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[1]姚真君唐瑛.公立医院党委领导下院长负责制议事及决策机制的现状分析与优化建议[J].中国卫生质量管理,2026,33(4):101-105.[doi:10.13912/j.cnki.chqm.2026.33.4.21]
　YAO Zhenjun,TANG Ying.Analysis of the Current Status and Optimization Suggestions for the Deliberative and Decision-Making Mechanisms under the President Responsibility System Led by the Party Committee in Public Hospitals[J].Chinese Health Quality Management,2026,33(4):101-105.[doi:10.13912/j.cnki.chqm.2026.33.4.21]

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公立医院党委领导下院长负责制议事及决策机制的现状分析与优化建议

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 33 期数: 2026年4期页码: 101-105 栏目: 党建与医院高质量发展出版日期: 2026-04-15

Title:: Analysis of the Current Status and Optimization Suggestions for the Deliberative and Decision-Making Mechanisms under the President Responsibility System Led by the Party Committee in Public Hospitals

作者:: 姚真君唐瑛; 上海市胸科医院/上海市交通大学医学院附属胸科医院

Author(s):: YAO Zhenjun; TANG Ying; Shanghai Chest Hospital/Shanghai Jiao Tong University School Of Medicine

关键词:: 公立医院; 党委领导下院长负责制; 议事决策; 执行效率

Keywords:: Public Hospitals; President Responsibility System Led by the Party Committee; Deliberative Decision-Making; Implementation Efficiency

分类号:: R197.3

DOI:: 10.13912/j.cnki.chqm.2026.33.4.21

文献标志码:: A

摘要:: 目的探讨公立医院党委领导下院长负责制议事及决策机制的现状与优化路径，以实现决策质量与效率双提升，推进议事决策科学化、民主化、规范化。方法拟订调查问卷，对上海市10所市级公立医院100名研究对象开展调查。结果公立医院党委领导下院长负责制议事决策存在议事清单不明、前期论证不足、沟通协商不畅、审核把关不严、监督反馈缺乏等困境。结论针对议事决策困境，构建全方位的保障体系，提出明确议事清单、加强前期论证、注重沟通协调、严格审核流程、形成决策闭环等对策建议，以推动公立医院党委领导下院长负责制科学实施。

Abstract:: ObjectiveTo explore the current status and optimization pathways of the deliberative and decision-making mechanisms under the president responsibility system led by the Party committee in public hospitals, with the goal of achieving simultaneous improvements in decision-making quality and efficiency, and promoting scientific, democratic, and standardized deliberative decision-making.MethodsA questionnaire was developed and administered to 100 respondents from 10 municipal-level public hospitals in Shanghai. ResultsThe deliberative decision-making under the president responsibility system led by the Party committee in public hospitals faces challenges such as unclear deliberative agendas, insufficient preliminary deliberation, poor communication and consultation, lax review and oversight, and a lack of supervisory feedback mechanisms. Conclusion To address these deliberative decision-making challenges, it is essential to construct a comprehensive safeguard system. Countermeasures and suggestions are proposed, including clarifying deliberative agendas, strengthening preliminary deliberation, emphasizing communication and coordination, implementing strict review procedures, and forming a closed-loop decision-making process, to facilitate the scientific implementation of the president responsibility system led by the Party committee in public hospitals.

参考文献/References:

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更新日期/Last Update: 2026-04-15