摘要
目的调查北京市公立医院管理行为的现状,为公立医院法人治理结构改革政策的完善和评价提供依据。方法以北京市500张床以上的三级公立医院以及区县级综合医院作为调查对象,根据研究框架设计调查问卷对51家医院高层管理者进行调查。结果北京市大型公立医院管理者对财务指标的熟悉程度较低,对医院收入支出、医院发展目标、患者满意度、医疗事故差错发生率等指标利用率较高,但对于成本相关指标特别是不同支付方式下成本核算方法,以及效率、效果相关指标的熟悉程度和使用程度均较低。结论目前公立医院的治理结构未能激励医院管理者从医院长远发展角度考虑医院的管理,以及关注公立医院资源的效率和效果。
Objective To investigate the management behavior of public hospitals in Beijing in order to provide evidence to promote the policy development and evaluation. Methods A questionnaire was designed based on the research frame- work. 51 hospitals were drawn out from hospitals with more than 500 beds and county level integrative hospitals. Results The managers are less familiar with some financial indicators than other kinds of indicators of behavior. They are more fa- miliar with and more frequently use indicators of income and expenditure, development goals, patients＇ satisfaction, and medical malpractice error incidence, while less familiar with indicators, especially cost accounting methods under vary payments, as well as efficiency, effectiveness related indicators. Conclusion The current governance structure of public hospitals failed to motivate managers to consider the management from the hospitals＇ long-term development perspective, as well as the efficiency and effectiveness of resources.
出处
《中国医院管理》
2013年第2期13-15,共3页
Chinese Hospital Management
基金
北京市自然科学基金项目(9102001)
北京市哲学社会科学规划项目(11JGB079)
关键词
公立医院
行为
现状
public hospital, behavior, status quo
