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公立医院财务信息公开的国际经验与中国实践
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  • 英文篇名:International and domestic practices in financial information disclosure in public hospitals
  • 作者:郑大喜
  • 英文作者:ZHENG Da-xi;Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology;
  • 关键词:公立医院 ; 财务信息公开 ; 国际经验 ; 实施效果 ; 影响因素
  • 英文关键词:Public hospital;;Financial information disclosure;;International experience;;Implementation effects;;Influencing factors
  • 中文刊名:ZGWZ
  • 英文刊名:Chinese Journal of Health Policy
  • 机构:华中科技大学同济医学院附属同济医院;
  • 出版日期:2019-01-25
  • 出版单位:中国卫生政策研究
  • 年:2019
  • 期:v.12;No.124
  • 语种:中文;
  • 页:ZGWZ201901013
  • 页数:6
  • CN:01
  • ISSN:11-5694/R
  • 分类号:78-83
摘要
为了解公立医院财务信息公开的国际经验和我国实践,本文采用政策分析、文献研究、现场调查和知情人访谈等方法,梳理和分析公立医院财务信息公开政策实施进展、存在的问题及其影响因素。结果:公立医院对内公开财务信息政策可得到有效落实,但在政府、社会公众更关注的财务信息对外公开方面总体情况不理想,远没有达到政府规制部门的要求,并受缺乏统一标准和激励影响而面临更新不及时、关键财务信息披露不足等问题。建议由政府统一制定可操作的公立医院财务信息公开指南,由公立医院提供落实财务信息公开政策的配套条件。
        Objective: To understand the effects and how financial information disclosure in public hospitals is practiced in China and other countries. Methods : This paper adopts the methods of policy analysis, literature analysis,field investigation and insider interview to analyze the progress, existing problems and influencing factors of the implementation of the policy on practicing financial information disclosure in public hospitals. Results : The policy on practicing internal public financial disclosure in public hospitals can be effectively implemented, but the overall situation of the disclosure of the financial information that the government and the public are more concerned about is not satisfactory. It is far from meeting the requirements of the government regulation department, mainly due to the lack of unifiedstandards and incentives. In short, the update is not timely, and the disclosure of key financial information is not sufficient. Conclusions: The government should set unified and operational financial information disclosure guidelines for public hospitals, and public hospitals should provide the supporting conditions for implementing the financial information disclosure policy.
引文
[1]Arrow K J. Uncertainty and the Welfare Economics of Medical Care[J]. The American Economic Review, 1963, 53(5):941-973.
    [2]郑大喜.财务信息公开对公立医院的影响研究[J].中国卫生经济,2017, 36(2):82-86.
    [3]Hussey P S, Luft H S, McNamara P. Public reporting of provider performance at a crossroads in the United States:summary of current barriers and recommendations on how to move forward[J]. Medical Care Research&Review, 2014,71(5):5-16.
    [4]Tailby S. Public service restructuring in the UK:the case of the English National Health Service[J]. Industrial Relations Journal, 2012, 43(5):448-464.
    [5]Eckermann S, Sheridan L, Ivers R. Which direction should Australian health system reform be heading?[J]. Australian and New Zealand Journal of Public Health, 2016, 40(1):7-9.
    [6]方鹏骞,李璐.基于激励规制理论的公立医院政府监管问题分析[J].中华医院管理杂志,2012, 28(3):161-163.
    [7]袁淼,徐爱军,刘阿秀.我国医院社会责任履行影响因素的实证研究[J].中华医院管理杂志,2015, 31(4):289-294.
    [8]赵璇,蒋艳,赵丽颖,等.医疗机构财务人员优化配置研究[J].中国卫生经济,2016, 35(3):86-88.
    [9]姚中进,姜虹,杜仕林,等.基于委托代理视角的公立医院政府规制俘获与阻滞机制[J].中华医院管理杂志,2014, 30(9):708-711.
    [10]陆晓露,徐渊洪,程之红,等.信息不对称下公立医院信息公开模式的探讨[J].中国医院管理,2012, 32(7):10-12.
    [11]应唯,张娟,杨海峰.政府会计准则体系建设中的相关问题及研究视角[J].会计研究,2016(6):3-7.
    [12]张胜.加深公立医院业务财务融合提升财务管理水平[J].中国卫生经济,2018, 37(4):88-90.

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