公立医院集团化战略研究

上海交通大学硕士学位论文公立医院集团化战略研究姓名：严伯荣申请学位级别：硕士专业：工商管理指导教师：屠梅曾20050325XSWOTXXX ,,STUDYONTHESTRATEGIESOFPUBLICHOSPITALGROUPABSTRACT NowadayspublichospitalgroupisanimportantissuefortheoreticalresearchandpracticalexplorationinthefieldsofChina’shealthcaresystem.Thekeyforthehealthcareservicetoenterthemedicalmarketliesonthefurtherraisingoftheefficiencyinusingmedicalresources,whileregroupingmedicalresourcesisanimportantwaytooptimizetheresourcesandreducecostsandthepublichospitalgroupisamajorformandoperatingmodefortherealizationoftheregroupingofmedicalresources.Accordingtothesocialeconomicattributeofpublichospitalsandthestrategicorientationoftheirmedicalservice,startingfromthedevelopmentalstrategyforregroupingpublichospitalsandincombinationofthecurrentsituationintherestructureanddevelopmentofChina’smedicalindustryandhealthcaresystem,thisstudygivesamorecomplete,systematicprocessing.Inductionandsummarizingofthemotivation,basicconception,operatingmodefortheorganizationofpublichospitalgroupsandtheadvancementoftheexistingpublichospitalgroupsathomeandabroad.Inthecourseofthestudy,thesuccessfulexperiencesandtheoreticalresultsintheregroupingstrategyanddevelopmentpatternhavebeenseriouslydrawnandadoptedfromChina’srelatedenterprisinggroupsandoverseashospitalgroups.TakingShanghaiXHospitalGroup(Thisisrealcase.Buttherealnameofthegroupisconcealedduetotheconfidentiality),whichhasbeenplannedtobeestablished,asanexemplum,onthebasisofinvestigationandstudyinmanywaysonstrategicenvironmentandcapabilityandthroughthestrategicanalysisibyusingthemethodsofSWOTandvaluechain,regroupingpatternsandstrategicplans,whichcouldbeselectedbyXHospitalforthedevelopmentofahospitalalliance,havebeenpresentedandascientificproofanddetailedaccounthavebeengiventothegroupstrategictarget,managementpattern,operatingmechanism,informationnetworandimplementaryplanandapproachesforXHospitalGroup.Thestudyshowsthattheestablishmentofpublichospitalguoupsisanefficientwaytoexploitthemedicalmarketandastrategicchoiceforahospitalforitsself-development.Theverifiedpattern,whichhasbeenproposedbythisstudytopublichospitalsfortheirregroupingstrategyanddevelopmentroad,hasprovidedapackageofpracticalmanagementpatternandtheoreticalbasisfortheexplorationandestablishmentofamodernhospitalsystemandnewoperatingmechanismwithChinesecharacteristics,ShanghaifeaturesandinlinewiththecurrantsituationofChinesenationalhealthcaresystemandalsohassignificanceofdirectguidanceandpracticalvaluefortheprevalentongoingrestructureofpublichospitalmanagementsystem.KeyWords:PublichospitalGroupStrategy2005325211.190[1]WTO[2]WTO[3-5]32.2XX 2.3XXBYSWOTXXX4XXX 52X2.1XX1958XX“”XB1980B1993“”1995B——B6Y1948YY21222-1()X180,821135,338B3239633922Y1890138,000 2-2 ()()()X1,5866342061B502287085Y6503882032.2/72-320012003          2-32-1X3YBX  (/)(/)(/)(/)2001X2046845322111277131440 B198758673618426683 Y6555969948294298922002X2308080333251454632536 B246209811919858058 Y667952103133146102522003X2324880334311452132639 B277020889221988880 Y667549128053864127512-182-420012003//2001X105.5125.5614.87 B68.0116.6119.16 Y94.5815.5519.992002X108.8226.5014.89 B80.1917.1917.98 Y91.7016.0919.202003X100.3025.65 14.09 B87.0017.2217.70 Y98.2318.9517.29 92-2            2-42-22-3X 2.3XX8346361429737234550307992-310350136615WHOX211553947B4Y1415911BB 2-X -BY 2-5XXBYBYY 2.4122-620012003200120022003X3,213,0003923,808,0006658,757,000823B34,70058705,80078862,50080Y20000403300006050200081 X311450SCI6IST3616423343226233728XXXXBY 2.52-7(200312)2-7X34.77%()X2373825383116534.77B77523227227123.93Y108231935041323.4813XX2-8 XBY %%%731336190008.8416.1275.030006242002002.5910.3486.200.8700414203663111.254.3963.6420.699.720.312-8X75.0316.128.843570X2.6:2-914    ()(%)()20015893121.3120026554711.2323.43X2003690835.3924.872001868410.1720021071223.3513.20B20031390729.8316.4820012030610.06200219900-2.0013.29Y20032244612.7918.14*2003 2-9XB220%,X10%4XY2002200312.79%X20XX2-10()() X152.51153.33630.19647.91B150.97157.35428.6442.28Y148.3150.09415.4426.78 152-10 2.7 XXXX2-112-162-111999-2003X()1999167540322902945820002098989282611178820012046845314401277120022308080325361454620032324880326391452152090839.4262943.829555064119.712616.82123.5 2-121999-2003X() (%)(//)()199994.3319.5717.36162000104.0523.4116.172001105.5125.5614.872002108.8226.514.892003100.325.6514.095102.605.5424.142.8015.481.29 2-131999-2003X ()()1999140.82322000142.53962001293.539220023626652003832.78235293.50,455.70*396,432**:,2-141999-2003X(%)()19992000200120022003774(27.57)777(27.60)778(27.50)778(26.33)825(27.37)974(34.70)997(35.42)1019(36.02)1130(38.24)1165(38.65)347(12.36)350(12.43)374(13.22)373(12.62)383(12.71)185(6.60)180(6.40)118(4.17)117(3.96)116(3.85)92(3.28)81(2.88)119(4.21)140(4.74)120(3.98)423(15.07)418(14.85)413(14.60)408(13.81)397(13.17)12(0.42)12(0.42)8(0.28)9(0.30)8(0.27)2807(100.00)2815(100.00)2829(100.00)2955(100.00)3014(100.00)17  2-151999-2003%199927004.5200029003.77.40200131251.87.75200234671.610.94200340510.516.84 2-161999-2003%19994333315.4420005765833.0820.542001589312.2121.3120026554711.2323.432