公立医院法人治理结构探讨——基于委托代理理论

Discussion on Corporate Governance Structure in Public Hospitals——On the basis of the principal agent theory

公立医院需要通过建立法人治理结构解决＂政事不分＂、＂管办不分＂和管理效率低下的问题,如何建立,建立何种法人治理结构是各地公立医院在实践中需要解决的首要问题。本文从委托代理的视角系统分析了公立医院建立法人治理结构的必要性,通过对国内行政委托型、理事会型、董事会型法人治理结构的剖析,指出在当前的社会条件下,应当以理事会型法人治理结构为主,在部分二级公立医院可以试行董事会型法人治理结构。

Public hospitals need to solve the problems of"no separation of political and affairs","no separation of management and establishment"and management efficiency through the establishment of a corporate governance structure. How to establish and establish what type of corporate governance structure is the most important issue for public hospitals in practice. This article systematically analyzes the necessity of setting up a corporate governance structure in public hospitals from the perspective of commissioned agents.Through the analysis of domestic administrative commissioned,council,and board-type corporate governance structures,it is pointed out that in the current social conditions,the council should be the type of corporate governance is the mainstay. In some secondary public hospitals,it can be a trial the board of directors of corporate governance structure.