本文選題：多元視角　切入點(diǎn)：廣西　出處：《廣西醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：【目的】本研究旨在對(duì)廣西壯族自治區(qū)民營(yíng)醫(yī)院現(xiàn)狀調(diào)查及基礎(chǔ)上,通過(guò)文獻(xiàn)分析法,了解目前廣西壯族自治區(qū)民營(yíng)醫(yī)院發(fā)展的主要特點(diǎn)、發(fā)展中存在的問(wèn)題以及廣西壯族自治區(qū)民營(yíng)醫(yī)院監(jiān)管的現(xiàn)狀,對(duì)廣西壯族自治區(qū)目前監(jiān)督管理民營(yíng)醫(yī)院進(jìn)程中存在的問(wèn)題展開分析,找出問(wèn)題產(chǎn)生的原因,建立符合廣西特點(diǎn)的民營(yíng)醫(yī)院多元監(jiān)管機(jī)制并分析其實(shí)現(xiàn)策略,并提供政策建議,推動(dòng)廣西壯族自治區(qū)民營(yíng)醫(yī)院快速而穩(wěn)定、健康且可持續(xù)發(fā)展�！痉椒ā勘狙芯拷Y(jié)合了理論研究與實(shí)證研究方法。首先,本研究通過(guò)文獻(xiàn)研究法收集整理相關(guān)文獻(xiàn)資料,總結(jié)借鑒國(guó)內(nèi)外醫(yī)院監(jiān)管的有利經(jīng)驗(yàn),以及我國(guó)民營(yíng)醫(yī)院監(jiān)督管理概況及未來(lái)發(fā)展方向。綜合運(yùn)用不完備法律理論、激勵(lì)規(guī)制理論、監(jiān)管博弈理論等理論,探討構(gòu)建廣西壯族自治區(qū)民營(yíng)醫(yī)院多元監(jiān)管機(jī)制。其次,通過(guò)查閱、收集、整理廣西民營(yíng)醫(yī)院的基本信息、衛(wèi)生統(tǒng)計(jì)數(shù)據(jù)及監(jiān)管情況,并通過(guò)專家訪談法和利益相關(guān)者分析法,探索研究和分析目前廣西壯族自治區(qū)民營(yíng)醫(yī)院監(jiān)管過(guò)程存在的缺陷和主要問(wèn)題,為探討廣西壯族自治區(qū)民營(yíng)醫(yī)院的多元監(jiān)管策略奠定基礎(chǔ)�！窘Y(jié)果】(1)民營(yíng)醫(yī)院多元監(jiān)管主體及其職責(zé)界定。民營(yíng)醫(yī)院多元監(jiān)管機(jī)制是強(qiáng)調(diào)多方協(xié)作、資源整合的一種監(jiān)管機(jī)制。該監(jiān)管機(jī)制中政府是主導(dǎo)者,政府承擔(dān)的主要是針對(duì)民營(yíng)醫(yī)院監(jiān)管方面法律法規(guī)的制定和督促法治規(guī)范的執(zhí)行。除了政府外,監(jiān)管主體還包括行業(yè)協(xié)會(huì)、醫(yī)療保險(xiǎn)機(jī)構(gòu)、第三方評(píng)估團(tuán)體、社會(huì)公眾、醫(yī)院內(nèi)部治理等。醫(yī)療保險(xiǎn)機(jī)構(gòu)主要負(fù)責(zé)監(jiān)督評(píng)估民營(yíng)醫(yī)院醫(yī)療服務(wù)行為的合法性與合理性;行業(yè)協(xié)會(huì)負(fù)責(zé)參與政策制定、規(guī)范執(zhí)業(yè)標(biāo)準(zhǔn)、信息披露和使用非法律性措施懲罰違規(guī)民營(yíng)醫(yī)院;第三方評(píng)估機(jī)構(gòu)則受政府監(jiān)督部門委托,對(duì)民營(yíng)醫(yī)院某方面施行專業(yè)的監(jiān)督與評(píng)估,構(gòu)建公正與公平的監(jiān)督環(huán)境,推進(jìn)信息公開;以新聞媒體和消費(fèi)者協(xié)會(huì)為公眾監(jiān)督的典型部門,主要負(fù)責(zé)引導(dǎo)正確的社會(huì)價(jià)值觀,對(duì)違法違規(guī)行為的曝光以及對(duì)先進(jìn)機(jī)構(gòu)和個(gè)人的輿論宣傳,保障患者的合法權(quán)益等;醫(yī)院內(nèi)部則設(shè)立理事會(huì)和監(jiān)管會(huì),作為醫(yī)院與外部監(jiān)督機(jī)構(gòu)的銜接部門。(2)廣西民營(yíng)醫(yī)院發(fā)展的現(xiàn)狀分析。2011-2015年,廣西壯族自治區(qū)民營(yíng)醫(yī)院在醫(yī)院總數(shù)、醫(yī)院編制床位數(shù)、醫(yī)院衛(wèi)生人力資源數(shù)等方面呈現(xiàn)逐年上升的趨勢(shì),年平均增長(zhǎng)率分別為9.95%、18.45%和6.42%。醫(yī)療服務(wù)量也有了逐漸提升,門、急診服務(wù)量和住院服務(wù)量年均增長(zhǎng)率為5.07%和24.6%。但較公立醫(yī)院來(lái)說(shuō),廣西民營(yíng)醫(yī)院總體發(fā)展還處于起步階段,尤其是發(fā)展規(guī)模、服務(wù)量等方面與公立醫(yī)院相比還存在明顯的差距。(3)廣西民營(yíng)醫(yī)院監(jiān)管現(xiàn)狀分析。當(dāng)前,廣西民營(yíng)醫(yī)院在監(jiān)管過(guò)程中存在的問(wèn)題主要有:缺乏系統(tǒng)性和針對(duì)性的法律法規(guī)及相關(guān)政策;醫(yī)療監(jiān)督管理執(zhí)法隊(duì)伍力量不足;醫(yī)院信息公開機(jī)制不健全;民營(yíng)醫(yī)院監(jiān)管評(píng)估機(jī)制尚未健全,違法成本低;不完善的民營(yíng)醫(yī)院監(jiān)管機(jī)制,監(jiān)管缺乏持續(xù)性和整體性;監(jiān)管主體局限,政府外多元監(jiān)管主體未能發(fā)揮優(yōu)勢(shì)等�！緦�(duì)策】構(gòu)建廣西壯族自治區(qū)多元監(jiān)管機(jī)制,充分發(fā)揮各多元監(jiān)管主體的監(jiān)督職責(zé)。第一,政府部門聯(lián)合行業(yè)協(xié)會(huì),要建立健全民營(yíng)醫(yī)院監(jiān)管法律保障制度,加大違規(guī)懲處力度,對(duì)民營(yíng)醫(yī)院運(yùn)行過(guò)程中的各個(gè)活動(dòng)環(huán)節(jié)起到硬性約束的作用。民營(yíng)醫(yī)院監(jiān)管相關(guān)法律法規(guī)及規(guī)則體系主要應(yīng)包含民營(yíng)醫(yī)院運(yùn)行法律制度、監(jiān)管機(jī)構(gòu)建立與運(yùn)行法規(guī)、監(jiān)管機(jī)構(gòu)監(jiān)督執(zhí)行規(guī)則,以及監(jiān)管問(wèn)責(zé)法律制度等。第二,量化分級(jí)管理,建立統(tǒng)一的衛(wèi)生服務(wù)信息平臺(tái)。