Medical network - July 27 in the clear after the major policies of the modern hospital management system, to focus on understanding and research functions of the government for public hospital how to fall to the ground, file several new spirit, new formulation will focus on understanding and mastering.
1. To understand the importance of government's responsibility to hospital management
Public hospitals are an important part of the national social service system. Under the condition of market economy, public hospitals play an irreplaceable role, from the principle, operation way and the services provided, especially for the elderly, the poor, women, children and other special groups of services, are reflected the public welfare, contribute to the realization of social justice. Since the reform and opening, our country has made rapid progress in establishing the socialist market economy, to adapt to competitive industries with comparative methods of management, but for public hospitals as the main body of medical services also need to further improve the responsibility of the government management, improving management methods. Since the new reform, we obtain an important experience is to manage public hospitals can neither to the old way of agencies and institutions, the main use of administrative means, so tend to put the public hospitals "death", also cannot simply copying enterprise's management way - simply use a way of market mechanism, often lose public role. Therefore, the state council general office on urban public hospital comprehensive reform pilot guidance "(no. 38 countries do hair [2015]) put forward that the government's management responsibilities of public hospitals is four contents: the leadership responsibility, security responsibility, management responsibility, supervision and responsibility. It should be said that these policies have played an important role in promoting the comprehensive reform of public hospitals. Has introduced the general office of the state council on establishing the guidance of modern hospital management system ", the government management of the hospital and has carried on the detailed planning and clear, is at a higher level of the construction of institutional framework and relevant content for clarity. This is a summary of eight years of reform and the reform experience of the institutionalization of sublimation, to further explore and improve the system of modern hospital management, deepening comprehensive reform of public hospitals is of great significance.
Secondly, perfecting the hospital management system is an important guarantee for the establishment of modern hospital management system
Since the 18th, the CPC central committee put forward the governance ability of modernization and improve the governance ability important strategic target, and improve the hospital management system is to enhance governance capacity is an important part of. The connotation of establishing and perfecting hospital management system should be understood from the following four aspects.
(1) to do a responsible limited government. In the medical field existence state and the public medical institutions, therefore, the government on the one hand to the basic input to the public hospital, historical debt, medical service price, and so on some important and basic operating conditions for security, at the same time to the public, the public medical institutions, regional scientific planning, so in this respect should be a responsible government. Due to varied demand medical service, and the development of the public medical institutions, in meet the demand of diversification and a variety of ownership institution in the process of development, but also give full play to industry, social, and even the residents' enthusiasm of participation. That is to say, the government cannot do everything. In summary, the behavior, to do a responsible government of limited government, the need to "do" must be a responsible, "not as" a bit is not simply let go no matter, but to help and support social organizations to manage.
(2) to what extent is the medical establishment to be developed, and to the extent that regulation is followed. The medical field is not completely competitive, the medical service has information asymmetry, the medical service is related to the national economy and the people's livelihood, these characteristics determine the medical field conforms to the basic characteristics of regulation. Therefore, the government should strengthen the regulation of the medical field, in theory, there is demand in reality. The government should, like the regulation of financial insurance, take charge. The government regulatory functions in the field of medical treatment is not dispensable, the medical institutions and medical service development, to what extent, requires the government to form a complete set of regulatory follow-up to what extent, otherwise it is easy to appear problem, this is a basic law of regulation.
(3) pay attention to the combination of release and control, macro control and micro-decentralization. For medical institutions, it is important to strengthen overall management in the macro level. The key is to "co-ordinate" the two words, and to change "decentralized management" to "overall management" is an innovation of management mode. At the same time, the management of public hospitals should be implemented. The healthcare industry is a special industry involves the residents' life and health services, public hospitals can run about timely response to residents and the patient's needs, can be timely and effective deployment of resources, so if in the manner of management authority of the ruling over human, financial, not reality, also impossible. Therefore, under the framework of laws and regulations, public hospital personnel management, pay allocation, management and other autonomy should be granted, which is also an important aspect of establishing modern hospital management system. Only in this way can the initiative of managers and medical staff be fully mobilized to provide quality services to medical institutions while providing efficient services.
