公立医院的治理结构 ——一个基于交易费用理论的分析框架

理论上,公立医院治理结构被视为在公立医院参与各方(出资人、医生、经营者、患者、供应商)的自我保护机制,当这种保护缺乏或者"不适应"的时候,参与方就会提高价格。实践中,我国公立医院的治理结构改革从未间断,对于公立医院治理结构改革路径尤其是构成成员存在较大差异和争议。文章运用交易费用理论分析了公立医院治理结构构成以及其参与机制(享有表决权的成员还是仅享有知情权的成员),在此基础上,提出应该赋予出资人、医生、经营者表决权;赋予供应商、患者知情权,并分别由两类主体构成理事会(出资人、医生、经营者)和监事会(供应商、患者)。

An transaction cost approach on the governance structure of the public hospital

The governance structure is regarded as the self-protection mechanism of the parties of the hospital(investor,doctor,management,patient and supplier).Lack of the protection,the parties will increase the price as the compensation.Who will be the member of the public hospital governance structure is the critical issue important issue.The author applied the transaction cost theory to analyze this issue and concluded that the investor(government),doctor and the management should be the member who had the voting rights and the supplier,the patient should be the member who had the informed rights.The board of the director should consist of the voting-rights member and the supervising board should consist of the informed rights member.