不同产权属性机构托管公立医院效果个案比较研究

A comparative research on the effect of the trusteeship institutions with different property rights to the public hospitals

目的:分析不同产权属性机构托管公立医院效果的差异。方法:获取不同产权属性机构托管的两所公立医院2015-2017年相关数据信息进行回顾性对照分析。结果:由民营资本托管的公立医院能够较好地使用财务杠杆、控制收支结余,运营效率表现较好,但成本管控存在潜在风险;由公立医疗集团托管的公立医院医疗水平显著改善,但运营效率表现欠佳。结论:托管实现了公立医院管办分离,医院整体水平有所提高,但也带来更为严重的委托代理问题,建议建立公立医院托管经济风险防范机制、优化托管公立医院法人治理结构、建立健全托管监督评价机制。

Objective:Analyze the difference in the effect of hosting public hospitals by institutions with different property rights.Method:Obtain 2015-2017 relevant data and information of two public hospitals managed by institutions with different property rights to conduct a retrospective control study.Result:Public hospitals hosted by private capital can better use financial leverage,control revenue and expenditure balances,and perform better in operational efficiency,but there are potential risks in cost control;public hospitals hosted by public medical groups have significantly improved medical standards,but their operational efficiency has not performed well.Conclusion:Trusteeship realizes the separation of management from public hospitals and improves the overall level of the hospital,but it also brings more serious agency problems.It is recommended to establish a public hospital trusteeship economic risk prevention mechanism,optimize the governance structure,and establish a complete supervision and evaluation mechanism.