混合所有制医疗机构的认知分析

Cognitive analysis of the mixed ownership medical institutions

目的了解国内专家学者对混合所有制医疗机构的认知和评价,为推进混合所有制办医模式提供决策参考。方法采取问卷调查方式对31名专家进行深度访谈。结果大部分学者赞成探索混合所有制合作办医,认为有利于形成多元办医格局;政府财政投入不足促使公立医院利用社会资本扩大自身发展的归因分析是大部分专家的共识;为实现合作办医多方目标,要注重合作利益相关方的诉求尽可能使合作达到多赢;超过一半的专家认为混合所有制医疗机构确定为非营利性比较合适;多数专家认为收支结余不进行分红;大部分专家认为引入社会资本与医院发展战略的变化或调整没有太多必然的关系;专家普遍认为政府政府应该充分发挥行业的监管作用,为混合所有制搭建良好的外部政策环境。结论混合所有制办医模式因能够引入竞争机制形成多元办医环境、缓解政府资金投入不足困境、满足人民群众日益增长健康需求、有利于推进现代医院管理制度建立等优势,应值得肯定和鼓励。

Objective To understand the knowledge and evaluation of mixed-ownership medical institutions by domestic experts and scholars,and to provide decision-making reference for promoting the mode of mixed ownership.Methods A questionnaire survey was conducted to conduct in-depth interviews with 31 experts.Results Most scholars are in favor of exploring mixed-ownership cooperative medical treatment,which is considered to be conducive to the formation of a multidisciplinary medical model;the lack of government financial input to promote the use of social capital to expand the development of the attribution analysis of public hospitals is the consensus of most experts;Multi-party goals,we must focus on the interests of cooperative stakeholders to achieve win-win cooperation as much as possible;more than half of the experts believe that mixed-ownership medical institutions are determined to be non-profit more appropriate;most experts believe that income and expenditure balances are not dividends;most experts believe that There is not much inevitable relationship between the introduction of social capital and the changes or adjustments of hospital development strategies;experts generally believe that government governments should give full play to the regulatory role of the industry and build a good external policy environment for mixed ownership.Conclusion The mixed ownership model should be affirmed and encouraged,because it can introduce a competitive mechanism to form a multi-disciplinary medical environment,alleviate the insufficiency of government funding,meet the growing health needs of the people,and promote the establishment of a modern hospital management system.