| There are various problems in our country’s public hospitals.The most serious problem is “difficult to see a doctor and expensive to see a doctor”.There are numerous reasons for economic,managerial and humanistic reasons.However,in terms of the rule of law,the root cause is the incomplete corporate governance structure of public hospitals.To study the corporate governance structure of public hospitals,the main use of literature data and comparative research methods,put forward to improve the corporate governance structure: the concept can guide,predictable;the subject is clear and specific;the mechanism can effectively operate according to the law,system,industry,etc.;Lee has an organic unity;the process is transparent and there are results that are fruitful,based on evidence,unclear,and right and wrong.The results guarantee rights and responsibilities,and legal remedies are in place.The healthy development of public hospitals must have a sound corporate governance structure.The essence of this is to properly handle the relationship between supervision and hospitals,and to achieve the decisive role of the market’s “invisible hand” in the allocation of medical resources and the role of the government.It is to reform the corporate governance structure of public hospitals to achieve the original intention of setting up public hospitals.The first part briefly discusses the governance of public hospitals.The background of the topic selection,research significance,research methods and domestic and international research trends were summarized.Among them,through the introduction and comparison of the corporate governance structure of hospitals in the United States and the United Kingdom,they learn from each other,for example,the U.S.Medical Association’s system for identifying medical service numbers and the UK’s agent system for hierarchical diagnosis and treatment,effectively achieving separation of powers,checks and balances,and effective medical control.Expenses are worth learning from.Their introduction is more conducive to the accurate treatment of medical problems.The second part compares and discusses the modes,types,and characteristics of corporate governance in public hospitals.The constitution,criminal law,administrative law,and civil law have already had a clear certainty and clear positioning for the public hospital itself.The definition of law provides legal guidance for the study of corporate governance structure of public hospitals.At present,the corporate governance of public hospitals mainly includes the following types: public welfare corporate governance model;hospital governance dominated by hospital private non-profit charitable funds;and a board-type governance model,which consists of the establishment of a hospital-dominated hospital governance system consisting of individuals including hospitals;The governance model of the trusteeship system is governed by the hospitals hosted by hospitals outside the hospital;the president is responsible for the governance model and is governed by the hospital led by the dean under the leadership of the party committee.The four governance models have their merits.Based on the comparison of the four models,it is considered that the reform of the corporate governance structure of public hospitals must implement the concept of division of labor and constrains,achieve a reasonable structure,and divide the work and constraints of administrative management.It is also a division of medical practitioners including hospital doctors and other practitioners.Rights and checks and balances,on the basis of the balance of rights and power,realize legal person protection,effective governance,rational structure and purpose realization.The third part analyzes the problems and causes of the governance structure of public hospitals.In summary,although the types are different,the governance structure of public hospitals mainly has the following problems: At the establishment of the source,there are too many administrative licenses in public hospitals and too strict assessment of grades;the exercise of corporate rights,external multiple standards Moreover,it has been criticized;in the operation and operation of the practice,there is often a tension between the public welfare purpose and the profitable reality;the right relief is often limited and the legal relief channels are not smooth.The reason is nothing but the following: the management thinking is strong but the governance concept is insufficient;the main body of the governance has the imbalance of power(power)obligations and the failure of balance;the patient’s lack of material protection leads to the patient’s interests The supreme purpose is often due to the lack of rights of the patient to flow into the empty talk;Infringement of rights,there is a lack of awareness of rights and inappropriate choice of ways and means of the rule of law.The fourth part is to improve the countermeasures and thinking of corporate governance structure in public hospitals.Closely linked to the concept of governance,with a rational structure of governance system and governance capacity as the center,multi-party cooperation,co-development,co-governance and co-construction,supervision and control,sharing and sharing,and the protection of the rule of law.By introducing governance concepts,adding new governance subjects,absorbing the advantages of current hospital governance systems and the modernization capabilities of governance capabilities,strengthening the rule of law thinking,through factor innovation,structural innovation,optimizing the governance structure of public lawmakers,and building a new model of corporate governance structure in public hospitals: Under the leadership of the party committee,pluralism co-governs corporate governance structures.Implementing the governance structure of public hospitals means strengthening the governance of the source,minimizing administrative licensing matters and maximizing administrative supervision;emphasizing corporate governance of principals,effectively managing the organic unity of realizing responsibility and rights,and strengthening the practice of governance to serve the purpose of helping the wounded and the public.The purpose of the property is different in structure from inside and outside,and more attention is paid to the role and authority of the party committee,the president’s office,the employee representative meeting,the patient rights protection committee,the information specialist,the legal affairs committee,etc.,More emphasis on administrative supervision and hospital supervision,patient rights protection committees and other subjects of integration and cooperation,do not waive power to separate rights and interests,checks and balances do not plunge,to achieve a dynamic balance between the interests of hospitals and patients;strengthen the protection of rights and benefits,identify the actual needs,good The use of diversified dispute resolution mechanisms will enable the convergence and optimization of mediation,arbitration,administrative adjudication,administrative reconsideration,litigation,and other rule-of-law methods,practice governance according to law,and jointly promote the modernization of hospital governance. |