我国公立医院规制策略失效现况及影响因素因子分析  

Current Situation of Public Hospital Regulation Policy Failure and Factor Analysis of Influence Factors

作　　者：吴群红[1] 丁玎[1] 宁宁[1] 郝艳华[1] 黄卫东[1] 康正[1] 

机构地区：[1]哈尔滨医科大学卫生管理学院,黑龙江哈尔滨150086

出　　处：《中国医院管理》2013年第7期10-12,共3页Chinese Hospital Management

基　　金：国家自然科学基金(71073044);教育部博士点基金(20102307110018);黑龙江省卫生厅课题(2009-227)

摘　　要：目的探讨医院规制的主要失效关键节点及导致规制效果不佳的主要因素。方法采用文献研究及专题小组讨论法,构建医院规制框架;通过调查研究分析医院规制失效主要内容;运用因子分析法分析规制效果不佳的主要因素。结果确立了包括准入、价格等10项规制措施的医院整体规制框架,其失效程度最严重的为价格规制、行为规制及补偿规制,导致规制整体效果不佳的公因子为监管体制、条件等行政支持因子与监管执行的障碍因子2项。结论构建医院规制体系,明确各措施的失效程度,提出导致规制效果不佳的公因子,为今后医院规制研究与政策制定提供参考依据。Objective To investigate the major hospital regulation failures and the main factors leading to ineffective regulation. Methods Using literature research and thematic group discussion method to build hospital regulatory frame- work, and investigation to analyze the situation of hospital regulation failure, by applying Method of Factor Analysis to i- dentify underlying main factors that lead to those regulation failures. Results A framework on hospital regulation is estab- lished which includes regulations on access, prices and other ten measures. The top three most seriously failed regula- tion measures include price regulation, behavior regulation and compensation regulation. There are two common factors that lead to ineffective regulation： factor of regulatory regime, its conditions and administrative support. Conclusion Hos- pital regulatory framework is established, the degree of regulation failure is outlined, and common factors that lead to ineffective regulation is identified to improve future hospital regulation and policy-making providing.

关 键 词：医院规制失效 影响因素 因子分析 

分 类 号：R197.32[医药卫生—卫生事业管理]