CAJ | 학술논문

目的了解医务人员对公立医院改革成效的评价.方法对890名医务人员进行问卷调查,了解其对公立医院改革措施的落实情况、公立医院的公益性和改革成效、在改革中政府存在的问题及改进措施、公立医院在改革中遇到的困难等的看法.结果医务人员对公立医院改革的总体评价较低,36.4％的医务人员认为公立医院改革成效不明显,或是流于形式(19.8％).医务人员认为问题主要体现在公立医院在体制上缺乏突破(67.9％)、缺乏相应的财政支持(61.1％)、与医生利益相关但医生支持度不高(49.1％)三方面.结论要加强宣传以提高医务人员对改革的认同度,健全与改革相关的法律和政策,建立对公立医院有效的监管体系.
목적 료해의무인원대공립의원개혁성효적평개.방법 대890명의무인원진행문권조사,료해기대공립의원개혁조시적락실정황、공립의원적공익성화개혁성효、재개혁중정부존재적문제급개진조시、공립의원재개혁중우도적곤난등적간법.결과 의무인원대공립의원개혁적총체평개교저,36.4％적의무인원인위공립의원개혁성효불명현,혹시류우형식(19.8％).의무인원인위문제주요체현재공립의원재체제상결핍돌파(67.9％)、결핍상응적재정지지(61.1％)、여의생이익상관단의생지지도불고(49.1％)삼방면.결론 요가강선전이제고의무인원대개혁적인동도,건전여개혁상관적법률화정책,건립대공립의원유효적감관체계.
Objective To investigate hospital staffs' appraisals on public hospitals reform.Methods 890 medical staffs were randomly investigated by questionnaire,to learn their comments on the implementation of reform measures,public-benefit nature and reform outcomes of the reform,as well as problems found with the government and improvement suggestions,and difficulties encountered in such a reform.Results The hospital staffs' appraisals on the reform tend to be low,as 36.4％ of them hold that the reform is less effective in its outcomes or a mere formality (19.8％).The staff blamed the lack of system breakthrough (67.9％),lack of financial support (61.1％),and insufficient support from the doctors as stakeholders (49.1 ％),for most of the problems of the reform.Conclusion It is suggested to win over support of the medical staff for the reform; to improve the laws and policies related to the reform; and to establish an effective supervision system for public hospitals.