医务人员对公立医院改革成效的评价与建议

摘要

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.%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.