对公立医院行为规制措施及其效果的模糊综合评判.pdfVIP

专锺研究Zhuantiyanjiu (1ll111医院理}寇事 181(gl3S 黯) 却13 军E 同 对公立医院行为规制措施及其效果的模糊综合评判* 孙 .① 臭毒草红① .立法① 贫卫东① 离力军① 偏要 目的对现行医院行为规制的锺施进行综合评价. 确定优先干预措施。 15.法从噩噩性、可撮停住、失娘程度、 平预迫切性等4 缝度建立镇栅评判镇型.递信综合评价与比锁。结粟 政府缺乏育娘的监管机制以及对医院和医生的役入不 定是导致公立医院相医生行为扭曲的簸主要的根源之所在·莫次 医疗事故的誉证倒置和稽对滞后的支付后式霆导致过度医 疗æ隽的另-重要原因。结话实现对医院和医主行为奇效搜制目标的笛要优先策略是建立育娥的监督机制:此外，应加大 对医院和医室的技入，着刀完善相应的法律法规和支伺机制的改革。 3是.调公立医院 行为规制规制失戴银棚评判模棚矩阵 中圄份‘.. R197.32 文隙事志码 A 文….. 1 ∞1 -5329(2013)08-(泊17-03 Fuzzy Comprehensive Judgment on the Measures and Eftectiveness of Public Hospital Behavior Regulationl SUN Yue , WU Oun-hong . UANG Li-bo . et af.IIChinese Hospital Management , 2013 . 33 (8 ) : 17-19 Abstract 0bjtiHS T0 in曲ntify priority interventions through comprehensive eva luation on the eft前世veness of regl.扣 lation m倒sures on the existing hωpital profit seeking 国havior. M.础础 Evaluating and comparing 问 mωeI of fuz却 cαnprehensive evall皿ion based on 4 aspects , including the importance , operability , failure d句ree， 8nd intervention urgency. hølb The lack of governments eftective supervision on profit seeking behavior and inadE崎uate inve由nent to hospital and d∞tors were two mωt important reasons leading to behavioral distortion of the public h铺pital and doctors. The other important r，回sons cα)tributing to the over- prescription of drug and excessive medical services are the onus pr∞f burden in medical disputes and the not good fu nctioning payment method of medical insurance schemes. cc嗣du邸， 币)e most priα忧ized 创rategy to achieve the 9佣I of controll ing the behavior of hospital and d∞tors was t。回tablish 8ft，航〉 tive supervision mechanism. Besi由s， government should increase investment to hospitals 8nd doctors; 800 try