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研究院长负责制的实施北景、内容及对人员表现的影响。选择社会经济水平不同的B县(较富裕)和C县(较贫困)两个县进行调查,以召开专题小组讨论(focus group discussion)和知情者访谈(key informant interview)的定性调查方法为主,结合医院收支、诊疗等方面的定量数据进行分析。结果提示院长负责制受到院长、卫技人员的普遍拥护,调动院长与职工的工作积极性。实行院长负责制期间,两个县医院的医疗活动、经济创收、满意度与人员培训方面均有所改善。分析“放权”政策的局限性以及改善人员表现应采取的措施。讨论实行并完善院长负责制要正确处理扩大自主权和强化束约力的辩证关系和正确认识与理解新形势下的院长负责制等问题。
The implementation of the president’s responsibility system for the implementation of the North View, its content, and its impact on personnel performance. Two counties (B-counties (richer) and C counties (poorer)) with different socio-economic levels were selected to conduct surveys to focus on the qualitative survey methods of focus group discussions and key informant interviews. , Combined with the quantitative data of hospital revenue and expenditure, diagnosis and treatment, etc. The results suggest that the president’s responsibility system is universally supported by the dean and health technicians, and the enthusiasm of the dean and staff is mobilized. During the implementation of the Dean’s Responsibility System, the medical activities, economic income generation, satisfaction, and personnel training of the two county hospitals have all improved. Analyze the limitations of the “decentralization” policy and the measures that should be taken to improve personnel performance. Discuss the implementation and improvement of the Dean’s Responsibility System to properly handle the issue of expanding the autonomy and strengthening the dialectical relationship of the covenant force and correctly understanding and understanding the Dean’s Responsibility System under the new situation.