我国卫生监督体制改革回顾与探析  

Review and analysis on the reform of health supervision system in China

作　　者：解伟 Xie Wei(Zaozhuang Municipal Hospital Affiliated to Jining Medical College,Zaozhuang,Shandong 277101,China)

机构地区：[1]济宁医学院附属枣庄市立医院,山东枣庄市277101

出　　处：《中国卫生法制》2023年第6期93-99,共7页China Health Law

摘　　要：从防病与执法“一体化”的卫生防疫站时期,到疾病预防控制与卫生监督“一体化”的疾病预防控制局执法模式,我国卫生监督体制几经变迁。回顾了我国卫生监督体制沿革,归纳了改革中存在的机构建设缺乏一致性、监督队伍人才不足、利益驱动执法、执法力度软弱、职能范围长期不稳定五方面问题,并从依法行政、政事分开、分步进行、部门推动四个维度进行深层次剖析。针对监督执法力度不足的关键短板,提出了权力主体与责任主体统一、提高卫生监管精细化程度和执法硬度、实施绩效管理等建议。From the period of Epidemic Prevention Station integrated disease control and prevention and law enforcement,to the integrated law enforcement mode of Disease Prevention and Control Bureau of disease control and health supervision,China's health supervision system has changed several times.This paper reviewed the evolution of Chinas health supervision system,summarized the five problems existing in the reform:lack of consistency in institutional construction,lack of supervision personnel,interest driven law enforcement,weak law enforcement and long-term instability in the scope of functions,and made an in-depth analysis from four dimensions:administration by law,separation of government and affairs,step-by-step and departmental promotion.In view of the key shortcomings of insufficient supervision and law enforcement,suggestions were put forward,such as unifying authority subject and responsibility subject,improving the refinement of supervision and law enforcement hardness,and implementing performance management.

关 键 词：卫生监督 体制 改革 

分 类 号：D902[政治法律—法学理论]