基于中医治未病理论的医院廉政高风险领域监督策略探讨  

Research on supervision strategy of high risk areas of hospital incorrupt government based on traditional chinese medical theory of preventing diseases

作　　者：李哲[1] 刘斌 程军 郑洋[2] 林含[2] Li Zhe;Liu Bin;Cheng Jun;Zheng Yang;Lin Han(Discipline Inspection Office,Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China;Academic Research Office,Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China)

机构地区：[1]首都医科大学附属北京中医医院纪检办公室,北京100010 [2]首都医科大学附属北京中医医院科研处,北京100010

出　　处：《中华医院管理杂志》2022年第8期604-608,共5页Chinese Journal of Hospital Administration

基　　金：北京市属医院科研培育项目(PG2021017,PG2019021);北京市医院管理中心青年人才培养"青苗"计划(QML20201002)。

摘　　要：近年来,我国公立医院腐败事件频发,加强医院廉政建设尤为重要。笔者基于中医治未病理论的未病先防、既病防变和瘥后防复3个层面,深入探讨公立医院廉政高风险领域防控策略。通过梳理近年北京市卫生健康系统政治巡察和大型医院巡查发现的共性问题,建立医院廉政高风险领域风险点清单;选取某三级甲等医院及其4家托管医院,围绕重要权力活动和职权行为的关键环节,对照风险点清单对重点领域开展自查,针对发现的问题提出监督策略。某三级甲等医院及其4家托管医院自2021年5月实施医院廉政高风险领域监督策略以来,药品采购、设备采购、耗材试剂采购、工程建设和后勤服务采购5个廉政建设重点领域的信访件数量显著降低。基于中医"治未病"理论构建的医院高风险领域监督策略能够有效提高纪检监督工作的针对性、可操作性和实效性,为公立医院廉政建设提供参考。In recent years,the frequency of corruption incidents in public hospitals in China has increased,and it is particularly important to strengthen the construction of hospital incorrupt politics.Based on the traditional chinese medical theory of preventing diseases,the author deeply discusse the prevention and control strategies in high-risk areas of public hospitals incorrupt from 3 aspects:prevention before disease onset,prevention of disease from exacerbating and prevention of recovery from relapse.Based on the common problems found in the political inspection of Beijing municipal health system and large-scale hospitals in the latest years,an incorrupt government risks list of high-risk areas in hospital had been sorted out;A tertiary hospital and its 4 entrusted hospitals were selected to conduct self-inspection on the key links of important power activities and authority behaviors in accordance with the incorrupt government risks list,and putting forward targeted supervision strategies for these problems.Since the implementation of supervision strategy for high-risk areas in the tertariy hospital and its 4 entrusted hospitals in May 2021,the number of letters and visits in the 5 aspects of medicine procurement,equipment procurement,consumables and reagents procurement,engineering construction and logistics service procurement were significantly reduced.Based on the traditional chinese medical theory of preventing diseases,the supervision strategy in high-risk areas could effectively improve the pertinence,operability and effectiveness of discipline inspection and supervision in hospital,and provide a reference for the construction of incorrupt government in public hospitals.

关 键 词：廉政风险防控 中医学 治未病 医院 公立 监督策略 

分 类 号：R197.32[医药卫生—卫生事业管理]