健康中国战略背景下公立医院管理系统创新
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摘要
为了更好推动实施"健康中国"战略,推动公立医院系统管理创新,可以从医疗服务供给模式、公立医院协同治理设计以及公立医院内部管理体系等方面,探索能满足新时代人民群众需求的、现代化的公立医院管理制度。公立医院应在整合医疗中起引领作用,推动公立和私立医院向"功能型整合"的方向跨越;构建以"多利益相关方"为特点的协同治理平台;创新医院内部的高绩效管理系统,打造三个中心:临床治理、医疗服务保障、患者管理与创新。
In order to enhance a better implementation of the "Healthy China" strategy,this study aims to explore a modern management system of public hospitals to meet the needs of the society in the new era of China.We explore the innovative management system from three aspects:changing the medical service supply system,building collaborative governance platform of public hospitals,and redesigning internal management system of public hospitals.We propose that public hospitals should play a leading role in the integration of public and private medical services;building a "multi-stakeholder" public hospital collaborative governance platform to meet multiple goals;redesigning the high performance management system of public hospitals by establishing three management centers:clinical treatment governance center,medical technique and support center,as well as patient management and innovation center.
In order to enhance a better implementation of the "Healthy China" strategy,this study aims to explore a modern management system of public hospitals to meet the needs of the society in the new era of China.We explore the innovative management system from three aspects:changing the medical service supply system,building collaborative governance platform of public hospitals,and redesigning internal management system of public hospitals.We propose that public hospitals should play a leading role in the integration of public and private medical services;building a "multi-stakeholder" public hospital collaborative governance platform to meet multiple goals;redesigning the high performance management system of public hospitals by establishing three management centers:clinical treatment governance center,medical technique and support center,as well as patient management and innovation center.
引文
(1)《习近平在全国卫生与健康大会上强调把人民健康放在优先发展的战略地位努力全方位全周期保障人民健康》,见http://www.gov.cn/xinwen/2016-8/20/content.5101024.htm。
(2)习近平:《决胜全面建成小康社会夺取新时代中国特色社会主义伟大胜利---在中国共产党第十九次全国代表大会上的报告》,48页,北京,人民出版社,2017。
(3)饶克勤:《健康中国战略与分级诊疗制度建设》,载《卫生经济研究》,2018(1)。
(1)习近平:《决胜全面建成小康社会夺取新时代中国特色社会主义伟大胜利---在中国共产党第十九次全国代表大会上的报告》,北京,人民出版社,2017。
(2)胡善联:《论中国卫生与健康的价值观》,载《卫生软科学》,2018(1)。
(1)《习近平在全国卫生与健康大会上强调把人民健康放在优先发展的战略地位努力全方位全周期保障人民健康》,见http://www.gov.cn/xinwen/2016-8/20/content.5101024.htm。
(2)国家卫生和计划生育委员会:《2017中国卫生和计划生育统计年鉴》,40页,北京,中国协和医科大学出版社,2017。
(3)徐江荣、郭化山、乌建平:《专科层次的全科医学教育与国情》,载《中国全科医学》,2011(14)。
(4)饶克勤:《健康中国战略与分级诊疗制度建设》,载《卫生经济研究》,2018(1)。
(5)李志荣、魏仁敏、徐媛、张辉、张敏:《供给侧视角下的分级诊疗制度探讨》,载《中国卫生经济》,2018(2)。
(1)W.N.Leutz.“Five Laws for Integrating Medical and Social Services:Lessons from the United States and the United Kingdom”.Milbank Quarterly,1999(77):77-110.
(1)钟东波:《公立医院治理模式改革的国际经验和趋势》,载《中国机构改革和管理》,2016(7)。
(2)A.Barnes,L.Unruh,A.Chukmaitov,&E.Van Ginneken.“Accountable Care Organizations in the USA:Types,Developments and Challenges”.Health Policy,2014(118):1-7.
(3)F.Greaves,et al.“Evaluation of Complex Integrated Care Programmes:the Approach in North West London”.International Journal of Integrated Care,2013(13):1-10.
(4)J.M.McWilliams,B.Landon,M.Chernew,&A.Zaslavsky.“Changes in Patients'Experiences in Medicare Accountable Care Organizations”.The New England Journal of Medicine,2014(371):1715-1724.
