公立医院法人治理结构实证研究--以浙江东阳人民医院为例.pdf

公立医院法人治理结构实证研究——以浙江东阳人民医院为例 摘 要 我国公立医院是带有一定福利性质的社会公益事业单位，为社会公众利益 服务，其所有权归国家所有。主要职责是代表政府为群众提供基本医疗服务， 其特征是公立、公益、非营利性，以追求更好的服务为目标，不以营利为目的， 可享受政府一定补贴。 当前，全球卫生费用上涨，公立医院服务体系存在效率低下、患者不满、 人才流失、漠视穷人、资源浪费、欺诈和腐败等问题。《中共中央国务院关于深 化医药卫生体制改革的意见》明确提出，要推进公立医院管理体制改革，建立 和完善公立医院法人治理结构。医疗机构的改革正在成为中国社会改革中最吸 引人注意的热点之一，也是各项改革事业中最为艰难的领域之一。 本课题以浙江东阳人民医院为例，采用资料调查与实地考察相结合，比较 研究和实证研究相结合等研究方法，回顾了我国公立医院改革的历史及现状， 经过对国际上典型的公司治理理论和模式的比较研究，指出了目前公立医院法 人治理结构改革中还存在的问题。通过对“法人治理结构的内涵”、“医院法人 治理结构的主要理论依据”的阐述，提出了切实可行的对策和建议。 关键词 法人治理结构； 公立医院； 实证研究 1 公立医院法人治理结构实证研究——以浙江东阳人民医院为例 ABSTRACT The public hospital is a social unit benefiting the public which is owned by the state. Its main duty is to provide the basical medical care to the public for the government and its feature is public, wealfare and profitless aiming to seeking better service instead of profits. Therefore it could be subsidized by the state. For now, there are lots of problems existed in the public hospital: expense increasing rapidly in the global health, low efficiency, patients dissatisfaction, brain drain, neglect of the poor, waste of resources, medical fraud and corruption ect. The Central Committee of the Communist Party of China and the State Council, or Chinas Cabinet, jointly endorsed and issued the Guidelines on Deepening the Reform of Health-care System. The reform is mainly for building and perfect the corporate governance in hospital. Also, it becomes one of the hottest spots of society and is one of the most difficult and complicated fields in different kinds of reforms. The subject used many research methods to look back the history and status of