关于医疗领域腐败的预防与控制的系统研究

发布时间：2018-12-31 14:56

【摘要】：医疗领域腐败问题成为制约世界各国公共卫生事业的主要障碍，损害了政府公共权威与威信，具有广泛的社会影响。在我国，预防与处理医疗领域腐败现象出现是公共管理的重要内容；研究预防医疗领域腐败产生社会原因与管理方法是解决问题的关键。引起了各个我国医疗领域腐败问题产生原因深刻复杂，表现形式多种多样，严重损害了人民群众的切身利益，具有很强的社会危害性。本文重点研究如何系统解决医疗领域腐败问题的思想以及实际措施与方法。首先，本文立足于中国医疗体制实际情况与社会发展基本阶段表现出来的不同特点，将医疗领域腐败问题细化分解为医药购销领域腐败问题、医疗行业监督中的腐败问题和患者就医中的腐败问题。然后通过实证研究的方法，通过对一些医药代表的访谈深入了解医药产品的运行规则和行业问题，，并尝试从医疗体制、医疗卫生行业、政府监督管理以及社会风气四个方面对医疗领域腐败问题产生原因进行较为系统的客观分析。其次，在文献分析与实证分析的基础上，找到产生医疗领域腐败真正原因和表现方式；并使之与美国、英国、德国等国家在医疗体制运行、医疗腐败惩治两方面的经验进行比较，为进一步提出预防和解决我国医疗领域腐败问题提供可以借鉴管理思想与具体方法。最后，基于上述分析，本文认为预防医疗领域腐败现象出现是一个长期历史过程，如果选择有效的思想与方法可以加快治理医疗领域腐败现象的速度和力度。因此，本文从社会文化、医生职业道德、体制、制度、监督机制、管理方法等方面提出预防医疗领域腐败的系统建议，包括加强医生职业道德教育、改革现有的医疗体制、大力推进医疗卫生行业信息公开透明、加强监督管理惩治力度，强化社会风尚引领等方面，逐步解决我国的医疗领域腐败问题。
[Abstract]:The problem of corruption in the medical field has become the main obstacle to the public health service in the world, which has damaged the public authority and authority of the government, and has extensive social influence. In China, the prevention and treatment of corruption in the medical field is an important part of public administration, and the key to solve the problem is to study the social causes and management methods of preventing corruption in the field of medical treatment. The causes of corruption in various medical fields in our country are profound and complex, the forms of expression are various, the vital interests of the people are seriously damaged, and the social harm is very strong. This paper focuses on how to systematically solve the problem of corruption in the medical field, as well as practical measures and methods. Firstly, based on the different characteristics of China's medical system and the basic stages of social development, this paper breaks down the corruption problem in the medical field into the corruption problem in the field of medicine purchase and marketing. Corruption in medical industry supervision and corruption in patients seeking medical treatment. Then through the method of empirical research, through the interview of some pharmaceutical representatives, we deeply understand the operating rules and industry problems of pharmaceutical products, and try to explore the medical system, the medical and health industry, The causes of corruption in medical field are analyzed systematically and objectively from four aspects of government supervision and management and social atmosphere. Secondly, on the basis of literature analysis and empirical analysis, to find out the real causes and manifestations of corruption in the medical field; Compared with the experiences of the United States, Britain, Germany and other countries in the operation of medical system and the punishment of medical corruption, this paper provides a reference management thought and concrete method for further putting forward the prevention and solution of corruption in medical field of our country. Finally, based on the above analysis, this paper holds that the prevention of corruption in the medical field is a long-term historical process. If we choose effective ideas and methods, we can accelerate the speed and intensity of controlling the corruption in the medical field. Therefore, this paper puts forward some systematic suggestions on how to prevent corruption in the medical field from the aspects of social culture, doctors' professional ethics, system, supervision mechanism, management methods, etc., including strengthening doctors' professional ethics education and reforming the existing medical system. In order to solve the problem of corruption in medical field in China, we should vigorously promote the transparency of medical information, strengthen supervision, management and punishment, and strengthen the guidance of social customs and so on.
【学位授予单位】：天津大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R197.32;D630.9

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