【作者】 赵静；

【导师】 王晓川； 张佩如；

【作者基本信息】 电子科技大学 ， 公共管理硕士（专业学位）， 2023， 硕士

【摘要】 民营医疗卫生机构作为医疗服务体系的重要组成,为提供多元医疗服务、满足不同层次医疗需求发挥了积极作用。近年来,我国将民营医疗机构发展作为实施健康中国战略和深化医改的重要任务,分别在国务院和部委层面就民营医疗机构开办、运营等方面密集出台了一系列利好政策支持其大力发展,为社会资本涌入医疗行业提供了较好的政策环境。但基于资本的本质是以营利为目的,为了利益最大化,民营医疗机构经常出现过度检查、过度诊疗、发布虚假广告等违法违规行为,严重扰乱医疗秩序,损害民众健康利益。虽然近年来民营医疗机构监管改革取得了一定成效,但违法违规行为越来越隐秘,政府监管压力日益增大,如何优化监管方式、提高监管效率,让民营医疗机构规范运营仍然是一门重要研究课题。本文以M市民营医疗机构的监管为研究对象,以政府监管理论、协同治理理论、信息不对称理论为指导,以现状及问卷调查分析、查找问题、探究原因、提出对策建议为研究思路,采用文献研究法、调查研究法,从监管者、被监管者及第三方社会视角对监管现状进行评价,从政府职能、多元主体合力等方面存在的问题进行分析和总结。研究发现,M市民营医疗卫生机构政府监管问题包括:政府监管部门行政效率低下、忽视多元监管主体、监管处罚力度弱、整体卫生规划失衡。从政府工作角度分析了产生这些问题的原因,分别是:政府自身培养协同不足、多元主体赋权孵化不足、法律政策欠完善、政府对民营医疗机构定位不准确。结合对M市监管问题及原因的分析,通过借鉴国内外先进做法及监管经验,探讨出M市民营医疗卫生机构提升政府监管效率的对策建议:提高政府部门监管效率、塑造其他监管主体、完善监管法律政策体系、正视民营医疗机构定位,合理卫生规划四个方面。通过本文的研究,强化政府在民营医疗卫生机构监管的职责,为民营医疗卫生机构的发展和政府监管提供政策建议,极大地丰富了在民营医疗方面的政府监管理论和协同治理理论,也可使得针对这一类结构的监管制度更加完善,促进M市民营医疗卫生机构规范执业、良性发展,让老百姓的就医需求更好得到满足。更多还原

【Abstract】 As an important component of the medical service system,private medical and health institutions have played a positive role in providing diverse medical services and meeting medical needs at different levels.In recent years,China has taken the development of private medical institutions as an important task in implementing the healthy China strategy and deepening medical reform.A series of favorable policies have been intensively issued at the level of the State Council and ministries to support their vigorous development,providing a good policy environment for the influx of social capital into the medical industry.However,based on the essence of capital,which is for profit,in order to maximize benefits,private medical institutions often engage in illegal and illegal activities such as excessive inspection,excessive diagnosis and treatment,and publishing false advertisements,seriously disrupting medical order and harming the health interests of the public.Although the regulatory reform of private medical institutions has achieved some success in recent years,illegal activities are becoming increasingly secretive,and government regulatory pressure is increasing.How to optimize regulatory methods,improve regulatory efficiency,and standardize the operation of private medical institutions remains an important research topic.This article takes the supervision of private medical institutions in M city as the research object,guided by government supervision theory,collaborative governance theory,and information asymmetry theory.The research approach is to analyze the current situation and questionnaire surveys,identify problems,explore reasons,and propose countermeasures and suggestions.Using literature research and survey research methods,the regulatory status is evaluated from the perspectives of regulators,regulated individuals,and third-party society.The government functions Analyze and summarize the problems in the joint efforts of multiple entities.Research has found that the government regulatory issues of private medical and health institutions in M city include:low administrative efficiency of government regulatory departments,neglect of multiple regulatory entities,weak regulatory penalties,and overall health planning imbalance.From the perspective of government work,the reasons for these problems were analyzed,which are: insufficient coordination of government’s own cultivation,insufficient empowerment and incubation of diverse subjects,incomplete legal policies,and inaccurate positioning of private medical institutions by the government.Based on the analysis of regulatory issues and reasons in M city,and drawing on advanced practices and regulatory experience at home and abroad,this paper explores countermeasures and suggestions for private medical and health institutions in M city to improve government regulatory efficiency: improving regulatory efficiency of government departments,shaping other regulatory entities,improving regulatory legal and policy systems,facing up to the positioning of private medical institutions,and rational health planning.Through the research in this article,we can strengthen the government’s responsibility for the supervision of private medical and health institutions,provide policy recommendations for the development and government supervision of private medical and health institutions,greatly enrich the government supervision theory and collaborative governance theory in private medical care,and also make the regulatory system for this type of structure more perfect,promoting the standardized practice and healthy development of private medical and health institutions in M City,To better meet the medical needs of the people.更多还原