基于TRIZ理论的公立医院改革路径优化与战略选择——以齐齐哈尔市第一医院综合医改为例
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摘要
公立医院改革作为纵深推进医药卫生体制改革的重要环节,近年来多阶段的公立医院改革试点工作正在由量到质、由速到效地有序推进,改革成效及困境这一话题备受学界和实务界所关注。以齐齐哈尔市第一医院综合医改试点为例,剖析其在制度建设、运营机制、改革互动及定位上遭遇的现实困境以及破解思路。基于此,利用TRIZ理论对如何优化改革路径及战略选择进行实质性探索,以期为理论界及实务界提供一种科学、有效的参考模式以助力公立医院拓宽改革理路,增强改革的综合效果。
The public hospital reform is an essential part for the promotion of the health reform. In recent years,the multi-stage pilot reforms of public hospital have been systematically implemented,and the topic of reform achievements and difficulties has attracted much attention from academics and practitioners. The paper analyzed the dilemmas of the institutional construction,operational mechanism,reform cooperation and orientation through taking the comprehensive pilot reform of The First Hospital of Qiqihar City as an example. Based on this,the study made a substantial exploration on how to optimize the reform path and strategic choice through using the TRIZ theory,in order to provide a scientific and effective method for practice and theory,and to make reference for other public hospital reform practice.
The public hospital reform is an essential part for the promotion of the health reform. In recent years,the multi-stage pilot reforms of public hospital have been systematically implemented,and the topic of reform achievements and difficulties has attracted much attention from academics and practitioners. The paper analyzed the dilemmas of the institutional construction,operational mechanism,reform cooperation and orientation through taking the comprehensive pilot reform of The First Hospital of Qiqihar City as an example. Based on this,the study made a substantial exploration on how to optimize the reform path and strategic choice through using the TRIZ theory,in order to provide a scientific and effective method for practice and theory,and to make reference for other public hospital reform practice.
引文
[1]国家卫生计生委,财政部,国务院医改办.关于确定第四批公立医院改革国家联系试点城市及有关工作的通知[EB/OL].(2016-05-10)[2018-08-01].http://www.nhc.gov.cn/tigs/s3581/201605/a9891a0b7bab4c1bab0641d04395f86b.shtml.2016.
[2]国家卫生计生委,财政部,国务院医改办.关于确定第三批公立医院改革国家联系试点城市及有关工作的通知[EB/OL].(2015-05-08)[2018-08-01].http://www.nhfpc.gov.cn/tigs/s3581/201505/313 9dcfc75214280a376cd59dd0cf099.shtml.2015.
[3]刘训涛,曹贺,陈国晶.TRIZ理论及应用[M].北京:北京大学出版社,2011.
[4]彭慧娟,成思源,李苏洋,等.TRIZ的理论体系研究综述[J].机械设计与制造,2013,22(10):270-272.
[5]ALTSHULLER G S.The Innovation Algorithm[M].Worcester:Technical Innovation Center,INC,1999.
[6]陈华琼.分享经济下基于TRIZ理论的网络约租车服务创新研究[D].广州:华南理工大学,2017.
[7]张炜达.基于TRIZ理论的餐饮服务业创新[J].企业经济,2014(7):114-118.
[8]沈甘霖.TRIZ创新原理在中国公共管理中的应用[D].沈阳:东北大学,2014.
[9]付敏,范德林.基于TRIZ理论的高校创新教育研究与实践[J].黑龙江高教研究,2013,31(7):104-106.
[10]林艳,王宏起.TRIZ理论促进企业创新的作用机理与策略[J].中国科技论坛,2008(12):57-60.
[11]吴学梯.方法·创新·转变[M].北京:高等教育出版社,2011.
[12]娄永海.基于TRIZ理论的企业商业模式研究[D].长春:吉林大学,2009.
[13]吕巧凤.TRIZ理论“本土化”的思路与对策[J].理论探讨,2010(3):166-168.
[14]马进.我国公立医院改革拓展与深化[J].中国医院管理,2013,33(6):3-5.
[15]蒋海泥,王留明,程龙,等.新常态下公立医院改革发展挑战及其对策[J].中国医院管理,2018,38(5):13-15.
[16]谢嘉元.TRIZ创新原理在教育创新中的应用[D].沈阳:东北大学,2015.
[2]国家卫生计生委,财政部,国务院医改办.关于确定第三批公立医院改革国家联系试点城市及有关工作的通知[EB/OL].(2015-05-08)[2018-08-01].http://www.nhfpc.gov.cn/tigs/s3581/201505/313 9dcfc75214280a376cd59dd0cf099.shtml.2015.
[3]刘训涛,曹贺,陈国晶.TRIZ理论及应用[M].北京:北京大学出版社,2011.
[4]彭慧娟,成思源,李苏洋,等.TRIZ的理论体系研究综述[J].机械设计与制造,2013,22(10):270-272.
[5]ALTSHULLER G S.The Innovation Algorithm[M].Worcester:Technical Innovation Center,INC,1999.
[6]陈华琼.分享经济下基于TRIZ理论的网络约租车服务创新研究[D].广州:华南理工大学,2017.
[7]张炜达.基于TRIZ理论的餐饮服务业创新[J].企业经济,2014(7):114-118.
[8]沈甘霖.TRIZ创新原理在中国公共管理中的应用[D].沈阳:东北大学,2014.
[9]付敏,范德林.基于TRIZ理论的高校创新教育研究与实践[J].黑龙江高教研究,2013,31(7):104-106.
[10]林艳,王宏起.TRIZ理论促进企业创新的作用机理与策略[J].中国科技论坛,2008(12):57-60.
[11]吴学梯.方法·创新·转变[M].北京:高等教育出版社,2011.
[12]娄永海.基于TRIZ理论的企业商业模式研究[D].长春:吉林大学,2009.
[13]吕巧凤.TRIZ理论“本土化”的思路与对策[J].理论探讨,2010(3):166-168.
[14]马进.我国公立医院改革拓展与深化[J].中国医院管理,2013,33(6):3-5.
[15]蒋海泥,王留明,程龙,等.新常态下公立医院改革发展挑战及其对策[J].中国医院管理,2018,38(5):13-15.
[16]谢嘉元.TRIZ创新原理在教育创新中的应用[D].沈阳:东北大学,2015.