The key point of public hospital reform:Based on the investigation and research of public hos-pital presidents
10.3969/j.issn.1674-2982.2017.11.007
- VernacularTitle:院长最关注的改革重点:基于三级公立医院的调查
- Author:
Ju HUANG
1
Author Information
1. 中国医学科学院医学信息研究所 北京 100020
- Keywords:
Public hospitals reform;
President;
Cross-sectional survey
- From:
Chinese Journal of Health Policy
2017;10(11):41-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the concerns and attitudes of large public hospital presidents in China to-wards the main hospital reform measures.Methods:A cross-sectional survey was conducted on 200 randomly selected third-class public hospital presidents to learn the managers,perspectives on public hospital reform.Results:The most concerned problem for public hospital presidents was increasing government investment,and the number of followers accounted for 83.7%;the least concerned problem for public hospital presidents was implementing clinical pathway, and the number of followers accounted for only 19.7%.The hospital presidents believed that the government invest-ment should account for 50.8%of the total hospital income,and 55.1% of the hospital presidents thought that the government should invest in public hospitals in the way of project investment.82.0%of the hospital presidents as-sumed that the lack of increase in income was the main factor affecting the active participation of medical staff in hos -pital reform,and only 14.5% hospital presidents were satisfied with their current income level.Conclusion: The presidents of tertiary public hospitals are most concerned with the reform measures related to the operation of hospital. The hospital presidents are were also concerned about the compensation system reform,and the reform on responsibil-ity and rights of hospital presidents.Therefore,public hospital reform should establish a scientific and rational medi-cal service price system and a long-term government investment mechanism, and establish a job performance based compensation system to mobilize the enthusiasm of medical personnel of medical industry,and clarify the power and responsibility of hospital presidents,and the implementation of public hospital management autonomy.
