CAJ | 학술논문

分析了目前公立医院体制机制方面存在的问题,按照"政事分开、管办分开、医药分开、营利性与非营利性分开"的改革原则,制定了公立医院法人治理改革实施路径.一是建立公立医院管理委员会,统筹政府办医保障职能;建立公立医院管理机构,提高举办医院的行政管理水平;转变卫生行政部门职能,形成多元化办医格局.二是建立分级决策机制、自主经营制度及多元监管制度,解决政事分开问题.三是研究制定公立医院章程,促进公立医院向法定机构转变,通过法制化巩固法人治理改革成果.
분석료목전공립의원체제궤제방면존재적문제,안조"정사분개、관판분개、의약분개、영리성여비영리성분개"적개혁원칙,제정료공립의원법인치리개혁실시로경.일시건립공립의원관리위원회,통주정부판의보장직능;건립공립의원관리궤구,제고거판의원적행정관리수평;전변위생행정부문직능,형성다원화판의격국.이시건립분급결책궤제、자주경영제도급다원감관제도,해결정사분개문제.삼시연구제정공립의원장정,촉진공립의원향법정궤구전변,통과법제화공고법인치리개혁성과.
Analysis of setbacks found in the existing system and mechanism of public hospitals. Based on the health reform principles of "Separation of administration and management, Separation of administration and operation, Separation of prescribing and dispensing, and Separation of for-profit hospitals and nonprofit hospitals", the authors named the following roadmap for public hospital governance reform. First, set up a management committee for each public hospital to coordinate the government function for medical service; set up a public hospital authority to upgrade the management level of these hospitals; transform functionality of health authorities to encourage diversity in medical service providers. Second, establish the tiered decision making mechanism, autonomous operation system and diversified supervision system, to separate administration and management. Third, formulate articles of association for hospitals to encourage their evolution to legal entities, consolidating the government reforms by legal means.