The state manages hospitals to protect public health and safety and improve the quality and efficiency of medical services. The following are the management measures that the state should take:
1. Legislation and policy formulation: The state should establish a legal framework and norms for hospital management through legislation and policy formulation, clarify the hospital's code of conduct and responsibilities, and standardize medical care Requirements in terms of price, quality, safety and other aspects of services.
2. Licensing and supervision: The state should set up a special agency to be responsible for the licensing and supervision of hospitals, evaluate and certify hospitals, and ensure that hospital qualifications are legal, compliant and effective. Regulatory agencies should strengthen inspections and supervision of hospitals to promptly discover and deal with violations.
3. Medical service quality evaluation: The state should establish a medical service quality evaluation system to urge hospitals to improve the quality of medical services and provide safer and more efficient services through the evaluation and assessment of hospital departments, doctors and nursing staff. , humanized medical services.
4. Safety management and accident handling: The state should formulate hospital safety management standards and strengthen hospital safety management measures, including infection control, drug management, surgical safety, etc. For medical accidents, the state should establish corresponding laws and mechanisms to strengthen the investigation and handling of accidents and protect the rights and interests of patients.
5. Drug and medical device management: The state should strengthen the approval, registration and supervision of drugs and medical devices, and strictly prohibit counterfeit and inferior drugs and medical devices from entering the market. For the procurement and use of drugs in hospitals, the state should establish a standardized and transparent procurement system to ensure the quality of drugs and the reasonableness of prices.
6. Complaints and dispute resolution: The state should establish a sound medical dispute handling mechanism, establish a medical dispute mediation committee or arbitration institution, strengthen the mediation and resolution of medical disputes, and safeguard the legitimate rights and interests of both doctors and patients. .
7. Scientific research and talent training: The state should increase support for hospital scientific research, encourage hospitals to participate in academic research and innovation, and improve the scientific level and clinical technology of hospitals. In addition, the state should also increase investment in hospital talent training and improve the professional quality and service level of medical staff.
The main characteristics of the public hospital operation management system:
1. Great policy influence
Due to the particularity of public hospitals, the state will provide public hospital services from a policy perspective. Hospitals provide more support, such as infrastructure construction, scientific research expense subsidies, etc. However, behind the policy support, because public hospitals have not fully realized marketization, the operation and management efficiency of public hospitals is relatively low.
2. Rigid organizational structure
Due to historical reasons, public hospitals have a rigid organizational structure. When most public hospitals set up organizational departments, they often emphasize the "big picture" in accordance with the requirements of their superiors. And "all", in addition to the regular hospital operating departments, many administrative departments also need to be added. From an operational perspective alone, various administrative departments will bring more economic burdens and pressures to the hospital. At the same time, because of the public welfare nature of public hospitals, public hospitals must consider social benefits rather than economic benefits when opening clinical departments and other aspects. This also increases the operational burden of public hospitals.
3. Talent management is difficult
Public hospitals are different from private hospitals in that they have great advantages in the quantity and quality of talents. Moreover, when public hospitals have a large number of talents, Talent mobility is also lower than that of private hospitals. However, during the operation and management period, the existing talent management systems of many public hospitals are not perfect. The emphasis is generally on the implementation of policy goals, but the value of operation management cannot be brought into play from the perspectives of personnel performance appraisal and other aspects.
To sum up, the state’s management of hospitals should comprehensively use legal means, regulatory mechanisms and policy measures to strengthen the supervision and management of hospitals from the aspects of qualification certification, quality evaluation, safety management, etc., and continuously improve The quality and level of medical services and the protection of public health rights.
Legal basis:
"Decision of the State Council on Amending and Repealing Some Administrative Regulations"
Article 1
In order to strengthen the medical These regulations are formulated to manage institutions, promote the development of medical and health services, and protect the health of citizens.
Article 2
These regulations apply to hospitals, health centers, sanatoriums, outpatient departments, clinics, health clinics (rooms) and first aid stations that engage in disease diagnosis and treatment activities. mechanism.
Article 3
The purpose of medical institutions is to save lives and heal the wounded, prevent and treat diseases, and serve the health of citizens.
Article 4
The state supports the development of medical institutions and encourages the establishment of medical institutions in various forms.
Article 5
The health administration department of the State Council is responsible for the supervision and management of medical institutions nationwide.
The health administrative departments of local people's governments at or above the county level are responsible for the supervision and management of medical institutions within their respective administrative regions.
The health authorities of the Chinese People's Liberation Army shall supervise and manage military medical institutions in accordance with these Regulations and relevant national regulations.