我国营利性医疗机构市场准入制度研究

发布时间：2018-03-22 02:27

本文选题：营利性医疗机构　切入点：市场准入　出处：《南华大学》2016年硕士论文　论文类型：学位论文

【摘要】：“医疗”问题是一个民生问题,它与社会公众的切身利益直接相关。营利性医疗机构整个医疗行业的重要组成部分,是我国医疗市场的竞争主体,是非营利性医疗机构的“同盟军”。它的存在与发展不仅可以增强产业内的竞争,提高整个产业效率,而且在满足人民的医疗需求,减轻政府财政负担,促进医疗改革等各方面都起着非常重要的作用。2009年新医改以来,国家相继出台了一系列重大利好政策,不断放宽了营利性医疗机构的准入,使其进入市场变得容易了许多。然而现实并不乐观,目前营利性医疗机构的在中国的发展仍受到极大的限制,这首先就体现在市场准入制度方面。营利性医疗机构市场准入制度作为政府管制市场医疗服务业的首要端口,与整理个医疗市场的健康发展息息相关。因此,对营利性医疗机构的市场准入制度进行研究,发现并完善其制定与执行方面的不足,对进一步促进我国医疗市场的健康发展具有非常重要的意义。本文采用提出问题——分析问题——解决问题的思路,首先对本研究课题的背景与意义、国内外研究现状、以及拟解决的问题作简单概述;第二部分从一般性理论层面对营利性医疗机构准入制度作简单介绍,对“营利性医疗机构”、“市场准入”等相关概念进行说明,对发展简史进行回顾,为后文的深入探讨做铺垫;第三部分从准入条件、准入程序、准入方式这三方面的对我国营利性医疗机构准入制度目前所存在的缺陷作了比较全面细致的阐述,并从政策目标、管制机构、配套监管、以及准入制度本身等四方面对其制度缺陷所产生原因进行剖析;第四部分对美德日三国中一些值得借鉴的机制进行介绍,并对其所提供的经验与启示进行总结;最后,针对当前的问题,在结合本国实际的基础上从政策目标、制度内容、配套监管等三方面提出了自己的改善建议。
[Abstract]:The issue of "medical care" is a livelihood issue, which is directly related to the vital interests of the public. Profit-making medical institutions are an important part of the entire medical industry and the main body of competition in China's medical market. Its existence and development can not only enhance competition within the industry and improve the efficiency of the entire industry, but also meet the medical needs of the people and lighten the financial burden of the government. Since the new health care reform in 2009, the country has introduced a series of major positive policies and has continuously relaxed access to for-profit medical institutions. It has made it much easier to enter the market. However, the reality is not optimistic. At present, the development of for-profit medical institutions in China is still severely restricted. This is reflected first in the market access system. As the primary port of the government to regulate the medical service industry in the market, the market access system for for-profit medical institutions is closely related to the healthy development of a medical market. The market access system of profit-making medical institutions is studied, and the deficiencies in its formulation and implementation are found and improved. It is of great significance to further promote the healthy development of the medical market in China. This paper adopts the idea of putting forward problem-analysis problem-solving problems, first of all, the background and significance of this research topic, the current research situation at home and abroad, The second part gives a brief introduction to the admission system of profit-making medical institutions from the general theoretical level, and explains the relevant concepts such as "for-profit medical institutions", "market access" and so on. The brief history of development is reviewed to pave the way for further discussion. The third part is from the access conditions, access procedures, These three aspects of access mode have made a more comprehensive and detailed exposition on the defects existing in the admission system of our country's for-profit medical institutions at present, and from the policy objectives, the regulatory agencies, the supporting supervision, As well as the access system itself to analyze the causes of its system defects; the fourth part of the three countries of the United States of Germany and Japan to draw lessons from the mechanism, and to provide a summary of their experience and inspiration; finally, In view of the current problems, this paper puts forward some suggestions for improvement from three aspects: policy goal, system content, supporting supervision and so on, on the basis of combining the actual situation of our country.
【学位授予单位】：南华大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R197.1

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