闽侯县非法行医治理研究
发布时间：2018-11-17 18:47
【摘要】：非法行医不仅威胁到人民群众的生命安全,而且扰乱了医疗卫生市场秩序。如何在当前全面深化医疗体系改革新形势下破解非法行医问题,已成为摆在卫生监管部门面前亟需解决的难题。近年来,随着闽侯县经济社会的发展和福州市城市的快速扩张,与福州市相临的闽侯县外来人口增长迅速,医疗需求激增,导致医疗资源紧张加剧,使得本来就长期存在、成本低廉的闽侯县非法行医现象滋生漫延,形势严峻。本文运用公共选择理论和公共治理理论,通过文献研究、半结构式访谈、问卷调查等方法,对闽侯县近三年非法行医案件、闽侯县居民对非法行医的认知和态度等进行调查,深入分析探讨闽侯县非法行医存在的原因。主要原因包括:一是非法行医有存在的市场空间,如部分民众缺乏卫生常识,对非法行医危害认识不足;非法行医某种程度上迎合了部分患者的需求;非法行医利润可观,违法成本低。二是现行的医疗卫生体制不完善,如医疗资源分配不均;医疗保障体系不完善;部分医疗卫生法律法规不健全。三是非法行医治理难度大,如非法行医行为日趋隐蔽,执法难度大;"互联网+"新形势下,非法行医形成新特点;卫生监督监管任务重,人员配备不足;职能部门联动缺乏,未能形成合力等。论文结合闽侯县深化医疗体系改革新形势,提出建立加强监管、规范治理非法行医的长效机制。一是压缩非法行医存在市场空间。加大宣传,普及卫生常识及法律法规;加强城郊结合部租赁住房管理;拓宽举报渠道,形成全社会共治非法行医格局。二是深化医疗体制改革。优化医疗资源配置,加强基层医疗卫生建设;建立完善的医疗保障体系;完善医疗卫生法律法规,增强可执行力。三是加大非法行医监管力度。加大非法行医整治力度,创新非法行医治理模式;规范"互联网+"移动医疗,填补监管空白;加强监督队伍建设,提升执法水平;完善多部门联动机制,综合治理非法行医。通过疏堵结合,破解当前闽侯县非法行医困局,维护闽侯县医疗市场秩序,营造良好医疗环境,保障广大民众的的身心健康和合法权益。
[Abstract]:Illegal practice of medicine not only threatens the lives of people, but also disturbs the order of medical and health market. How to solve the problem of illegal medical practice under the new situation of deepening the reform of medical system in an all-round way has become a difficult problem that needs to be solved in front of the health supervision department. In recent years, with the economic and social development of Minhou County and the rapid expansion of the city of Fuzhou, the population of Minhou County, which is adjacent to Fuzhou, has grown rapidly and the medical demand has increased sharply, leading to an increase in the shortage of medical resources, which has long existed. The low-cost Minhou County illegal medical practice phenomenon breeding spread, the situation is grim. Based on the theory of public choice and public governance, this paper investigates the cases of illegal practice of medicine in Minhou County in the past three years, and the cognition and attitude of residents of Minhou County on illegal practice of medicine by means of literature research, semi-structured interviews and questionnaires. The causes of illegal medical practice in Minhou County were analyzed. The main reasons include: first, there is a market space for illegal practice of medicine, such as the lack of common sense of hygiene among some people, the lack of understanding of the harm of illegal practice of medicine, the illegal practice of medicine to some extent meet the needs of some patients; The profit of illegal medical practice is considerable and the illegal cost is low. Second, the current medical and health system is not perfect, such as uneven distribution of medical resources; medical security system is not perfect; some health laws and regulations are not perfect. Third, illegal medical practice is difficult to manage, such as illegal medical practice is becoming more and more covert, law enforcement is difficult; under the new situation of "Internet", illegal medical practice forms new characteristics, health supervision and supervision task is heavy, and personnel is insufficient; Lack of linkage of functional departments, failure to form joint forces and so on. According to the new situation of deepening the reform of medical system in Minhou County, this paper puts forward the long-term mechanism of strengthening supervision and regulating illegal practice of medicine. First, compressed illegal practice of medicine exists in the market space. Increase publicity, popularize general knowledge of hygiene and laws and regulations, strengthen the management of rental housing in the suburbs, widen the reporting channels, and form a pattern of social co-treatment of illegal medical practice. Second, deepen the reform of the medical system. We should optimize the allocation of medical resources, strengthen the construction of primary medical and health care, establish a sound medical security system, perfect the laws and regulations of medical and health care, and enhance the ability of execution. Third, strengthen the supervision of illegal practice of medicine. Strengthen illegal medical treatment, innovation illegal medical treatment mode; standardize "Internet" mobile medical treatment, fill in regulatory gaps; strengthen the construction of supervision team, improve the level of law enforcement; improve the multi-sector linkage mechanism, comprehensive control of illegal medical practice. In order to solve the difficult situation of illegal medical practice in Minhou County, maintain the order of medical market in Minhou County, create a good medical environment, and ensure the physical and mental health and legitimate rights and interests of the masses.
