健康研究2025，Vol.45Issue(3)：263-267,284,6.DOI:10.19890/j.cnki.issn1674-6449.2025.03.005
营利性社会办医疗机构医疗卫生监管模式优化及评价
Optimization and evaluation of a medical and health supervision model for for-profit non-public medical institutions
摘要
Abstract
At present,the number of for-profit non-public medical institutions in China has exceeded that of public medical institutions,which can no longer match the traditional medical and health supervision system.Based on field investigations and literature review,this study developed a new credit-based supervision model for for-profit non-public medical institutions,and conducted a trial involving 150 such institutions.A mechanism of in-process and post-event supervision was established based on credit ratings and targeted regulation,converting institutions'daily operational behaviors into credit scores.According to the scores,institutions were categorized as low or high credit risk.Low-risk institutions were subject to routine verification and low-frequency supervision,while high-risk institutions were subject to on-site approvals and high-frequency inspections.The model actively encourages medical institutions to self-regulate their diagnostic and treatment behaviors.After one year of trial implementation,surveys showed high levels of support and recognition from participating institutions.The promotion and improvement of this model could enhance the efficiency of regulatory work and help resolve the current mismatch between regulatory workload and capacity.关键词
营利性社会办医疗机构/医疗卫生监督/信用评级/精准监管Key words
for-profit non-public medical institutions/medical and health supervision/credit rating/targeted supervision分类
医药卫生引用本文复制引用
戴益莉,王天宇,鲍勇,宦红梅,雷博阳..营利性社会办医疗机构医疗卫生监管模式优化及评价[J].健康研究,2025,45(3):263-267,284,6.基金项目
闵行区卫生健康委员会科研课题(2021MW51) （2021MW51）
