Public hospital governance under the director responsibility system / 中华医院管理杂志

ABSTRACT

This paper studied the present governance practice in public hospitals in Wenzhou,Zhejiang province. Points made in the paper cover the following failure of the check-and-balance of the three powers due to defects of the existing governance mechanism of public hospitals, absolute power and limitation of the hospital director as well as the patriarchal tendency of the director responsibility system.The author also demonstrated the director responsibility system under the board of directors, holding that the reform of the public hospital governance is a process of ongoing improvements, for which the mechanism of effective incentives, supervision and competition mechanism plays a key role for efficient hospital operations.