我国医疗保障经办机构法人治理现状:困境与对策  

Current situation of corporate governance in China’s medical insurance agencies:challenges and countermeasures

作　　者：王巍 马丽平 吴奇飞[3] 陈诚 WANG Wei;MA Liping;WU Qifei;CHEN Cheng(Beijing Pharmaceutical Health Technology Promotion Center,Beijing 100055,P.R.China;Department of Medical Quality Management Research,Hospital Management Research Institute,National Health Commission,Beijing 100044,P.R.China;School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,P.R.China)

机构地区：[1]北京市医药卫生科技促进中心,北京100055 [2]国家卫生健康委医院管理研究所医疗质量管理研究部,北京100044 [3]华中科技大学同济医学院医药卫生管理学院,武汉430030

出　　处：《华西医学》2024年第4期624-629,共6页West China Medical Journal

基　　金：国家医疗保障局课题(2020007)。

摘　　要：该文通过调查我国典型城市与省份医疗保障经办机构法人治理结构的现状,指出医疗保障经办机构法人治理目前面临的困境,提出应继续全面推进全国统一医疗保障经办机构法人治理组建工作,进一步完善医疗保障经办机构法人治理的立法保障体系,充分落实医疗保障经办机构决策权能,积极构建法人治理社会评价与监督机制等建议,以期进一步完善我国医疗保障经办机构法人治理结构。The study investigates the current status of corporate governance structures in medical insurance agencies in typical cities and provinces in China,highlighting the challenges faced by corporate governance in these institutions.It advocates for the continued comprehensive promotion of the nationwide establishment of a unified corporate governance framework for medical insurance agencies.Furthermore,it recommends enhancing the legislative support system for corporate governance in medical insurance agencies to ensure the effective implementation of decision-making powers within these organizations.Additionally,the study proposes actively establishing social evaluation and supervision mechanisms for corporate governance to further enhance the corporate governance structure of medical insurance agencies in China.

关 键 词：医疗保障经办机构 法人治理 经办机构法人化 行政协议 

分 类 号：R197.1[医药卫生—卫生事业管理]