“管办合一”的体制困境——潍坊市公立医院治理改革分析

The plight faced by Weifang public hospital reform with bounding of public hospital management and running

从公立医院的法人独立性、市场开放度、经营决策权、剩余索取权、职责落实和社会功能等维度对潍坊市公立医院治理改革的制度设计进行判断,发现潍坊市"管办合一"的改革模式在不改变管理体制的情况下试图通过管理机制的调整保障公立医院的公益性质和运行效率,但实施过程中,旧的管理体制制约了新的机制落实,最终使改革流于形式,为公立医院治理改革提供了很好的经验教训。

We analyzed the public hospital governance reform from the dimension of independence of legal person,market opening,decision making,surplus demand,responsibility and social function.The reform expected to safeguard public hospital＇s nonprofit property and running efficiency without changing its management system.However,the poor old management system hindered the implement of new mechanism and eventually resulted in failure.