(5)W.Tang,X.Sun,Y.Zhang,T.Ye,&L.Zhang.“How to Build and Evaluate an Integrated Health Care System for Chronic Patients:Study Design of a Clustered Randomized Controlled Trial in Rural China”.International Journal of Integrated Care,2015(15):1-17.
(6)蔡立辉:《分层次、多元化、竞争式:我国医疗卫生服务的公共管理改革》,载《中国人民大学学报》,2010(1)。
(1)饶克勤:《建设符合我国国情的现代医院管理制度研究》,载《中华医院管理杂志》,2016(10)。
(2)G.H.Yan,&Y.P.Liu.“Reforms and Innovations of Human Resource Management in Public Hospitals”.Journal of Medical Treatments in China and Foreign Countries,2012(3):144-145.
(3)B.E.Becker,&M.A.Huselid.“Strategic Human Resources Management:Where Do We Go from Here?”Journal of Management,2006(32):898-925.
(4)C.Chadwick.“Theoretic Insights on the Nature of Performance Synergies in Human Resource Systems:Toward Greater Precision”.Human Resource Management Review,2010(20):85-101.
(5)T.Rabl,M.Jayasinghe,B.Gerhart,&T.Kühlmann.“A Meta-Analysis of Country Differences in the High-Performance Work System-usiness Performance Relationship:The Roles of National Culture and Managerial Discretion”.Journal of Applied Psychology,2014(99):1011-1041.
(6)H.Liao,K.Toya,D.P.Lepak,&Y.Hong.“Do They See Eye to Eye?Management and Employee Perspectives of High-performance Work Systems and Influence Processes on Service Quality”.Journal of Applied Psychology,2009(94):371-391.
(1)G.J.B.Probst,&P.Gomez.“Die Methodik des Vernetzten Denkens zur Loesung Komplexer Probleme”.In G.J.B.Probst&P.Gomez(eds.).Vernetztes Denken-Ganzheitliches Fuehren in der Praxis.Bern:Haupt Verlag.1991.
(2)D.D'Amour,M.Ferrada-Videla,L.S.M.Rodriguez,&M.D.Beaulieu.“The Conceptual Basis for Interprofessional Collaboration:Core Concepts and Theoretical Frameworks”.Journal of Interprofessional Care,2005(1):116-131.
(3)《中共中央国务院印发〈“健康中国2030”规划细要〉》,见http://www.gov.cn/zhengce/2016-10/25/content_5124174.htm。
(1)A.E.Anker,A.M.Reinhart,&T.H.Feeley.“Health Information Seeking:A Review of Measures and Methods”.Patient Educ Couns,2011(82):346-354.
(2)D.E.Brashers,D.J.,Goldsmith,E.Hsieh.“Information Seeking and Avoiding in Health Contexts”.Hum Commun Res,2002(28):258-271.
(1)D.Sands,D.DeBronkart,&E.Topol.Let Patients Help:A Patient Engagement Handbook---How Doctors,Nurses,Patients and Caregivers Can Partner for Better Care.2013e-Patient Dave.http://www.epatientdave.com/let-patients-help/.
(2)习近平:《决胜全面建成小康社会夺取新时代中国特色社会主义伟大胜利---在中国共产党第十九次全国代表大会上的报告》,48页,北京,人民出版社,2017。
(3)饶克勤:《健康中国战略与分级诊疗制度建设》,载《卫生经济研究》,2018(1)。
(1)习近平:《决胜全面建成小康社会夺取新时代中国特色社会主义伟大胜利---在中国共产党第十九次全国代表大会上的报告》,北京,人民出版社,2017。
(2)胡善联:《论中国卫生与健康的价值观》,载《卫生软科学》,2018(1)。
(1)《习近平在全国卫生与健康大会上强调把人民健康放在优先发展的战略地位努力全方位全周期保障人民健康》,见http://www.gov.cn/xinwen/2016-8/20/content.5101024.htm。
(2)国家卫生和计划生育委员会:《2017中国卫生和计划生育统计年鉴》,40页,北京,中国协和医科大学出版社,2017。
(3)徐江荣、郭化山、乌建平:《专科层次的全科医学教育与国情》,载《中国全科医学》,2011(14)。
(4)饶克勤:《健康中国战略与分级诊疗制度建设》,载《卫生经济研究》,2018(1)。
(5)李志荣、魏仁敏、徐媛、张辉、张敏:《供给侧视角下的分级诊疗制度探讨》,载《中国卫生经济》,2018(2)。
(1)W.N.Leutz.“Five Laws for Integrating Medical and Social Services:Lessons from the United States and the United Kingdom”.Milbank Quarterly,1999(77):77-110.
