公立医院高质量发展报告（2024）
中文摘要
2021年5月14日，国务院办公厅印发《关于推动公立医院高质量发展的意见》（国办发〔2021〕18号），公立医院改革进入新的阶段。在新形势新要求下，助推公立医院有效落实高质量发展工作，是当前进一步深化医药卫生体制改革的重中之重。
推动公立医院高质量发展，主要内容在于“一个中心、一个目标、一条主线”，即以人民健康为中心，以建立健全现代医院管理制度为目标，坚持和加强党对公立医院的全面领导；在于“三个转变、三个提高、三个化”，即发展方式从规模扩张转向提质增效、运行模式从粗放管理转向精细化管理、资源配置从注重物质要素转向更加注重人才技术要素，提高效率、提高质量、提高医务人员的待遇，人性化是目的、功能化是定位、智能化是手段；在于“五个新”，构建公立医院高质量发展新体系、引领公立医院高质量发展新趋势、提升公立医院高质量发展新效能、激活公立医院高质量发展新动力、建设公立医院高质量发展新文化。
国家层面点面结合推进公立医院高质量发展，以医院为单位，国家卫生健康委已遴选9个省份14家大型高水平公立医院开展试点，通过委省共建的方式，由中央和地方共同发力，突破政策壁垒，整合优质资源，推动医疗技术和医院管理升级换代、弯道超车，打造公立医院高质量发展的样板、现代医院管理制度的模板。国家正推动试点医院在体制机制转变的基础上，着力开展医疗技术攻关，带动全国医疗水平迈上新台阶。国家进一步推动全国公立医院在当前阶段明确发展任务，发现自身发展优势与不足，通过借鉴国内外领先实践经验，更好迈向高质量发展。
本书包含总报告、政策篇、实践引领篇、案例篇、国际借鉴篇五个部分。总报告对我国公立医院高质量发展背景、现状、趋势进行归纳凝练，并提出公立医院高质量发展建议。政策篇基于对公立医院高质量发展政策背景、内涵、评价指标的深入研究，明确高质量发展导向。总结全国推动公立医院高质量发展的整体进展，对省级实施方案进行横向对比，分析高质量发展政策文件以及高质量发展试点医院建设情况。实践引领篇总结了党建引领公立医院高质量发展的经验，提出相关建议，基于卓越绩效模式提出公立医院高质量发展的科学指导体系，一方面在此框架下分享国家高质量发展试点医院建设举措，另一方面提炼出公立医院高质量发展的四个突破口。案例篇基于公立医院高质量发展的突破口，从国内医院具体管理实践中分析改革趋势，介绍可落地的实操举措，为全国公立医院落实高质量发展提供指导借鉴。最后，国际借鉴篇分析了权威世界医学中心评价榜单综合实力排名前十的国际医学中心优秀案例，并将国际卓越实践经验与我国公立医院高质量发展的“五个新”进行映射性案例研究，印证了国家公立医院高质量发展体系的全面性、系统性和科学性，为我国公立医院实现高质量发展提供国际视角。
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总报告
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政策篇
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实践引领篇
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案例篇
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国际借鉴篇
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