Abstract：The reform of public hospital trusteeship is one of the effective means to optimize the allocation of medical resources and improve the overall efficiency of the health system. At present, the trusteeship of public hospitals in China is still being explored and developed, and there are still many risks in practice. In order to reduce the risk and promote the effective operation of the reform of public hospital trusteeship system, this paper uses the COSO-ERM (2017) to analyze the public hospital trusteeship risk management system and finds that there is a weak awareness of the risk culture of the responsible subject, the goal issues such as mere formality, single risk assessment methods, and imperfect risk information communication mechanisms were established. Based on this, it suggestions to optimize the hospital trusteeship reform of governance structure, strengthen the subject consciousness of risk culture, establish the targets of fine management, perfect the risk information communication mechanism, effective risk assessment and response managed in the form of diversification, and dynamic adjustment trusteeship risk management system, improve the applicability and operability of risk management.
马杰 洪学智 潘佳欣 李秀丽 伍洁洁 周金灿 金今花. 基于COSO-ERM（2017）框架的公立医院托管风险管理探讨[J]. 中国医药导报, 2021, 18(6): 140-143.
MA Jie HONG Xuezhi PAN Jiaxin LI Xiuli WU Jiejie ZHOU Jincan JIN Jinhua. Discussion on the management of public hospital trusteeship risk based on the COSO-ERM (2017) framework. 中国医药导报, 2021, 18(6): 140-143.
2021, Vol. 18 
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