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应用复杂适应系统(CAS)理论,从新的角度认识和理解公立医院的经济运行。首先,提出了公立医院经济运行是一个复杂的适应系统,具有典型的的复杂适应特征,如:非线性、自组织及自适应等;然后,分析了公立医院经济运行相关主体:政府、医疗保险机构、医药企业、患者和医院自身的行为。在此基础上,提出了应当加强医院经济运行的整体管理、开放管理、整合管理和柔性管理,优化系统运行,从而促进公立医院经济的和谐有序运行和发展。
Applying Complex Adaptive System (CAS) theory to understand and understand the economic operation of public hospitals from a new perspective. First of all, it is put forward that the public hospital’s economic operation is a complex adaptive system with typical complex adaptive characteristics, such as: nonlinear, self-organization and self-adaptation. Then, it analyzes the related subjects of the public hospital’s economic operation: government, medical insurance Agencies, pharmaceutical companies, patients and hospitals themselves. On this basis, it is proposed that the overall management, open management, integrated management and flexible management of the hospital’s economic operation should be strengthened to optimize the operation of the system so as to promote the harmonious and orderly operation and development of the public hospital economy.