In the context of deepening healthcare reform and advancing the high-quality development of public hospitals, constructing a supervision system aligned with the modern hospital management system has become essential for ensuring strategic implementation and improving governance effectiveness. This paper systematically examines the three foundational pillars of such a system: the theoretical foundation grounded in scientific management principles, the historical foundation rooted in China’s governance traditions and the Communist Party’s experience in policy execution, and the practical foundation driven by the persistent challenge of “policy implementation gaps.” It further elucidates the internal logic of the supervision system as an integrated framework comprising four interrelated dimensions: core conceptual constructs, multi-dimensional value orientations, foundational coordination mechanisms, and innovative operational practices. Furthermore, the study proposes a strategic pathway centered on “renewing institutional momentum, optimizing structural design, empowering through digital technologies, and advancing systemic reforms,” thereby providing theoretical insights and practical guidance for the standardized development and refined enhancement of supervision mechanisms in modern hospitals.
