Multi-case Study on the Reform of Public Service Delivery Mode: Medical Services as an Example

Abstract

Abstract:

This paper studies the performance of the diversification reform of public service delivery mode and the mechanism of influence. From the theory of public service delivery, we extract three kinds of delivery mode:public-public, public-private and privatization and build an analysis framework of delivery mode-mechanism-service performance. Then we choose 2 cases under each mode from the medical service sector to gather a total of six typical cases. Based on the 6 cases, we analyze their social benefit, economic benefit and internal management improvement and then use the delivery mode as the unit to make an intra-group and inter-group analysis. The study finds that cases in the same mode show the same or different performance, and cases of different mode show similar or different performance results. This result shows that the delivery mode does not directly influence service performance, but plays an indirect role. Service performance is influenced by a variation of factors, such as the government and social capital allowed full play of their respective advantages, reasonable compensation mechanism in place, strict cost control mechanism selection in the mode of core and non-core functions.

Key words: public service, delivery mode, medical service

Wang Zhe, Ding Zi. Multi-case Study on the Reform of Public Service Delivery Mode: Medical Services as an Example[J]. , 2018, 30(3): 264-272.

References

[1] 邹至庄. 中国医疗的供给与政策[J]. 管理评论, 2006,18(10):3-8
[2] 詹国彬. 公立医疗机构民营化改革的模式及其比较[J]. 公共管理学报, 2009,6(4):61-68
[3] 国务院办公厅转发发展改革委卫生部等部门《关于进一步鼓励和引导社会资本举办医疗机构意见的通知》. 国办发
[2010] 58号[EB/OL]. http://www.gov.cn/zwgk/2010-12/03/content_1759091.htm, 2010
[4] 国务院关于印发国家基本公共服务体系"十二五"规划的通知. 国发
[2012] 29号[EB/OL]. http://www.gov.cn/zwgk/2012-07/20/content_2187242.htm, 2012
[5] 国务院关于促进健康服务业发展的若干意见. 国发
[2013] 40号[EB/OL]. http://www.gov.cn/zwgk/2013-10/14/content_2506399.htm, 2013
[6] 国务院办公厅关于印发全国医疗卫生服务体系规划纲要(2015-2020). 国办发
[2015] 14号[EB/OL]. http://www.gov.cn/zhengce/content/2015-03/30/content_9560.htm, 2015
[7] 丁姿. 西方国家公共服务供给模式研究综述[J]. 公共管理评论, 2016,(1):113-131
[8] Savas E. S. Privatization and Public-private Partnership[M]. New York:Chatham House, 2000
[9] Williamson O. E. Public and Private Bureaucracies:A Transaction Cost Economics Perspective[J]. Journal of Law Economics & Organization, 1999,15(1):306-342
[10] Brown T. L., Potoski M., Slyke D. V. Managing Complex Contracts:A Theoretical Approach[J]. Journal of Public Administration Research and Theory, 2016,26(2):294-308
[11] Hefetz A., Warner M. Contracting or Public Delivery? The Importance of Service, Market, and Management Characteristics[J]. Journal of Public Administration Research and Theory, 2012,22(2):289-317
[12] Bel G., Miralles A. Factors Influencing the Privatization of Urban Solid Waste Collection in Spain[J]. Urban Studies, 2003,40(7):1323-1334
[13] Yang Y. H., Wang Y. Q. On the Development of Public-Private Partnerships in Transitional Economies:An Explanatory Framework[J]. Public Administration Review, 2013,73(2):301-310
[14] 沈群红. 当代中国医院发展的制度分析[M]. 北京:群众出版社, 2013
[15] 丁姿. 我国医疗服务供给方式的变迁与改革路径[J]. 宏观经济管理, 2016,(3):36-40
[16] 李蕾,李靖宇,刘兵,等. 医疗卫生服务模式与资源配置的国际比较[J]. 管理评论, 2017,29(3):186-196
[17] 詹国彬. 公立医院民营化改革:模式、成效与风险[M]. 北京:法律出版社, 2014
[18] 魏超,叶睿,孟开,等. 我国社会资本举办医疗机构模式研究[J]. 中国医院, 2014,18(12):17-20
[19] 杨悦,宗毛毛,尤晓敏,等. 我国公立医院药房改革路径探讨[J]. 中国药房, 2016,(13):1737-1741
[20] Edith M. L. Hospital Administration-One of a Species[J]. Hospital Administration, 1957,(4):444-463
[21] 顾昕. 全球性公立医院的法人治理模式变革——探寻国家监管与市场效率之间的平衡[J]. 经济社会体制比较, 2006,(1):46-55
[22] Lindlbauer I., Winter V., Schreyögg J. Antecedents and Consequences of Corporatization:An Empirical Analysis of German Public Hospitals[J]. Journal of Public Administration Research and Theory, 2016,26(2):309-326