CAJ | 학술논문

本文对公立医院管理体制、运行机制的弊端进行了深入分析,再设计了建立政府、医院、群众"三位一体"的"五四一"运行机制和"双补一控"补偿机制的创新模式."五个适宜"能够解决公立医院经营弊端;"四个确保"能够解决在政府监管下公立医院的良性运作;"一个核心"能够实现卫生改革终极目标;"双补一控"能够抑制过快增长的医疗费用,解决群众看病贵的难题.
본문대공립의원관리체제、운행궤제적폐단진행료심입분석,재설계료건립정부、의원、군음"삼위일체"적"오사일"운행궤제화"쌍보일공"보상궤제적창신모식."오개괄의"능구해결공립의원경영폐단;"사개학보"능구해결재정부감관하공립의원적량성운작;"일개핵심"능구실현위생개혁종겁목표;"쌍보일공"능구억제과쾌증장적의료비용,해결군음간병귀적난제.
An insightful analysis on setbacks of the management system and operative mechanism of public hospitals.It explores the way to set up the"5-4-1"operative mechanism comprising the government,hospitals and people at large,also referred to as the"3-in-1"structure.In addition,it also explores the compensation mechanism of"Dual-compensation and one-control":Under which the"Five suitable"of such mechanism overcome the setbacks of public hospitals,the"Four-ensure"ensures public hospitals to operate properly,while"One-core"achieves the ultimate goal of reforms in the health sector.In other words,"Dual-compensation and one-control"can restrain the medical cost from excessive in crease and lower the excessively high cost to access medical service.