摘要
目的:探索新医改背景下地级市公立医院发展的策略和路径,为地市级公立医院突破发展困境提供政策参考。方法:采用文献评阅、定量分析和定性访谈的方法,收集与医院相关的资料和数据,分析A市医院发展现况。结果:A市共有7家公立医院,医院发展有政府支持、医疗基础、区位优势、百姓就医需求,但也面临顶层设计不足、体制机制不健全、优质资源不足、信息化建设滞后的挑战。建议:以医疗专科建设为切入点,通过政府宏观规划、改革医保支付、健全体制机制、实现集团化发展、做好绩效考核,从而实现医院服务能力的提升。
Objective:To explore the strategies and paths for the development of municipal public hospitals under the background of the new healthcare reform, and to provide policy references for the breakthrough of developmental predicament in other municipal public hospitals in other cities. Methods:Applying the literature research, quantitative analysis and qualitative interview methods were used to collect data related to hospitals, and to analyze the development status of city A hospitals. Results:There are 7 public hospitals in A city. Hospitals in City A are supported by the government, medical foundation, great location advantages and people's medical demand. However, they also face the challenges of inadequate top-level design, imperfect system and institutional mechanism, insufficient resources of good quality, and lagging information system establishment. Suggestions:Taking medical specialty construction as the breakthrough point, this paper puts forward the development strategies and paths to stimulate the vitality of hospital operation through government-led planning and assessment, medical insurance payment reform, the system and institutional mechanism improvement, the realization of collective development, so as to achieve the performance appraisal of an improved medical serviceability.
作者
郭晓艳
江蒙喜
伍志刚
陈欢欢
GUO Xiao-yan;JIANG Meng-xi;WU Zhi-gang;CHEN Huan-huan(Xiangya School of Public Health,Central South University,Changsha Hunan 410078,China;National health development research center,National Health Commission,Beijing 100191,China;Office of International Cooperation and Exchanges,Central South University,Changsha Hunan 410083,China)
出处
《中国卫生政策研究》
CSCD
北大核心
2019年第8期37-42,共6页
Chinese Journal of Health Policy
关键词
地级市
公立医院
医疗专科
Municipal
Public hospitals
Medical specialty
作者简介
郭晓艳,女(1995年-),硕士研究生,主要研究方向为医院管理。E-mall:honeyguo@csu.edu.cn;通讯作者:江蒙喜。E-mall:15201576634@163.com.
