Comparative analysis of hospital operation and management models between China and foreign countries_West China Medical Journal

Authors：

DU Yonghui ^1,2 , DONG Siping ^3,4,5 , YE Liwei ⁶ , ZHAO Jinhong ⁷ , ZHUO Lijun ⁸ ,  LIU Tingfang ⁷

1. Medical Department of Linyi People’s Hospital, Dezhou, Shandong 251500, P. R. China;
2. Institute for Hospital Management of Tsinghua University, Shenzhen, Guangdong 518055, P. R. China;
3. National Institute of Hospital Administration, National Health Commission, Beijing 100044, P. R. China;
4. School of Politics and Public Administration, Wuhan University, Wuhan, Hubei 430072, P. R. China;
5. School of Health Management, Fujian Medical University, Fuzhou, Fujian 350122, P. R. China;
6. Chinese Medicine Department of Linyi People’s Hospital, Dezhou, Shandong 251500, P. R. China;
7. School of Health Management Policy, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100005, P. R. China;
8. School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science & Technology, Wuhan, Hubei 430030, P. R. China;

Corresponding?author：

LIU Tingfang, Email: liutingfang@pumc.edu.cn

Keywords：

Hospital management; operation and management; cost effectiveness; comparison between China and foreign countries

DOI：

10.7507/1002-0179.202311249

Video：

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Objective To compare and analyze hospital operation and management models between China and foreign countries, in order to provide reference and guidance for the continuous improvement of hospital management in China. Methods The NVivo software was used to conduct a qualitative comparative analysis of domestic and foreign literature on hospital operation and management models in China National Knowledge Infrastructure, Wanfang, Web of Science, and PubMed until December 2022, and a model for the differences in operation and management between Chinese and foreign hospitals was further constructed. Results Finally, 33 Chinese literature and 21 English literature were selected as the raw materials for NVivo qualitative analysis. A comparative analysis of the operation and management models of Chinese and foreign hospitals from four dimensions: structure, process, results, and continuous improvement showed that there were differences in operation and management systems, talents, processes, finance, refinement, and innovation between Chinese and foreign hospitals. Conclusion Hospital operation and management needs to be deeply integrated with business work, improve the construction of hospital operation and management system, strengthen the competence of operation talents, pay attention to resource cost-benefit analysis, attach importance to the two-way integration of business and finance, optimize the adjustment of operation and management structure, and attach importance to the innovation drive of new technology application, in order to promote the scientific, standardized, refined, and informationalized level of hospital operation and management.

Citation： DU Yonghui, DONG Siping, YE Liwei, ZHAO Jinhong, ZHUO Lijun, LIU Tingfang. Comparative analysis of hospital operation and management models between China and foreign countries. West China Medical Journal, 2024, 39(1): 80-87. doi: 10.7507/1002-0179.202311249 Copy

1.	郭勇凱. 加強公立醫院運營管理的策略探討. 中國產經, 2023(12): 126-128.
2.	程永忠. 用一流運營管理支撐學科發展. 中國衛生, 2021(8): 52-53.
3.	王東海. 對《關于加強公立醫院運營管理指導意見》的思考. 會計師, 2021(6): 82-83.
4.	Krashen SD. The input hypothesis: issues and implications. London: Longman, 1985: 2.
5.	Swain M. The output hypothesis: just speaking and writing arent’ enough. Can Mod Lang Rev, 1993(50): 158-164.
6.	李為民. 醫院運營管理. 北京: 中國協和醫科大學出版社, 2022.
7.	Krajewski LJ, Ritzman LP. 運營管理: 流程與價值鏈. 劉晉, 向佐春, 譯. 北京: 人民郵電出版社, 2021.
8.	Stevenson WJ. 運營管理. 張群, 張杰, 馬風才, 譯. 北京: 機械工業出版社, 2020.
9.	Jacobs F, Chase R. 運營管理. 任建標, 譯. 北京: 機械工業出版社, 2021.
10.	Donabedian A. The quality of care. How can it be assessed? 1988. Arch Pathol Lab Med, 1997, 121(11): 1145-1150.
11.	楊柳, 王健. 淺談國外醫院管理. 中國衛生事業管理, 2007, 23(5): 348-350.
12.	操禮慶, 趙昕昱, 陳旭, 等. 業財融合背景下公立醫院運營管理現狀研究. 衛生經濟研究, 2021, 38(3): 70-72, 76.
13.	崔云裳, 宋雨瀟. 梅奧診所創新中心啟示. 中國研究型醫院, 2015, 2(6): 46-50.
14.	Paul P. Maglio (2014) appreciation to referees. Serv Sci, 2014, 6(4): 315-316.
15.	白雪, 馬洪升, 戴燕. 日間手術流程再造及管理模式優化研究. 華西醫學, 2015, 30(5): 842-845.
16.	Goldstein SM, Peter T, Leong G, et al. The effect of location, strategy, and operations technology on hospital performance. J Oper Manag, 2002, 20(1): 63-75.
17.	唐杭琴, 夏靜. DRGs 支付下基于價值鏈的流程管理應對——以 S 中醫醫院為例. 中國總會計師, 2021(11): 109-111.
18.	Vos L, Groothuis S, van Merode GG. Evaluating hospital design from an operations management perspective. Health Care Manag Sci, 2007, 10(4): 357-364.
19.	Lavender SA, Sommerich CM, Patterson ES, et al. Hospital patient room design: the issues facing 23 occupational groups who work in medical/surgical patient rooms. HERD, 2015, 8(4): 98-114.
20.	Ferrara F, Santilli P, Vitiello A, et al. Logistics management provides greater efficiency, governance and compliance. Int J Clin Pharm, 2021, 43(5): 1431-1435.
21.	楊婷婷, 李萌, 郭淑巖, 等. 我國公立二級綜合醫院運營效率與規模經濟狀況研究. 華西醫學, 2019, 34(12): 1362-1367.
22.	劉威. 醫院全成本管理的主要內涵與創新. 財會學習, 2017(24): 139.
23.	倪君文, 李敏強. 財務一體化模式下醫院全面預算管理的實踐與思考. 中國醫院, 2016, 20(6): 56-58.
24.	王蓬. 醫保支付方式改革背景下公立醫院運營管理模式應對策略. 財政監督, 2022(11): 91-96.
25.	文進. 價值醫療時代醫療衛生服務體系改革的思考. 華西醫學, 2022, 37(12): 1761-1764.
26.	劉娟, 王志粉, 盧新翠, 等. 構建精細化運營質量管理模式. 中國衛生質量管理, 2020, 27(2): 1-3, 25.
27.	高丹玲, 姚燕娟, 徐圓圓. 基于“原則-系統-工具”理論的公立醫院運營管理探索與實踐. 醫院管理論壇, 2022, 39(12): 34-36.
28.	周昀. 改革創新是永遠的關鍵詞. 中國衛生, 2018(2): 94.
29.	曲松濤, 封平, 張清芝. 運用精益管理降低醫院運營成本的實踐. 中國醫院管理, 2009, 29(12): 80.