【学位授予单位】：福建农林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197
本文编号：2338733
[Abstract]:Illegal practice of medicine not only threatens the lives of people, but also disturbs the order of medical and health market. How to solve the problem of illegal medical practice under the new situation of deepening the reform of medical system in an all-round way has become a difficult problem that needs to be solved in front of the health supervision department. In recent years, with the economic and social development of Minhou County and the rapid expansion of the city of Fuzhou, the population of Minhou County, which is adjacent to Fuzhou, has grown rapidly and the medical demand has increased sharply, leading to an increase in the shortage of medical resources, which has long existed. The low-cost Minhou County illegal medical practice phenomenon breeding spread, the situation is grim. Based on the theory of public choice and public governance, this paper investigates the cases of illegal practice of medicine in Minhou County in the past three years, and the cognition and attitude of residents of Minhou County on illegal practice of medicine by means of literature research, semi-structured interviews and questionnaires. The causes of illegal medical practice in Minhou County were analyzed. The main reasons include: first, there is a market space for illegal practice of medicine, such as the lack of common sense of hygiene among some people, the lack of understanding of the harm of illegal practice of medicine, the illegal practice of medicine to some extent meet the needs of some patients; The profit of illegal medical practice is considerable and the illegal cost is low. Second, the current medical and health system is not perfect, such as uneven distribution of medical resources; medical security system is not perfect; some health laws and regulations are not perfect. Third, illegal medical practice is difficult to manage, such as illegal medical practice is becoming more and more covert, law enforcement is difficult; under the new situation of "Internet", illegal medical practice forms new characteristics, health supervision and supervision task is heavy, and personnel is insufficient; Lack of linkage of functional departments, failure to form joint forces and so on. According to the new situation of deepening the reform of medical system in Minhou County, this paper puts forward the long-term mechanism of strengthening supervision and regulating illegal practice of medicine. First, compressed illegal practice of medicine exists in the market space. Increase publicity, popularize general knowledge of hygiene and laws and regulations, strengthen the management of rental housing in the suburbs, widen the reporting channels, and form a pattern of social co-treatment of illegal medical practice. Second, deepen the reform of the medical system. We should optimize the allocation of medical resources, strengthen the construction of primary medical and health care, establish a sound medical security system, perfect the laws and regulations of medical and health care, and enhance the ability of execution. Third, strengthen the supervision of illegal practice of medicine. Strengthen illegal medical treatment, innovation illegal medical treatment mode; standardize "Internet" mobile medical treatment, fill in regulatory gaps; strengthen the construction of supervision team, improve the level of law enforcement; improve the multi-sector linkage mechanism, comprehensive control of illegal medical practice. In order to solve the difficult situation of illegal medical practice in Minhou County, maintain the order of medical market in Minhou County, create a good medical environment, and ensure the physical and mental health and legitimate rights and interests of the masses.
【学位授予单位】：福建农林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197
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