(4) pluralistic supervision is the proper meaning of the governance system. Government regulation is irreplaceable, and social supervision and industry self-discipline are not optional. Some details management, some industry technology management, the government cannot all do. In perfecting the government macro management and regulation at the same time, also gives part of the supervision function to social organization, makes the reform of medical technology, quality and safety certification system, assessment, evaluation mechanism explore a third party. This is not only an international success but also a link that needs to be further strengthened and enriched.
Iii. Actively explore the effective implementation form of government public hospital functions
In the clear after the major policies of the modern hospital management system, to focus on understanding and research functions of the government for public hospital how to fall to the ground, in this file several new spirit, new formulation will focus on understanding and mastering.
(a) "actively explore a variety of effective forms of effective implementation of public hospital management." That is to say, it should not be a mode of separation, and the various ways should be integrated, composed, not single and divided. The coordinated supervision and comprehensive supervision of medical institutions are better than "segmented" supervision and "sub-sector" supervision. In order to study how to make reasonable collocation in various effective ways, we should constantly innovate and perfect the specific management form.
(2) it is crucial to "coordinate and fulfill the responsibilities of government hospitals". Although the functions of government are dispersed in various departments, the important functions of government should be exercised as a whole. Now, the public hospital management committee in some places has solved this kind of problem better and avoided the adverse situation of "Kowloon water control". If you can make a comprehensive effort to find a breakthrough, it will be better to perform medical duties.
(3) the main contents of government medical services. Government to exercise the major issues of the host, the right to development, decision-making rights of public hospital, assets, earnings, and review the articles of association of the public hospital, development planning, major projects implementation, budget, etc. Without a holistic approach to centralizing decision-making, it is difficult to reach consensus and make practical progress. Therefore, the implementation of these contents objectively requires the improvement of the government's decision-making mode and management mode.
(4) key tasks of government hospitals. 1. Formulate regional health planning and medical establishment planning, total control of the number and scale of hospitals. This is the government regulation of regional health resources allocation of total switch, total valve, should have a good master switch and total valve, promote the balanced development of medical supply and demand, to fundamentally solve the problem of medical treatment has a fundamental role. 2. Fully implement the planned public hospital input policy and gradually repay the long-term debt that meets the conditions. This is to relieve the public hospital's immediate worries and worries, so that public hospitals can perform their duties and provide public services. 3. Build up on the basis of cost and income structure change of the medical service price dynamic adjustment mechanism, this rule now it seems especially important, determines the establishment of the new mechanism of public hospitals as well as sustainable development, relationship to establish salary system in accordance with industry characteristics. The government should not only "give people fish", but also "teach people to fish", not only to ensure the necessary input, but also to realize the dynamic adjustment of the price of medical services. 4. Leading personnel in public hospitals, hospital, to set up the compensation system for selection and appointment of ways to keep pace with The Times, continuous innovation, the policy improvement is in harmony with the modern hospital management system, consistent with the whole advancement work steps. 5. Establish evaluation in the public welfare oriented mechanism, by establishing the evaluation mechanism to form professional supervision, gradually from the administrative examination and approval to professional supervision, to promote the transformation of government function, improve service quality and efficiency of medical institutions.
4. To accurately exercise the government's comprehensive supervision function of hospitals
The modern hospital management system requires the government to improve the regulatory system and the contents of supervision. The main point is to regulate the following aspects through the comprehensive supervision system.
Attach importance to medical quality and safety. The nature of services in the medical field determines that quality and security are "lifelines", and governments not only have to be responsible for access, but also for long-term and effective supervision of quality and security.
(ii) normative services. Medical service personalized characteristic makes the specification is particularly important to establish standards, standards, perfect the standard, the current special needs to perfect the institutions, personnel, technology, equipment, access and exit mechanism.
(3) focus on key issues. The outstanding issues of social concern reflected by the current public are the focus of regulation, especially the unreasonable fees and bad practice events which have a great impact on society. In the case of qualitative cases that cause major medical accidents or serious violations of the law, it is important to regulate and establish accountability mechanisms.
(4) grasp the boundary. Public hospitals should operate autonomously in certain boundary, to make operation, the excessive construction and provide disproportionate outpatient service, strict regulation, must not encourage much bigger the peer.
Improve the "classification management". We will improve the classification management system for non-profit-making and profit-making social medical hospitals, and carry out a different and focused regulation on the two, and establish an integrated regulatory system covering the whole industry as soon as possible. |
