上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（卫生事业管理） • 上一篇    下一篇

公立医院与非公医院合作发展上海现代医疗服务业的认知调查

汤 磊1，张 薇2，袁蕙芸2，张澄宇1   

  1. 上海交通大学 1.中国医院发展研究院， 上海 200025； 2.医学院附属仁济医院宣传科， 上海 200217
  • 出版日期:2013-10-28 发布日期:2013-10-31
  • 通讯作者: 张澄宇, 电子信箱: cyzhang310@hotmail.com。
  • 作者简介:汤 磊（1971—），男，助理研究员，博士；电子信箱：tl725@hotmail.com; 张 薇（1989—），女，硕士生；电子信箱：weiweikom@126.com。
  • 基金资助:

    上海市卫生局基金（2012HP014）

Research on cognition of cooperation between public hospitals and non-public hospitals in development of modern medical service industry in Shanghai

TANG Lei1, ZHANG Wei2, YUAN Hui-yun2, ZHANG Cheng-yu1   

  1. 1.National Institute of Hospital Development, Shanghai Jiaotong University, Shanghai 200025, China; 2.Department of Publicity, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200127, China
  • Online:2013-10-28 Published:2013-10-31
  • Supported by:

    Shanghai Municipal Health Bureau Foundation，2012HP014

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摘要：

目的 调查卫生行政领导和医务人员对发展上海现代医疗服务的认知及态度，探讨公立医院与非公医院的优势与不足，为两者合作发展上海现代医疗服务业提供借鉴。方法 查阅相关文献并结合专家访谈对“现代医疗服务业”的内涵进行界定。根据专家访谈结果设计问卷，采用方便抽样的方法对卫生行政领导和公立医院医师及非公医院院领导共400人进行调查，调查内容包括对上海现代医疗服务业发展前景和发展途径的认知、公立医院与非公医院的优势和不足及两者合作发展上海现代医疗服务业的可行性。结果 将“现代医疗服务业”定义为“伴随着信息技术和知识经济的发展，利用现代化的医疗新技术、新业态和新服务,改造和提升传统医疗服务业，为社会创造需求，引导消费，提供高附加值、多层次的医疗服务新领域”。68.3%的被调查者认为上海现代医疗服务业的发展前景潜力巨大，卫生行政领导较公立医院医师更看好上海现代医疗服务业的发展潜力（P=0.003）；74.1%的被调查者认为,在中外合资、合作医院发展现代医疗服务业中,高端医疗服务的运作模式是当前最成功的模式；86.6%的被调查人员认为公立医院与非公医院合作发展现代医疗服务业是可行的。结论 上海现代医疗服务业巨大的发展潜力受到普遍认同，中外合资、合作医院成功的运作机制为公立医院与非公医院合作发展现代医疗服务业提供了借鉴，但合作参与高端医疗服务仍有诸多体制、机制的问题需要解决。

关键词: 现代医疗服务业, 上海, 公立医院, 非公医院, 认知态度

Abstract:

Objective To investigate the attitude and cognition of health administrative officials and medical staffs on the development of modern medical services in Shanghai, explore the advantages and disadvantages of public hospitals and non-public hospitals, and provide theoretical basis for their cooperation on modern medical services. Methods The concept of modern medical service industry was defined after literature review and expert interview. The self-made questionnaire was designed based on the results of expert interview, which included the cognition and attitude on the prospect and ways of development of modern medical services in Shanghai, the advantages and disadvantages of public and non-public hospitals, and the feasibility of their cooperation in the development of modern medical services in Shanghai. Four hundred health administrative officials, medical doctors in public hospitals and leaders in non-public hospitals were surveyed by convenient sampling. Results The modern medical service industry was defined as “a new field which is using modern medical new technology, new forms and new services to transform and upgrade traditional medical services, to create demand for the society, to guide consumption and provide high value-added, multilevel medical services with the development of information technology and knowledge economy. A total of 68.3% of respondents believed that the prospect of modern medical services in Shanghai was promising, and health administrative officials were more optimistic about the prospects than medical doctors in public hospitals (P=0.003). Besides, 74.1% of respondents thought the operation mechanism of Sino-foreign joint venture hospitals was the best mode to develop high-end medical services, and 86.6% of investigators considered that the cooperation between public hospitals and non-public hospitals was feasible. Conclusion The favorable prospect of modern medical services in Shanghai is generally accepted, and the successful operation mechanism of Sino-foreign joint venture hospitals can provide references for developing modern medical service in Shanghai through cooperation between public hospitals and non-public hospitals, while there still exist some problems about system and mechanism in providing high-end medical services jointly.

Key words: modern medical services, Shanghai, public hospital, non-public hospital, attitude and cognition