公立医院内部权力结构及运行机制研究
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摘要
各地在公立医院内部治理结构改革试点过程中尽管取得了不少值得肯定的经验,但在医院整体组织结构和权力结构及其运行机制方面缺乏创新,如何重组公立医院内部的权力结构,并在此基础上构建其运行机制需要从理论上加以厘清。文章对公立医院内部的权力生成机理进行阐述,分析其内部行政权力和学术权力之间的关系及其存在的问题,最后提出:一是重组医院的组织结构,以保障学术权力的相对独立性和自主性;二是适应知识经济发展的要求,实行分权化管理。
Although there are a lot of experience in internal governance structure reform in public hospitals in various regions,there lacks innovation in overall organization and power structure and operation mechanism. How to reconstruct the power structure of public hospitals and the operation mechanism based on this needs theoretical clarifying. The thesis illustrates the production mechanism of powers in public hospitals. It also analyzes the relationship and existing problems of the administrative and the academic power. At last,two main arguments are pointed out,including reconstructing the hospitals' organizational structures in order to ensure the independence and autonomy of the academic power; and conducting decentralization management to conform with the development of the knowledge-based economy.
Although there are a lot of experience in internal governance structure reform in public hospitals in various regions,there lacks innovation in overall organization and power structure and operation mechanism. How to reconstruct the power structure of public hospitals and the operation mechanism based on this needs theoretical clarifying. The thesis illustrates the production mechanism of powers in public hospitals. It also analyzes the relationship and existing problems of the administrative and the academic power. At last,two main arguments are pointed out,including reconstructing the hospitals' organizational structures in order to ensure the independence and autonomy of the academic power; and conducting decentralization management to conform with the development of the knowledge-based economy.
引文
[1]眭依凡.关于大学组织特性的理性思考[J].高等教育研究,2000(4):51.
[2]张康之,张乾友.公共行政学[M].北京:中国人民大学出版社,2015.
[3]莫于川.行政职权的行政法解析与建构[J].重庆社会科学,2004(1):74.
[4] W·理查德·斯格特.组织理论[M].黄洋,译.北京:华夏出版社,2002:144.
[5]周志宏.学术自由与大学法[M].台北:蔚理法律出版社,1989:181.
[6]伯顿·克拉克.高等教育系统——学术组织的跨国研究[M].王承绪,徐辉,殷企平,等,译.杭州:杭州大学出版社,1994:128,174.
[7]李莎.世界医学教育圣地——美国约翰·霍普金斯大学[J].教育与职业,2015(2):96.
[8]季洪涛.大学学术权力研究[D].长春:吉林大学,2012:18.
[9]周永坤.权力结构模式与宪政[J].中国法学,2005(6):5-6.
[10]陈国权,黄振威.论权力结构的转型:从集权到制约[J].经济社会体制比较,2011(3):102-107.
[11]赵俊芳.论大学学术权力——教育政治学的研究视角[D].长春:吉林大学,2006:68.
[12]丹尼斯·朗.权力论[M].陆震纶,郑明哲,译.北京:中国社会科学出版社,2001:65.
[13]孟德斯鸠.论法的精神[M].张雁深,译.北京:商务印书馆,1987:154.
[2]张康之,张乾友.公共行政学[M].北京:中国人民大学出版社,2015.
[3]莫于川.行政职权的行政法解析与建构[J].重庆社会科学,2004(1):74.
[4] W·理查德·斯格特.组织理论[M].黄洋,译.北京:华夏出版社,2002:144.
[5]周志宏.学术自由与大学法[M].台北:蔚理法律出版社,1989:181.
[6]伯顿·克拉克.高等教育系统——学术组织的跨国研究[M].王承绪,徐辉,殷企平,等,译.杭州:杭州大学出版社,1994:128,174.
[7]李莎.世界医学教育圣地——美国约翰·霍普金斯大学[J].教育与职业,2015(2):96.
[8]季洪涛.大学学术权力研究[D].长春:吉林大学,2012:18.
[9]周永坤.权力结构模式与宪政[J].中国法学,2005(6):5-6.
[10]陈国权,黄振威.论权力结构的转型:从集权到制约[J].经济社会体制比较,2011(3):102-107.
[11]赵俊芳.论大学学术权力——教育政治学的研究视角[D].长春:吉林大学,2006:68.
[12]丹尼斯·朗.权力论[M].陆震纶,郑明哲,译.北京:中国社会科学出版社,2001:65.
[13]孟德斯鸠.论法的精神[M].张雁深,译.北京:商务印书馆,1987:154.