科学发展观与公立医院健康发展.pdf

华中科技大学
士学位论文
科学发展观与公立医院健康发展
姓名:罗志阳
申请学位级别:硕士
专业:马克思主义理论与思想政治教育
指导教师:洪明
20080524
华中科技大学硕土学位论文
摘要
收単开放以来,看病难、看病贵的问题不断凸现。特別足2005年国务院发展研
究中心和世界生组织中国医疗P生体制改革合作课题组正式公布医改不成功研
究报告以来,公立医院成为社会各界诟病的焦点。如何实现公立医院健康发展,成为
各界共同关注的重大课题。
興论界从治興结构、质量安全管、服务创新、经济管理、人力资源管興、管興
技术、医院文化建设等七个方面进行研究,但并没冇能够扭转公立医院的被动局面,
公立庆院依然存在管理于段经济化、服务营销庸俗化、诊疗服务格式化、内部矛盾
缓冲空间狭窄化、经营管埋粗放化絲五个方而,以致公益性质淡化、医关系紧张
矢院管理相对粗放、医院绩效相对低下、服务质量利医疗安全缺乏保障。
作者通过以科学发展观的眼光全而市视,分析了症结,提出公立医院健发展的
关键在于构建一套科学稳固的内部管理模式。这一套模式应该贳彻以人为木、公益
医疗、服务健康、重在发展的理念;正确处埋政府主导与需求调节,公益性质与经
营行为,医院建设、に成长与群众健康,疾院功能医院内部业务结构的矛盾和
关系;并将以健康为中心的公益性服务皆销模式、以需求为导向的人性化诊疗模式
以能力为依归的服务型用人模式和与医疗行业特点相适应的医院内部核算分配新机
制作为基木架构
关键词:科学发胺观公立医院理模式健康发胺
华中科技大学硕土学位论文
Abstract
Since Chinas Reform and Opening Up, being difficult and expensive to see a
doctor has been an increasingly serious problem. Especially since the Council
Development Research Center and the World Health Organization China health system
reform cooperation topic-based group officially published the report
Medi
Reform is not successful in 2005, the Public hospital has become the focus which the
community denounces. How to develop the Public hospital soundly has been an important
issue which people from different fields commonly cares
Theorists have conducted some researches from seven aspects: the management
structure, the quality safety control, the service innovation, the management of economy
uo
aan resources management, the manage ment technique, the medical culture
construction, but this has not been able to re verse the passive situation the Public hospital
faces. Public hospital still have problems in five aspects ----economization of
management methods, vulgarization of service marketing, forma lization of diagnosing and
treating service, narrowing of the Internal contradictions buffer space, extension of
management and operation, which causes the consequences that the nature of the public
elfare is weakened, the relationship between the patients and the hospital is intensive, the
hospital management is relatively extensive, the hospital achievements is relatively low
the service quality and the medical safely lacks safeguard
By comprehensively examining these problems with Scientific Outlook on
Development, the author has analyzed the crux and proposed that the key to develop
Public hospital soundly is constructing a set of scientific and stable internal management
pattern. This pattern should implement the ideas of putting people first, working with the
attitude of the public welfare medical service, serving health, stressing development, It
Is also required that the contradictions and relationships between government leadership
and the demand adjustment, between the nature of public welfare and the management
behavior, between the hospital construction, the staff grow and the populace health.
between the hospital function and the hospital interior service structure should be correctly
processed; And the basic construction of this pattern should be: public welfare service and