南京市秦淮区民营医疗机构现状及监管对策研究

发布时间：2018-05-16 09:35

本文选题：民营医疗机构 + 现况调查　；参考：《东南大学》2017年硕士论文

【摘要】：目的本文通过对南京市秦淮区民营医疗机构的现况调查分析,了解秦淮区民营医疗机构的基本状况和业务情况,并与公立机构进行比较,针对民营医疗机构存在的问题,提出相应建议,为政府及行业主管部门制订决策和法规提供基本数据,促使民营医疗机构在市场竞争中更好地发展。方法采用问卷调查的方法收集秦淮区民营医疗机构的基本状况,业务状况。基本状况包括人员结构情况,医院规模,床位,医疗设备,收入情况等,业务情况主要包括总医疗人数,入院人数,出院人数等。在查阅有关文献的基础上,通过与对卫生行政管理人员、民营医疗机构负责人、民营医疗机构工作人员等进行深入访谈,了解我区民营医疗机构存在的问题和需求,对其进一步发展提出相应的对策和建议。调查数据应用EpiData、EXCEL软件录入整理,使用spss18.0软件进行数据统计描述,并与公立机构进行比较分析。结果目前南京市秦淮区共有民营医疗机构166家,公立机构118家。民营医疗机构医护人员2588人,设备总值5216万元。2016年民营医疗机构的总医疗人次数为100.34万人次,收治住院病人0.34万人次。秦淮区民营医疗机构已经有一定的规模,但是规模不大。民营医疗机构的硕士以上学历(0.79%)、高级职称人员(14.00%)数量所占比例较少。在业务量方面,其床位数、医疗人次数都远远少于公立机构。民营医疗机构的用房也大部分是采用租借的方式,同级别医疗机构平均设备值也只是公立机构的37%左右,政府的财政补助较少。民营医疗机构同时存在缺乏自律和诚信、政策不公平、内部管理薄弱、监管乏力等问题。结论南京市秦淮区的民营医疗机构有了一定的发展,为市民提供了不同层次的医疗服务,但是其发展规模、业务量等方面与公立机构相比还有一定的差距。民营医疗机构存在的问题,既有政策的因素,也有自身的因素,应及时的采取相应的有效措施加以克服。首先在于诚信经营,加强自律,树立品牌形象;另外还应从打造特色项目、提高医疗技术、提供优质服务,提高管理水平、防止人才流失,完善企业制度、施行有效监管等方面着手。政府亦应对民营医疗机构给予政策和资金方面的积极扶持,促使其蓬勃发展,服务于社会。
[Abstract]:Objective to investigate and analyze the current situation of private medical institutions in Qinhuai District, Nanjing City, and to find out the basic status and business situation of private medical institutions in Qinhuai District, and compare them with those of public institutions, and aim at the problems existing in private medical institutions. Some suggestions are put forward to provide basic data for the government and the department in charge of the industry to make decisions and regulations, and to promote the development of private medical institutions in the market competition. Methods the basic status and business status of private medical institutions in Qinhuai District were collected by questionnaire. The basic conditions include personnel structure, hospital size, bed, medical equipment, income, etc. On the basis of consulting relevant documents, through in-depth interviews with health administrators, heads of private medical institutions, staff of private medical institutions, and so on, we can understand the problems and needs of private medical institutions in our region. The corresponding countermeasures and suggestions for its further development are put forward. The data of the investigation were recorded and sorted by the software EpiDataExcel, and the data were described by spss18.0 software, and compared with the public organizations. Results at present, there are 166 private medical institutions and 118 public institutions in Qinhuai District, Nanjing City. There were 2588 medical personnel in private medical institutions, with a total equipment value of 52.16 million yuan. In 2016, the total number of medical personnel in private medical institutions was 1.0034 million and the number of hospitalized patients was 3400. Qinhuai District private medical institutions have a certain scale, but not on a large scale. The number of private medical institutions with master's degree or above is 0.79 and 14.00 respectively. In terms of volume of business, the number of beds and medical attendances is far less than that of public institutions. The average equipment value of the same level medical institution is only about 37% of that of the public institution, and the financial subsidy of the government is relatively small. At the same time, private medical institutions lack self-discipline and integrity, unfair policies, weak internal management, weak supervision and so on. Conclusion the private medical institutions in Qinhuai District of Nanjing City have developed to a certain extent, providing different levels of medical services to the public, but there is still a certain gap between the development scale and the volume of business between the private medical institutions and the public institutions. The problems existing in private medical institutions have both policy factors and their own factors, which should be overcome by timely and effective measures. First of all, we should operate in good faith, strengthen self-discipline, and establish a brand image. In addition, we should also build special projects, improve medical technology, provide quality services, improve management level, prevent brain drain, and improve the enterprise system. The implementation of effective supervision and other aspects of the work. The government should also give policy and fund support to private medical institutions to promote their vigorous development and serve the society.
【学位授予单位】：东南大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.3

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