在日常監(jiān)督或?qū)ｍ?xiàng)檢查中,根據(jù)檢查結(jié)果對(duì)各民營(yíng)醫(yī)院進(jìn)行分級(jí)量化評(píng)價(jià),確立不同的等級(jí),并依照不同的評(píng)價(jià)等級(jí)采取不同的監(jiān)督檢查頻率。此外,完善廣西壯族自治區(qū)民營(yíng)醫(yī)院的醫(yī)療信息公開制度,向社會(huì)公開公示民營(yíng)醫(yī)院的醫(yī)療具體信息和監(jiān)管結(jié)果,加強(qiáng)信息的透明度,不僅有利于督促民營(yíng)醫(yī)院進(jìn)行誠(chéng)信合法經(jīng)營(yíng),還有利于促進(jìn)醫(yī)療服務(wù)市場(chǎng)的公平競(jìng)爭(zhēng)。第三,健全民營(yíng)醫(yī)院監(jiān)管評(píng)估機(jī)制,以防止發(fā)生民營(yíng)醫(yī)院監(jiān)管部門濫用權(quán)力等的現(xiàn)象,不斷糾正監(jiān)管過(guò)程中的偏差并改進(jìn)監(jiān)管中存在的主要問(wèn)題。第四,培育行業(yè)組織,發(fā)揮行業(yè)監(jiān)管的力量。由于行業(yè)協(xié)會(huì)因在其行業(yè)領(lǐng)域中是具有一定的權(quán)威性,通常能夠參與制定與本行業(yè)相關(guān)的法規(guī)、政策,具備一定的法規(guī)制定和管理權(quán)限。因此,要在保證第三方行業(yè)監(jiān)管組織的獨(dú)立性與權(quán)威性情況下,鼓勵(lì)民間成立專業(yè)化的醫(yī)療行業(yè)監(jiān)管機(jī)構(gòu),培育廣西民營(yíng)醫(yī)院的社會(huì)監(jiān)管力量。第五,完善民營(yíng)醫(yī)院退出機(jī)制,促進(jìn)良性競(jìng)爭(zhēng)。為了能真正發(fā)揮民營(yíng)醫(yī)院在醫(yī)療服務(wù)市場(chǎng)上的作用,在逐步放寬民營(yíng)醫(yī)院的準(zhǔn)入限制的同時(shí),還應(yīng)完善民營(yíng)醫(yī)院的退出機(jī)制,避免大量低水平的民營(yíng)醫(yī)院間無(wú)序地在低層次上的競(jìng)爭(zhēng),才能保證民營(yíng)醫(yī)院保持良好的軟硬件設(shè)施,為社會(huì)公眾提供更好的醫(yī)療服務(wù)。
[Abstract]:[Objective] the purpose of this study is to the investigation on the current situation of the private hospitals in the Guangxi Zhuang Autonomous Region and on the basis of the literature analysis, understand the main features of the development of private hospitals in the Guangxi Zhuang Autonomous Region at present, the problems existing in the development and current situation of supervision of private hospitals in the Guangxi Zhuang Autonomous Region, the Guangxi Zhuang Autonomous Region on the supervision of private hospital management problems in the process of analysis, find out the causes of the problem and establish the Guangxi private hospital characteristics of multiple regulatory mechanisms and the analysis of its implementation strategy, and provide policy recommendations to promote the private hospitals in the Guangxi Zhuang Autonomous Region rapid and stable, healthy and sustainable development. [method] the study combines theoretical research and empirical research methods. Firstly, this study through the literature research method to collect relevant literature summary from the beneficial experience at home and abroad for hospital supervision, and I Overview of the supervision and management of private hospitals and the future direction of development. The comprehensive use of incomplete law theory, incentive regulation theory, regulation game theory, to explore the construction of private hospitals in the Guangxi Zhuang Autonomous Region multiple regulatory mechanism. Secondly, through inspection, collection of basic information of camp Guang Ximin hospital, health statistics and supervision, and through expert interviews and the stakeholder analysis method, research and analysis of defects in the current the Guangxi Zhuang Autonomous Region private hospitals and the main problems existing in the process of supervision, to lay the foundation of multiple regulation strategy for the study of the Guangxi Zhuang Autonomous Region civilian