公立医院医疗腐败问题治理路径与防控策略研究  

Research on the Governance Path and Prevention and Control Strategy of Medical Corruption in Public Hospitals

作　　者：陶帅 吴长征[2] 陈妙玲[1] 周元元 TAO Shuai;WU Changzheng;CHEN Miaoling;ZHOU Yuanyuan(Commission for Discipline Inspection Office,Sun Yat-Sen University Cancer Center,Guangzhou Guangdong 510060,China;Commission for Discipline Inspection Office,Sun Yat-Sen University,Guangzhou Guangdong 510275,China)

机构地区：[1]中山大学肿瘤防治中心纪委办公室,广东广州510060 [2]中山大学纪委办公室,广东广州510275

出　　处：《中国卫生标准管理》2024年第5期58-61,共4页China Health Standard Management

基　　金：教育部哲学社会科学研究重大委托项目(19JZDW007);广东省卫生经济学会2023年科研课题(2023-WJMZ-22)。

摘　　要：公立医院医疗腐败治理对于推进公立医院改革,加速公立医院高质量发展进程,实现健康中国目标具有重要意义。文章从定量分析案件的角度出发,结合中国裁判文书网医疗腐败案件数据和工作具体实践分析当前公立医院腐败问题现状,深入剖析医疗腐败治理存在的困境,如医疗腐败隐蔽性较强,查处极为困难;利益冲突导致“经济人”代理活动频发道德风险;公立医院内部监督制约机制不够有力等。在此基础上,提出创新公立医院反腐败手段,加强反腐深度;优化绩效薪酬分配体系,强化自我约束;健全公立医院内部制约监督机制,扎实推进惩防体系建设等建议。The governance of medical corruption in public hospitals is of great significance for promoting the reform of public hospitals,accelerating the high-quality development process of public hospitals,and achieving the goal of a healthy China.Based on the quantitative analysis of cases,this study analyzes the current situation of corruption in public hospitals by combining the data of medical corruption cases on China judgment document website and specific work practices,and deeply analyzes the dilemma of medical corruption governance.For example,medical corruption is highly concealed and extremely difficult to investigate;The conflict of interest leads to frequent moral hazard in agent activities of"economic man".The internal supervision and restriction mechanism of public hospitals is not strong enough.On this basis,put forward innovative anti-corruption means of public hospitals,strengthen the depth of anti-corruption.Optimize the performance pay distribution system and strengthen self-restraint.Improve the internal control and supervision mechanism of public hospitals,and solidly promote the construction of punishment and prevention system.

关 键 词：公立医院 医疗腐败 高质量发展 困境 治理路径 防控策略 

分 类 号：R197[医药卫生—卫生事业管理]