reform suggestion further. Several suggestion as following suggest that by the fact that analysis: Firstly, alter the functions of the government further. Change from "running a hospital " to "managing a hospital ". Second, builds limpid property right order clear and definite. Property right order reforms the key being a public hospital management institutional reform. building the clearly established ownership management system is that basic of the public hospital demand. Third, builds the operating mechanism fitting in with the institutional reform. Fourth, improve our country medical security system further. Perfect medical security of our country system, also can make hospital operating mechanism reformation develop rapidly. Adapting to a comparatively stable outside environment, improve it's operates efficiency, provides broader health and medical to society and promote our socialist society health to develop forward stable.