battalion hospital. [results] (1) multiple regulatory bodies and responsibilities of private hospitals defined. Private hospital multi regulatory mechanism is emphasized the cooperation of a the supervision mechanism of resource integration. The government supervision mechanism is dominant, the government is mainly aimed at The formulation of laws and regulations and supervise the private hospital supervision of the rule of law enforcement. Apart from the government, the regulatory body also includes industry association, medical insurance organization, the third party evaluation group, the public hospital internal governance. Medical insurance agency is responsible for supervision and assessment of the private hospital medical service behavior of the legitimacy and rationality; Industry Association is responsible for participate in policy formulation, standard practice standards, information disclosure and use legal measures to punish illegal private hospitals; third party assessment agencies entrusted by the government supervision departments, a private hospital on aspects of the implementation of supervision and assessment of professional, fair and equitable environment construction supervision, and promote information disclosure; in the news media and Consumer Association as a typical Department of public supervision, mainly responsible for guiding the correct social values, the illegal behavior of exposure as well as the advanced institutions and individuals The propaganda of public opinion, safeguard the legitimate rights and interests of patients; hospital set up the Council and the supervision department as the hospital, cohesion and external supervision mechanism. (2) analysis of the current situation of the development of Guangxi private hospital in.2011-2015, the Guangxi Zhuang Autonomous Region private hospital in the total hospital beds, hospitals, health human resources with respect to the number of year by year the rising trend, the average annual growth rates were 9.95%, 18.45% and 6.42%., the amount of medical services has gradually improved, the door, emergency services and inpatient services with an average annual growth rate of 5.07% and 24.6%. but lower than the public hospitals, the overall development of the Guangxi private hospital is still at the starting stage, especially the development of the scale, service quantity etc. compared with public hospitals, there is still a significant gap. (3) analysis of Guangxi private hospital supervision. Currently, Guangxi private hospital in the supervision of the existing problems in the process of the main To: the lack of systematic and specific laws and regulations and related policies; the medical supervision and management of law enforcement personnel shortage; hospital information disclosure mechanism is not perfect; private hospital supervision and evaluation mechanism is not perfect, the illegal cost is low; the private hospital supervision mechanism is not perfect, supervision of the lack of continuity and integrity; supervision of the main limitations. The government