학술논문

杭州市公立医院综合改革路径设计与实践 / Study on the framework design and practice of Hangzhou′s public hospital reform
Document Type
Academic Journal
Source
中华医院管理杂志 / Chinese Journal of Hospital Administration. 35(6):457-461
Subject
医院
公立
综合改革
内部运行机制
外部联动机制
杭州市
Hospitals
public
Comprehensive reform
Internal operation mechanism
External linkage mechanism
Hangzhou
Language
Chinese
ISSN
1000-6672
Abstract
公立医院改革是医药卫生体制改革的重点与难点.作者介绍了杭州市以世界银行关于公立医院综合改革的分析框架为基础,结合我国公立医院综合改革的理论成果和实践经验,实施"杭州特色"的公立医院综合改革.杭州市以"医学有局限勇于攀登,服务无止境追求卓越"理念为引领,建立"回归公益"的公立医院价值体系;以智慧医疗系统建设为重点,支撑医院内部精细化管理;以分级诊疗体系建设为重点,支撑医院、基层医疗卫生机构和公共卫生机构的协同发展,从而构建起"1个价值体系, 2个层次、6项机制和19项支撑"的公立医院综合改革模式.其对理顺医院内部运行机制和外部协作机制具有一定的借鉴作用.
Reform of public hospitals is key to the healthcare system reform.This article introduced how Hangzhou implemented such a reform of " Hangzhou characteristics" by referring to the hospital reform framework of the World Bank, and the theoretical achievements and practical experiences of domestic public hospitals′reform.Led by the service concept of " Medicine has its limitations but we have the courage to overcome, service is boundaryless and we must pursue excellence" , Hangzhou has established a public hospital value system of " reorientation to public welfare".The smart healthcare system serves as a focus, to support the delicacy management of the hospitals. The construction of hierarchical medical care system functions as the pillar, to support the coordinated development of hospitals, primary health institutions and public health institutions.This way a public hospital comprehensive reform mode is established featuring " one value system, 2 levels of organization structure, 6 mechanisms, and 19 supporting measures ". Its experiences may serve as reference to streamline hospital internal operation and external cooperation mechanism.