1. 郭勇凱. 加強公立醫院運營管理的策略探討. 中國產經, 2023(12): 126-128.
2. 程永忠. 用一流運營管理支撐學科發展. 中國衛生, 2021(8): 52-53.
3. 王東海. 對《關于加強公立醫院運營管理指導意見》的思考. 會計師, 2021(6): 82-83.
4. Krashen SD. The input hypothesis: issues and implications. London: Longman, 1985: 2.
5. Swain M. The output hypothesis: just speaking and writing arent’ enough. Can Mod Lang Rev, 1993(50): 158-164.
6. 李為民. 醫院運營管理. 北京: 中國協和醫科大學出版社, 2022.
7. Krajewski LJ, Ritzman LP. 運營管理: 流程與價值鏈. 劉晉, 向佐春, 譯. 北京: 人民郵電出版社, 2021.
8. Stevenson WJ. 運營管理. 張群, 張杰, 馬風才, 譯. 北京: 機械工業出版社, 2020.
9. Jacobs F, Chase R. 運營管理. 任建標, 譯. 北京: 機械工業出版社, 2021.
10. Donabedian A. The quality of care. How can it be assessed? 1988. Arch Pathol Lab Med, 1997, 121(11): 1145-1150.
11. 楊柳, 王健. 淺談國外醫院管理. 中國衛生事業管理, 2007, 23(5): 348-350.
12. 操禮慶, 趙昕昱, 陳旭, 等. 業財融合背景下公立醫院運營管理現狀研究. 衛生經濟研究, 2021, 38(3): 70-72, 76.
13. 崔云裳, 宋雨瀟. 梅奧診所創新中心啟示. 中國研究型醫院, 2015, 2(6): 46-50.
14. Paul P. Maglio (2014) appreciation to referees. Serv Sci, 2014, 6(4): 315-316.
15. 白雪, 馬洪升, 戴燕. 日間手術流程再造及管理模式優化研究. 華西醫學, 2015, 30(5): 842-845.
16. Goldstein SM, Peter T, Leong G, et al. The effect of location, strategy, and operations technology on hospital performance. J Oper Manag, 2002, 20(1): 63-75.
17. 唐杭琴, 夏靜. DRGs 支付下基于價值鏈的流程管理應對——以 S 中醫醫院為例. 中國總會計師, 2021(11): 109-111.
18. Vos L, Groothuis S, van Merode GG. Evaluating hospital design from an operations management perspective. Health Care Manag Sci, 2007, 10(4): 357-364.
19. Lavender SA, Sommerich CM, Patterson ES, et al. Hospital patient room design: the issues facing 23 occupational groups who work in medical/surgical patient rooms. HERD, 2015, 8(4): 98-114.
20. Ferrara F, Santilli P, Vitiello A, et al. Logistics management provides greater efficiency, governance and compliance. Int J Clin Pharm, 2021, 43(5): 1431-1435.
21. 楊婷婷, 李萌, 郭淑巖, 等. 我國公立二級綜合醫院運營效率與規模經濟狀況研究. 華西醫學, 2019, 34(12): 1362-1367.
22. 劉威. 醫院全成本管理的主要內涵與創新. 財會學習, 2017(24): 139.
23. 倪君文, 李敏強. 財務一體化模式下醫院全面預算管理的實踐與思考. 中國醫院, 2016, 20(6): 56-58.
24. 王蓬. 醫保支付方式改革背景下公立醫院運營管理模式應對策略. 財政監督, 2022(11): 91-96.
25. 文進. 價值醫療時代醫療衛生服務體系改革的思考. 華西醫學, 2022, 37(12): 1761-1764.
26. 劉娟, 王志粉, 盧新翠, 等. 構建精細化運營質量管理模式. 中國衛生質量管理, 2020, 27(2): 1-3, 25.
27. 高丹玲, 姚燕娟, 徐圓圓. 基于“原則-系統-工具”理論的公立醫院運營管理探索與實踐. 醫院管理論壇, 2022, 39(12): 34-36.
28. 周昀. 改革創新是永遠的關鍵詞. 中國衛生, 2018(2): 94.
29. 曲松濤, 封平, 張清芝. 運用精益管理降低醫院運營成本的實踐. 中國醫院管理, 2009, 29(12): 80.

West China Medical Journal

Comparative analysis of hospital operation and management models between China and foreign countries

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