failed to give full play to the advantages of multiple regulatory body. [] on construction of the Guangxi Zhuang Autonomous Region multi supervision mechanism, give full play to the supervisory duties of the multiple regulatory body. First, government departments Joint Industry Association, to establish and perfect the supervision legal system of private hospitals, increase illegal punishment, to a rigid constraint function to each step of operation process of private activities in the hospital. Private hospitals supervision of relevant laws and regulations and rules of the system mainly should include private hospital operation of the legal system, regulatory mechanism The establishment and operation of laws and regulations, regulatory supervision of the implementation of rules, supervision and accountability of the legal system. Second, quantitative classification management, establish a unified information platform for health service. In the daily supervision or special inspection, the quantitative classification and evaluation of each private hospital according to the inspection results, the establishment of different levels, and in accordance with the different evaluation take the supervision and inspection of different frequency levels. In addition, to improve the medical information disclosure system of the Guangxi Zhuang Autonomous Region private hospitals, private hospitals to the public announcement of medical information and specific supervision results, strengthen the transparency of information, not only conducive to supervise the private hospital for legitimate business integrity, and to promote the fair competition of the medical service market. Third, improve the private hospital supervision and evaluation mechanism, to prevent regulatory departments of private hospitals in abuse of power phenomenon, continue to correct the regulatory process The deviation and improve the main problems existed in supervision. Fourth, cultivate industry organizations, play industry regulatory power. As the Industry Association for its industries have a certain authority, usually able to participate in the development of the industry and the relevant laws and regulations, policies, regulations and management have a certain authority. So to ensure the supervision organization, in third industries of the independence and authority of the circumstances, the medical industry regulators encouraged the establishment of private professional cultivation, social supervision power of Guangxi private hospital. Fifth private hospitals, improve the exit mechanism, and promote healthy competition. In order to really play the role of private hospitals in the medical service market. In the access of private hospitals gradually relax the restrictions at the same time, should also improve the exit mechanism of private hospitals, to avoid a lot of low levels of private hospitals in order to lower the level of competition, We can ensure that private hospitals maintain good hardware and software facilities and provide better medical services for the public.

