个体诊所监管:现状、问题与建议

目的:了解中国当前个体诊所的监管现状及存在的问题,并提出建议。方法:采用典型抽样,在东中西部各选1个典型省份,每省选取2个地级市,采用半结构式访谈和典型诊所参与式观察法开展实地调研。结果:我国个体诊所监管存在严重不足,亟需建立有效的个体诊所监管机制。结论:应强化个体诊所的监管,提高个体诊所准入门槛;强化部门间分工协作,实行联合执法,推动信息互通和联网信息化建设;经济激励与惩罚措施并用,提高惩罚力度;发挥行业协会自我监督和社会监督作用。

Supervision of private clinics: Status quo, problems and suggestions

Objective: To understand the current situation and problems of the supervision of individual clinics in China, and put forward some reform suggestions. Methods: Two cities were selected from typical provinces in eastern, central and western regions by typical sampling. The investigation was conducted by semi-structured interviews and typical clinic participant observation method. Results: There were serious problems in the regulation of the private clinics and it was necessary to build efficient regulation mechanism. Conclusions: We should strengthen the supervision of private clinics. In the future, we should improve the access threshold for the private clinic; strengthen inter-sector cooperation and joint law enforcement; promote information exchange and information network construction; use economic incentives and punitive measures at the same time and make the association itself and social supervision work.