从医院管理量化评价体系的产生和发展看政府对医院的管制

Discussion on government regulation on hospitals from the perspective of quantitative evaluation system for hospital management

不同时期医院管理量化评价内容和指标,反映了政府在不同时期的管理理念和方法。我国由计划经济向市场经济转变之后,作为承担公民健康责任的医院,是按事业规律管理还是采用管理市场的方法管理尚在探索中,医院量化评价体系需要在明确政府主导和市场调节的相关内容的前提下加以调整,才能起到对医院发展的控制和激励作用。文章论述了医院管理量化评价体系的产生和发展;量化指标在政府决策和医院管理层面上的应用;量化评价阶段形成的历史背景。认为建立医院综合评估系统、开展医院评审、规范医院诊疗行为,夯实基础,以不变应万变是医院管理者最好的选择。

Contents and indictors of quanlitative evaJualion system for hospital management in different periods have reflected government＇ regulation on hospital. Hospital has the responsibilities for people＇ s health. In the transition time, hospilal should be regulated by government unit or commercial body is still argued, quantitative evaluation system for hospital management shouhl be adjusted aeeording to the background of ,reform to incentive hospital development. The historical of quantitative evaluation system for hospital management and its application was discussed. The best choice for hospital manager was establishing hospital comprehensive evaluation system, developing hospital aeereditation and regulating hospital＇s behavior.