《医疗机构管理条例》实践认知状况调查  

Practice of ＂Management Regulation of Medical Institutions＂ based on the questionnaire

作　　者：魏亮瑜[1] 刘宇[2] 樊荣 曹艳林[4] 孙鹏程[1] 赵慧[1] Wei Liangyu;Liu Yu;Fan Rong;Cao Yanlin;Sun Pengchen;Zhao Hui(Department of Medical Administration, Beijing Hospital, Belting 100730, China)

机构地区：[1]北京医院医务处,100730 [2]北京大学国际医院医务处 [3]北京清华长庚医院医务处 [4]中国医学科学院医学信息研究所

出　　处：《中华医院管理杂志》2018年第5期428-432,共5页Chinese Journal of Hospital Administration

基　　金：国家卫生计生委法制司委托课题（WTKZ-14-11）

摘　　要：目的了解医疗机构监督管理相关人群对《医疗机构管理条例》（以下简称《条例》）目前实践状况的评价，梳理《条例》中相关规范在实践中存在的问题。方法2015年8月至2016年11月，运用文献收集和专家头脑风暴相结合的方法设计调查问卷，了解被调查者对《条例》的认知情况及其对医疗机构的区域规划、设置审批部门、医疗机构的分类、医疗机构的监管主体等的评价。向医疗机构、卫生行政部门人员和患者共发放1000份问卷，回收有效问卷854份。数据采用描述性统计分析。结果90．7％的被调查者支持对《条例》的主要内容进行重新修订；54．3％的患者认为并非所有类型的医疗机构都需要区域规划的限制；69．1％的被调查者认为设置审批的级别管理权限划分需要重新修订；56．9％的被调查者认为应在《条例》中明确医疗机构其他监管主体的法律地位。同时，根据被调查者的意见，梳理了11项《条例》中需增加的内容。结论现行《条例》中的设置审批、分类管理等多项规定，需要根据管理需求和医疗机构发展状况进行修改完善，同时要充分兼顾卫生行政部门、医疗机构和患者的利益关系。Objective To learn the comments on the practice of ＂ Management Regulations of Medical Institutions（ Regulations below）＂ by those related to such Regulations. And to identify problems found in the application. Methods A questionnaire was designed by means of literature review and expert brainstorming, to learn the awareness of the respondents on the Regulations, and their comments on regional planning of medical institutions, setup approval authority, classification of medical institutions, and regulators of these institutions. A total of 1 000 questionnaires were delivered to medical institutions, health administrative authorities and patients at large 854 valid questionnaires were recovered, with the data analyzed in descriptive statistics. Results 90. 7% of the respondents supported the revision of the main contents of the Regulations. 54. 3% of them held that not all types of medical institutions need to be limited by regional planning; 69. 1% of them held that the regulatory powers of different rankings on the business approval need to be revised ; 56. 9% of them held that the Regulations should clarify the legal status of other regulatory authorizes over medical institutions. The respondents also named 11 articles of the Regulations to be added. Conclusions A number of articles of the Regulations need to be revised, such as those on setup approval and classified administration, to meet administrative needs and medical institutions＇ development needs. In the meantime, interest relationship of health administrators, medical institutions and patients should be taken care of as well.

关 键 词：医院管理 医疗机构管理条例 医疗立法 问卷调查 修改建议 

分 类 号：R197.32[医药卫生—卫生事业管理]