法人治理在政府办基层医疗卫生机构的实践分析

The practice of corporate governance in primary health care institutions administrated by government

使用委托-代理、利益相关者等理论,分析法人治理在政府办基层医疗卫生机构中的应用机理,并进行实证研究。结果表明,在政府办基层医疗卫生机构的管理运行中存在多重委托-代理关系,而修正的事业单位法人治理结构作为理顺复杂委托-代理关系的有效工具,辅以适当的法人治理运行机制,可以减少委托成本、提高运行效率,从而达到人人享有基本医疗卫生服务的目的。

This paper analyzed the application mechanism of corporate governance in primary health care institutions administrated by government using the theory of principal-agent and stakeholder. The results show that there are multiple principal-agent relationship in the management and operation of primary health care institutions. Amended corporate governance structure in government-affiliated institutions, which can rationalize the complex principal-agent relation of effective tools, supplemented by appropriate operation mechanism of corporate governance can reduce agency cost, improve operation efficiency, thereby achieving the goal of the basic medical and health services for all.