法国、澳大利亚公立医院治理分析与启示

Analysis and enlightenment of public hospital governance experience in France and Victoria,Australia

本文通过理论探讨以及法国、澳大利亚两国的案例分析,提出我国建设现代医院管理制度的核心是医院治理,而医院治理应包含治理结构与治理机制两个部分,通过这两个机制形成医院各利益相关方的共同决策机制,通过有效协商达成权力平衡,把医院运行的外部压力转化为协调内部管理的动力,从而提高公立医院治理的效率。并由此提出完善我国公立医院治理的政策建议。

Based on the theoretical discussion and case analysis on public hospital governance in France and Victoria,Australia,this paper reveals that the core of China＇s modern hospital management system is hospital governance. The hospital management should include two parts of governance structure and governance mechanism. With the help of these two mechanisms,various stakeholders of the common decision-making mechanism achieve a balance of rights through effective negotiation,and transform the hospital operating external pressure into the motivation for coordinating internal management so as to improve the efficiency of public hospital governance. Therefore,the policy recommendations were put forward to improve the public hospitals management in China.