社会办医疗机构卫生监管执法问题与对策研究——以上海市J区社会办医疗机构处罚案件为分析样本  

Research and coutermeasures on health law enforcement of private medical institutions——Based on analysis samples of punishment cases of private medical institutions in J District of Shanghai

作　　者：朱杰 陈玥 赵雪峰 夏树华 杜丹丹 Zhu Jie;Chen Yue;Zhao Xuefeng;Xia Shuhua;Du Dandan(Shanghai Jiading District Health Committee Supervision Institute,Shanghai 201800,China)

机构地区：[1]上海市嘉定区卫生健康委员会监督所,上海201800

出　　处：《中国卫生法制》2024年第3期96-102,共7页China Health Law

摘　　要：目的:通过对近4年上海市J区社会办医疗机构不良执业行为所涉及的卫生行政处罚基本情况进行回顾与分析比对,提出区域化社会办医疗机构卫生监管的相关对策。方法:采用图表分析和Stata统计软件分析。结果:2019至2022年间,J区社会办医疗机构卫生行政处罚案件共计399件,案件量从2019年的85件减至2022年的61件。案件类型主要聚焦在消毒管理、医疗废物处置、传染病疫情防控。涉及罚种主要为警告、罚款、没收违法所得,机构吊证(吊科目)案件仅2件。4年间涉及罚款案件255件,罚款总计1054500元,罚款均额为4135.3元。结论:通过建立风险预警和评估机制,实行分级分类监管模式,不断提升监管效能。依托行政记分手段,落实好处罚与教育两大功能定位。发挥舆论监督和社会监督的作用,在医疗卫生行业综合监管体系框架下着力解决社会办医疗机构监管中的急难繁问题。Objective:By retrospecting,analyzing and comparing the basic situation of health administrative punishment involved in the bad practice behavior of private medical institutions in J District of Shanghai in the past four years,this paper put forward relevant countermeasures for the health supervision of regional private medical institutions.Methods:Using chart descriptive analysis and chi-square test.Results:From 2019 to 2022,there were total 399 cases of health administrative punishment of private medical institutions in District J,with the number of cases reduced from 85 in 2019 to 61 in 2022.The categories of cases mainly focus on disinfection management,medical waste disposal,and epidemic prevention and control of infectious diseases.The categories of penalties involved mainly include warning,fine,and confiscation of illegal income.There are only two cases of institutional suspension of certificates(suspended subjects).The total amount of fines in the four years was 1054500 yuan,involving 255 cases of fines,and the average amount of fines was 4135.3 yuan.Conclusion:Through the establishment of risk early warning and evaluation mechanism and the implementation of hierarchical and classified supervision mode,the regulatory efficiency has been continuously improved.Relying on administrative scoring and combination of punishment and education,through use of public opinion supervision and social supervision,stive to solve the urgent and complicated problems of private medical institutions under the framework of comprehensive supervision system of the medical and health industry.

关 键 词：社会办医疗机构 不良执业行为 行政处罚 监督 对策 

分 类 号：D902[政治法律—法学理论]