【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R197.3

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 孫桂芬,孫遠(yuǎn)玲,于潤(rùn)吉;民營(yíng)醫(yī)院發(fā)展六種模式分析[J];中國(guó)衛(wèi)生資源;2004年02期

2 林邦鴻;探索民營(yíng)醫(yī)院發(fā)展新路子[J];現(xiàn)代醫(yī)院;2004年02期

3 于俊英;民營(yíng)醫(yī)院發(fā)展的成功之路[J];醫(yī)藥產(chǎn)業(yè)資訊;2005年19期

4 劉其生;對(duì)贛州市民營(yíng)醫(yī)院發(fā)展與環(huán)境的探討[J];衛(wèi)生經(jīng)濟(jì)研究;2005年02期

5 顧麗虹;;對(duì)民營(yíng)醫(yī)院發(fā)展現(xiàn)狀的分析與思考[J];衛(wèi)生經(jīng)濟(jì)研究;2006年01期

6 孫建方;;關(guān)于民營(yíng)醫(yī)院發(fā)展中的幾個(gè)問(wèn)題[J];前進(jìn)論壇;2006年06期

7 董湘輝;;民營(yíng)醫(yī)院發(fā)展困局[J];中國(guó)改革;2007年01期

8 陳為能;;民營(yíng)醫(yī)院發(fā)展要放眼未來(lái)[J];前進(jìn)論壇;2008年10期

9 王小萬(wàn);何平;馬曉靜;;我國(guó)民營(yíng)醫(yī)院發(fā)展的過(guò)程與特點(diǎn)[J];中國(guó)衛(wèi)生政策研究;2009年01期

10 胡曉燕;;對(duì)上海民營(yíng)醫(yī)院發(fā)展的思考[J];中國(guó)醫(yī)學(xué)倫理學(xué);2010年02期

相關(guān)會(huì)議論文 前6條

1 李鏡波;楊海龍;;科學(xué)經(jīng)營(yíng)在民營(yíng)醫(yī)院發(fā)展中的作用[A];2004年中華醫(yī)院管理學(xué)會(huì)學(xué)術(shù)年會(huì)論文集[C];2004年

2 蘇繼承;;突出特色科技創(chuàng)新探索民營(yíng)醫(yī)院發(fā)展道路[A];跨世紀(jì)骨傷杰出人才科技成果薈萃[C];2004年

3 蘇繼承;;突出特色科技創(chuàng)新探索民營(yíng)醫(yī)院發(fā)展道路[A];第四次全國(guó)微創(chuàng)骨外科手術(shù)暨中西醫(yī)結(jié)合骨科學(xué)術(shù)會(huì)議論文集[C];2005年

4 蘇繼承;;突出特色科技創(chuàng)新探索民營(yíng)醫(yī)院發(fā)展道路[A];全國(guó)中華骨傷名醫(yī)名院名所論壇論文集[C];2005年

5 ;福建省民營(yíng)醫(yī)院發(fā)展趨勢(shì)調(diào)查研究報(bào)告[A];福建省衛(wèi)生經(jīng)濟(jì)課題研究專輯——2002福建省衛(wèi)生經(jīng)濟(jì)課題研究討論會(huì)議論文集[C];2002年

