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.	郭勇凯. 加强公立医院运营管理的策略探讨. 中国产经, 2023(12): 126-128.
2.	程永忠. 用一流运营管理支撑学科发展. 中国卫生, 2021(8): 52-53.
3.	王东海. 对《关于加强公立医院运营管理指导意见》的思考. 会计师, 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.	李为民. 医院运营管理. 北京: 中国协和医科大学出版社, 2022.
7.	Krajewski LJ, Ritzman LP. 运营管理: 流程与价值链. 刘晋, 向佐春, 译. 北京: 人民邮电出版社, 2021.
8.	Stevenson WJ. 运营管理. 张群, 张杰, 马风才, 译. 北京: 机械工业出版社, 2020.
9.	Jacobs F, Chase R. 运营管理. 任建标, 译. 北京: 机械工业出版社, 2021.
10.	Donabedian A. The quality of care. How can it be assessed? 1988. Arch Pathol Lab Med, 1997, 121(11): 1145-1150.
11.	杨柳, 王健. 浅谈国外医院管理. 中国卫生事业管理, 2007, 23(5): 348-350.
12.	操礼庆, 赵昕昱, 陈旭, 等. 业财融合背景下公立医院运营管理现状研究. 卫生经济研究, 2021, 38(3): 70-72, 76.
13.	崔云裳, 宋雨潇. 梅奥诊所创新中心启示. 中国研究型医院, 2015, 2(6): 46-50.
14.	Paul P. Maglio (2014) appreciation to referees. Serv Sci, 2014, 6(4): 315-316.
15.	白雪, 马洪升, 戴燕. 日间手术流程再造及管理模式优化研究. 华西医学, 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, 夏静. DRGs 支付下基于价值链的流程管理应对——以 S 中医医院为例. 中国总会计师, 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.	杨婷婷, 李萌, 郭淑岩, 等. 我国公立二级综合医院运营效率与规模经济状况研究. 华西医学, 2019, 34(12): 1362-1367.
22.	刘威. 医院全成本管理的主要内涵与创新. 财会学习, 2017(24): 139.
23.	倪君文, 李敏强. 财务一体化模式下医院全面预算管理的实践与思考. 中国医院, 2016, 20(6): 56-58.
24.	王蓬. 医保支付方式改革背景下公立医院运营管理模式应对策略. 财政监督, 2022(11): 91-96.
25.	文进. 价值医疗时代医疗卫生服务体系改革的思考. 华西医学, 2022, 37(12): 1761-1764.
26.	刘娟, 王志粉, 卢新翠, 等. 构建精细化运营质量管理模式. 中国卫生质量管理, 2020, 27(2): 1-3, 25.
27.	高丹玲, 姚燕娟, 徐圆圆. 基于“原则-系统-工具”理论的公立医院运营管理探索与实践. 医院管理论坛, 2022, 39(12): 34-36.
28.	周昀. 改革创新是永远的关键词. 中国卫生, 2018(2): 94.
29.	曲松涛, 封平, 张清芝. 运用精益管理降低医院运营成本的实践. 中国医院管理, 2009, 29(12): 80.

1. 郭勇凯. 加强公立医院运营管理的策略探讨. 中国产经, 2023(12): 126-128.
2. 程永忠. 用一流运营管理支撑学科发展. 中国卫生, 2021(8): 52-53.
3. 王东海. 对《关于加强公立医院运营管理指导意见》的思考. 会计师, 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. 李为民. 医院运营管理. 北京: 中国协和医科大学出版社, 2022.
7. Krajewski LJ, Ritzman LP. 运营管理: 流程与价值链. 刘晋, 向佐春, 译. 北京: 人民邮电出版社, 2021.
8. Stevenson WJ. 运营管理. 张群, 张杰, 马风才, 译. 北京: 机械工业出版社, 2020.
9. Jacobs F, Chase R. 运营管理. 任建标, 译. 北京: 机械工业出版社, 2021.
10. Donabedian A. The quality of care. How can it be assessed? 1988. Arch Pathol Lab Med, 1997, 121(11): 1145-1150.
11. 杨柳, 王健. 浅谈国外医院管理. 中国卫生事业管理, 2007, 23(5): 348-350.
12. 操礼庆, 赵昕昱, 陈旭, 等. 业财融合背景下公立医院运营管理现状研究. 卫生经济研究, 2021, 38(3): 70-72, 76.
13. 崔云裳, 宋雨潇. 梅奥诊所创新中心启示. 中国研究型医院, 2015, 2(6): 46-50.
14. Paul P. Maglio (2014) appreciation to referees. Serv Sci, 2014, 6(4): 315-316.
15. 白雪, 马洪升, 戴燕. 日间手术流程再造及管理模式优化研究. 华西医学, 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, 夏静. DRGs 支付下基于价值链的流程管理应对——以 S 中医医院为例. 中国总会计师, 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. 杨婷婷, 李萌, 郭淑岩, 等. 我国公立二级综合医院运营效率与规模经济状况研究. 华西医学, 2019, 34(12): 1362-1367.
22. 刘威. 医院全成本管理的主要内涵与创新. 财会学习, 2017(24): 139.
23. 倪君文, 李敏强. 财务一体化模式下医院全面预算管理的实践与思考. 中国医院, 2016, 20(6): 56-58.
24. 王蓬. 医保支付方式改革背景下公立医院运营管理模式应对策略. 财政监督, 2022(11): 91-96.
25. 文进. 价值医疗时代医疗卫生服务体系改革的思考. 华西医学, 2022, 37(12): 1761-1764.
26. 刘娟, 王志粉, 卢新翠, 等. 构建精细化运营质量管理模式. 中国卫生质量管理, 2020, 27(2): 1-3, 25.
27. 高丹玲, 姚燕娟, 徐圆圆. 基于“原则-系统-工具”理论的公立医院运营管理探索与实践. 医院管理论坛, 2022, 39(12): 34-36.
28. 周昀. 改革创新是永远的关键词. 中国卫生, 2018(2): 94.
29. 曲松涛, 封平, 张清芝. 运用精益管理降低医院运营成本的实践. 中国医院管理, 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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