1. Legislation and policy formulation: The state should establish a legal framework and norms for hospital management through legislation and policy formulation, clarify the code of conduct and responsibilities of hospitals, and standardize the requirements of medical services in terms of price, quality and safety.
2. Licensing and supervision: The state should set up special institutions to be responsible for licensing and supervision of hospitals, evaluate and certify hospitals, and ensure the legality, compliance and effectiveness of hospital qualifications. Regulators should strengthen the inspection and supervision of hospitals, and find and deal with violations in time.
3. Evaluation of medical service quality: The state should establish an evaluation system of medical service quality, and urge hospitals to improve medical service quality and provide safer, more efficient and humanized medical services through evaluation and assessment of hospital departments, doctors and nursing staff.
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 and surgical safety. 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. Management of drugs and medical devices: The state should strengthen the examination, approval, registration and supervision of drugs and medical devices, and prohibit counterfeit and shoddy 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 rationality of drug quality and price.
6. Complaint and dispute settlement: The state should establish and improve the medical dispute settlement mechanism, set up a medical dispute mediation committee or arbitration institution, strengthen the mediation and settlement of medical disputes, and safeguard the legitimate rights and interests of both doctors and patients.
7. Scientific research and personnel training: The state should increase its 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 personnel training to improve the professional quality and service level of medical staff.
The main characteristics of public hospital operation management system;
1, the policy has great influence.
Due to the particularity of public hospitals, the state will give more support to public hospitals from the policy level, such as capital construction and subsidies for scientific research expenses. However, behind the policy support, the operation and management efficiency of public hospitals is relatively low because they have not fully realized marketization.
2. Organizational rigidity
Due to historical reasons, the organizational structure of public hospitals is in a rigid state. Most public hospitals often emphasize "big and comprehensive" according to the requirements of their superiors when setting up organizational departments. In addition to the regular hospital operation departments, many administrative departments need to be added. Only from the operational point of view, the administrative department will bring more economic burden and pressure to the hospital. At the same time, due to the public welfare of public hospitals, public hospitals should consider social benefits rather than economic benefits when opening clinical departments, which also increases the operating burden of public hospitals.
3. Talent management is difficult.
Different from private hospitals, public hospitals have great advantages in the quantity and quality of talents, and the mobility of talents in public hospitals is also less than that in private hospitals. However, in the stage of operation and management, the existing talent management system in many public hospitals is not perfect, and the implementation of policy objectives is generally emphasized, but the value of operation and management cannot be brought into play from the perspective of personnel performance appraisal.
To sum up, the state should comprehensively use legal means, supervision mechanism and policy measures to strengthen the supervision and management of hospitals from the aspects of qualification certification, quality evaluation and safety management, so as to continuously improve the quality and level of medical services and protect public health rights and interests.
Legal basis:
Decision of the State Council Municipality on Amending and Abolishing Some Administrative Regulations
first
In order to strengthen the management of medical institutions, promote the development of medical and health undertakings, and ensure the health of citizens, these regulations are formulated.
second
These Regulations apply to hospitals, health centers, sanatoriums, out-patient departments, clinics, health centers (rooms) and first-aid stations engaged in disease diagnosis and treatment.
essay
Medical institutions aim at saving lives, preventing diseases and serving citizens' health.
Article 4
The state supports the development of medical institutions and encourages the establishment of medical institutions in various forms.
Article 5
The health administrative department of the State Council is responsible for the supervision and management of medical institutions throughout the country.
The health administrative department of the local people's government at or above the county level shall be responsible for the supervision and management of medical institutions within their respective administrative areas.
The competent health department of China People's Liberation Army shall supervise and manage military medical institutions in accordance with these regulations and relevant state regulations.