(1)钟东波:《公立医院治理模式改革的国际经验和趋势》,载《中国机构改革和管理》,2016(7)。
(2)A.Barnes,L.Unruh,A.Chukmaitov,&E.Van Ginneken.“Accountable Care Organizations in the USA:Types,Developments and Challenges”.Health Policy,2014(118):1-7.
(3)F.Greaves,et al.“Evaluation of Complex Integrated Care Programmes:the Approach in North West London”.International Journal of Integrated Care,2013(13):1-10.
(4)J.M.McWilliams,B.Landon,M.Chernew,&A.Zaslavsky.“Changes in Patients'Experiences in Medicare Accountable Care Organizations”.The New England Journal of Medicine,2014(371):1715-1724.
(5)W.Tang,X.Sun,Y.Zhang,T.Ye,&L.Zhang.“How to Build and Evaluate an Integrated Health Care System for Chronic Patients:Study Design of a Clustered Randomized Controlled Trial in Rural China”.International Journal of Integrated Care,2015(15):1-17.
(6)蔡立辉:《分层次、多元化、竞争式:我国医疗卫生服务的公共管理改革》,载《中国人民大学学报》,2010(1)。
(1)饶克勤:《建设符合我国国情的现代医院管理制度研究》,载《中华医院管理杂志》,2016(10)。
(2)G.H.Yan,&Y.P.Liu.“Reforms and Innovations of Human Resource Management in Public Hospitals”.Journal of Medical Treatments in China and Foreign Countries,2012(3):144-145.
(3)B.E.Becker,&M.A.Huselid.“Strategic Human Resources Management:Where Do We Go from Here?”Journal of Management,2006(32):898-925.
(4)C.Chadwick.“Theoretic Insights on the Nature of Performance Synergies in Human Resource Systems:Toward Greater Precision”.Human Resource Management Review,2010(20):85-101.
(5)T.Rabl,M.Jayasinghe,B.Gerhart,&T.Kühlmann.“A Meta-Analysis of Country Differences in the High-Performance Work System-usiness Performance Relationship:The Roles of National Culture and Managerial Discretion”.Journal of Applied Psychology,2014(99):1011-1041.
(6)H.Liao,K.Toya,D.P.Lepak,&Y.Hong.“Do They See Eye to Eye?Management and Employee Perspectives of High-performance Work Systems and Influence Processes on Service Quality”.Journal of Applied Psychology,2009(94):371-391.
(1)G.J.B.Probst,&P.Gomez.“Die Methodik des Vernetzten Denkens zur Loesung Komplexer Probleme”.In G.J.B.Probst&P.Gomez(eds.).Vernetztes Denken-Ganzheitliches Fuehren in der Praxis.Bern:Haupt Verlag.1991.
(2)D.D'Amour,M.Ferrada-Videla,L.S.M.Rodriguez,&M.D.Beaulieu.“The Conceptual Basis for Interprofessional Collaboration:Core Concepts and Theoretical Frameworks”.Journal of Interprofessional Care,2005(1):116-131.
(3)《中共中央国务院印发〈“健康中国2030”规划细要〉》,见http://www.gov.cn/zhengce/2016-10/25/content_5124174.htm。
(1)A.E.Anker,A.M.Reinhart,&T.H.Feeley.“Health Information Seeking:A Review of Measures and Methods”.Patient Educ Couns,2011(82):346-354.
(2)D.E.Brashers,D.J.,Goldsmith,E.Hsieh.“Information Seeking and Avoiding in Health Contexts”.Hum Commun Res,2002(28):258-271.
(1)D.Sands,D.DeBronkart,&E.Topol.Let Patients Help:A Patient Engagement Handbook---How Doctors,Nurses,Patients and Caregivers Can Partner for Better Care.2013e-Patient Dave.http://www.epatientdave.com/let-patients-help/.