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A Research On The Role Of Government In Chinese Public Hospital Management

Posted on:2014-12-04Degree:MasterType:Thesis
Country:ChinaCandidate:G B WangFull Text:PDF
GTID:2296330425978589Subject:Administrative Management
Abstract/Summary:PDF Full Text Request
Public hospitals, as a subject of our health care system, are entrusted with theprovision of basic health services, meeting the public health needs of responsibility.Public hospitals’ function and positioning is to realize public interest and implementsocial responsibilities. To this end, the current "New medical reform" and the reformof public hospitals put forward the general objective of sticking to public interest forpublic hospitals, which also specified the role position of Government in themanagement of public hospitals.After the founding of new China, along with time change, the development ofpublic hospitals and the role of government in public hospital management haveexperienced a series of evolution. In the socialist revolution and construction period,under the highly centralized planned economic system, Government excessivelyintervened in public hospitals’ micro-operation and development and served as"omnipotent Government" role, making public hospitals relatively slow and backwardas a whole; In the early reform and opening-up period, the government open to publichospital stimulates and mainly played the role of\"decentralization\", which promotedpublic hospitals achieved rapid development; In the market-oriented reform period,with the market-oriented reform of public hospital, the government played as the\"decentralization\" and lack of supervision in public hospitals, leading to a lot ofproblems in the process of public hospitals’ development, especially the problem of\"difficulty and high cost of the doctor\" and lack of the commonweal, therefore, since2003, the government has promoted a new round of medical and health system reform,in2009,\"new medical reform\" put into effect, and in2010, to begin a new round ofreform of public hospitals, local governments have a lot of new changes, so publichospitals usher in a new development opportunity.Through in-depth study and analysis of public hospital development and thechange of Government’s role, we can find there is a prominent Government"absence"\"dislocation" and "offside" in the management of public hospitals. Theseproblems arise from various factors, the government must deeply analyze the reasonsbehind, in order to make up for the shortcomings of its own role, reasonable locationof Government’s role to explore appropriate and effective public hospital managementmodel. The current government management of public hospitals,both cannot returned toplanned era "Almighty Government" of old road, also cannot played the role ofmarket reform period’"excessive decentralization ". Based on the state of the union,in reference both at home and abroad useful experience, for public hospitalmanagement in the Government exists of problem, we should focus on strengthenedgovernment functions, increase government regulation and hold in public hospital,strong guaranteeing public hospitals’ commonweal, while in hospital internalreasonable play market mechanism of role, moderate decentralization, and enhanceinternal vitality. Maintain the combination of effective supervision and appropriatedecentralization, the harmonization of public interest and enthusiasm in order toachieve "the active commonweal ".All in all, under the background of new medical reform, the Government shoulddefine the specific content of public hospitals’ commonweal, effectively enforce thefunctions of the government in public hospitals, establish internal managementmechanism according with public benefit, and promote improvement of socialgovernance in public hospitals system. On specific run duties, the government can actas the funder of financial support to public hospitals, the regulator of public hospitals’operation and development, the grantee of public hospital independent of choose andemploy persons, inspirer of public hospitals’ income distribution, coordinator of thedoctor-patient relationship, the builder of public hospital legal system, the breeder ofcommonweal culture, and the guider of public hospitals’ social governance, a total ofeight roles, through the above efforts to build Chinese characteristics public hospitalmanagement mode, to promote better public interest of public hospitals and theimplementation of social responsibility.Of course, all over our country is different, so the government should be basedon local circumstances to explore "the localization" of appropriate public hospitalmanagement model in order to better achieve the objectives of public hospitalmanagement.
Keywords/Search Tags:public hospital, the public interest, new medical reform, Chinesecharacteristics, the Role of government
PDF Full Text Request
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