新形势下公立医院民主管理工作探索与实践

Exploration of democratic management in public hospitals under the new situations

医院民主管理制度是现代医院管理制度重要组成部分,坚持和完善以职工代表大会和院务公开为基本形式的民主管理制度,有利于调动广大职工工作积极性,提升医院管理水平,保持医院的稳定和发展。目前,公立医院的民主管理工作存在缺乏完善的政策指导、医院管理者重视程度不足、职工民主管理意识不够、监督机制不完善等问题,民主管理工作存在虚化弱化现象。本研究通过广东省人民医院民主管理工作的实践经验情况及参考国内大型医院的先进做法,探讨医院民主管理制度建设的现实问题,并分析原因,提出建立健全医院各项民主管理工作机制、积极加强职工代表大会制度建设、积极开拓民主管理途径、规范完善监督机制、发挥工会组织作用等针对性的对策建议,以期为基层医院民主管理工作的开展提供参考。

The hospital democratic management system is an important part of modern hospital management framework.Upholding and refining the democratic management systems,primarily through staff congresses and public disclosure of hospital affairs,helps to enhance staff enthusiasm,improve hospital management standards,and ensure the stability and development of hospitals.Currently,public hospitals face issues in democratic management,including incomplete policy guidance,insufficient attention from hospital administrators,low awareness of democratic management among staff,and imperfect supervisory mechanisms.These issues lead to a weakening of democratic management practices.Drawing on the practical experience of democratic management in Guangdong Provincial People’s Hospital and referencing advanced practices from major hospitals in China,this study discusses the current issues and causes in the construction of democratic management systems in hospitals.To provide reference for the democratic management in grassroots hospitals,this paper proposes targeted countermeasures and suggestions,such as establishing and improving the democratic management mechanism of hospitals,actively strengthening the staff congress system,exploring new avenues for democratic management,standardizing and improving supervision mechanisms,and leveraging the role of trade unions.