6 敖新華;;扶持規(guī)模民營(yíng)醫(yī)院建設(shè) 改善縣域醫(yī)療服務(wù)體系[A];浙江省第十九屆農(nóng)村衛(wèi)生改革與發(fā)展學(xué)術(shù)會(huì)議大會(huì)論文集[C];2011年

相關(guān)重要報(bào)紙文章 前10條

1 記者 牛建宏;中國(guó)民營(yíng)醫(yī)院發(fā)展聯(lián)盟成立[N];人民政協(xié)報(bào);2008年

2 記者 李鵬;省政協(xié)醫(yī)衛(wèi)體調(diào)研民營(yíng)醫(yī)院發(fā)展情況[N];各界導(dǎo)報(bào);2011年

3 記者 曹政;民營(yíng)醫(yī)院發(fā)展應(yīng)發(fā)揮�？苾�(yōu)勢(shì)[N];健康報(bào);2012年

4 中國(guó)經(jīng)濟(jì)導(dǎo)報(bào)記者 鄧飛;民營(yíng)醫(yī)院發(fā)展呼吁：評(píng)職稱等現(xiàn)有政策兌現(xiàn)即可[N];中國(guó)經(jīng)濟(jì)導(dǎo)報(bào);2013年

5 記者 葉新昀;市政協(xié)啟動(dòng)民營(yíng)醫(yī)院發(fā)展與規(guī)范調(diào)研[N];重慶政協(xié)報(bào);2013年

6 本報(bào)記者 張三亞;我省民營(yíng)醫(yī)院發(fā)展位居全國(guó)前列[N];云南科技報(bào);2013年

7 記者 張輝 通訊員 王坤坤;全國(guó)政協(xié)教科文委在鄂調(diào)研民營(yíng)醫(yī)院發(fā)展中的問(wèn)題與對(duì)策[N];湖北日?qǐng)?bào);2013年

8 記者 孫夢(mèng);民營(yíng)醫(yī)院發(fā)展應(yīng)先找準(zhǔn)定位[N];健康報(bào);2013年

9 本報(bào)記者 李弈萱;我市民營(yíng)醫(yī)院發(fā)展居全省前列[N];岳陽(yáng)日?qǐng)?bào);2013年

10 記者 趙陳 羅婷;積極探索加快民營(yíng)醫(yī)院發(fā)展的有效方式[N];巴中日?qǐng)?bào);2014年

相關(guān)碩士學(xué)位論文 前10條

1 徐孝飛;深化我國(guó)民營(yíng)醫(yī)院發(fā)展的策略研究[D];西南科技大學(xué);2014年

2 劉藝臻;湖南省民營(yíng)醫(yī)院發(fā)展存在的問(wèn)題及其對(duì)策研究[D];南華大學(xué);2015年

3 杜朝新;重慶市民營(yíng)醫(yī)院發(fā)展策略研究[D];重慶醫(yī)科大學(xué);2015年

4 張璞如;民營(yíng)醫(yī)院發(fā)展與政府規(guī)制改革[D];遼寧大學(xué);2016年

5 陳曉奕;廣西民營(yíng)醫(yī)院多元監(jiān)管機(jī)制構(gòu)建的研究[D];廣西醫(yī)科大學(xué);2017年

6 宋鵬;甘肅省民營(yíng)醫(yī)院發(fā)展對(duì)策研究[D];蘭州大學(xué);2014年

7 夏昊;我國(guó)民營(yíng)醫(yī)院發(fā)展的政策困境及突破[D];廣西師范大學(xué);2013年

8 楊寶貴;民營(yíng)醫(yī)院發(fā)展戰(zhàn)略研究[D];廣西大學(xué);2006年

9 林秀榕;浙江民營(yíng)醫(yī)院發(fā)展的現(xiàn)狀與對(duì)策研究[D];天津大學(xué);2010年

10 曾子怡;昆明市扶持和鼓勵(lì)民營(yíng)醫(yī)院發(fā)展政策執(zhí)行研究[D];云南大學(xué);2015年

，

本文編號(hào)：1562443