公立医院腐败现状与法律建议——基于裁判文书网2016个卫生刑事司法判决文书数据分析  

Study on the Status of Corruption in Public Hospitals and Its Legal Suggestions Based on Data Analysis of 2016 Health Criminal Judicial Judgment Documents from The Judgment Documents Network

作　　者：武迎慧 苗国梅 徐艳玲[1] 杨心妍 刘怡璇 战勇智 钟一玮 杨淑娟[1] Wu Yinghui(School of Public Health,Jilin University,Changchun,P.R.China)

机构地区：[1]吉林大学公共卫生学院,吉林长春130021

出　　处：《中国卫生事业管理》2023年第3期193-197,共5页Chinese Health Service Management

基　　金：教育部人文社会科学研究项目“基于利益分析的医疗卫生人力资源下沉基层的动因及路径研究”(2022JXZ1079);国家卫健委委托项目“对已取消下放的卫生健康行政许可事项事中事后监管措施落实情况的评估研究”(371199193427);北京华卫律师事务所委托“基于裁判文书网的卫生刑事司法判决文书实证研究”(371220900140)。

摘　　要：目的:研究公立医院的腐败现状以及不同类型公立医院腐败情况的差异,并基于此提出针对性医疗反腐法律建议。方法:人工提取2013~2021年裁判文书网以及相关行政部门提供的公立医院医疗腐败刑事判决书1952份,提取被告人信息2159份作为研究对象,采用描述性分析与探索性分析相结合的方法,对不同类型公立医院的腐败类型构成比、腐败环节构成比进行R*C交叉表数据的χ^(2)检验,分析其中的差异。结果:发生在基层公立医院与二级以上公立医院之间的腐败类型的构成比有差异(χ^(2)=105.798,P<0.001),二者腐败环节构成比也有所差异(χ^(2)=208.575,P<0.001)。结论:贪污行为较容易发生在基层公立医院。基层公立医院的腐败较容易发生在药品环节,二级以上公立医院的腐败较容易发生在医疗器械环节,在立法、监督及医院内部制度的建设上对不同类型的医院提出针对性的建议很有必要。Objective To study the status of corruption in public hospitals and the differences among different types of public hospitals,and put forward targeted legal suggestions for anti-corruption in hospitals.Methods 1952 criminal judgments on medical corruption in public hospitals were manually extracted from the judicial document network or provided by relevant administrative departments from 2013 to 2021.2159 defendants of which were extracted as research objects,and studied with descriptive analysis and exploratory analysis methods.Results There were differences in the composition of corruption types between primary public hospitals and public hospitals above the second level(χ2=105.798,P<0.001).There were also differences in the composition of corruption links between them(χ2=208.575,P<0.001).Conclusion Corruption is more likely to occur in primary public hospitals.Corruption is more likely to occur in the link of drugs in primary public hospitals,and is more likely to occur in the link of medical devices in public hospitals above the second level.It is necessary to put forward targeted suggestions for different types of hospitals in terms of legislation,supervision and construction of hospital internal system.

关 键 词：公立医院 医疗反腐 立法 医院管理 

分 类 号：R197.31[医药卫生—卫生事业管理]