| 引用本文：黄宵, 李文敏, 向国春, 顾雪非, 孙杨.我国诊所监管政策演变历程研究[J].中国卫生政策研究,2016,9(7):28-33 |
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| 我国诊所监管政策演变历程研究 |
| 投稿时间：2016-03-29 修订日期：2016-05-31 PDF全文浏览 HTML全文浏览 |
| 黄宵1, 李文敏2, 向国春3, 顾雪非3, 孙杨4 |
1. 西南医科大学人文与管理学院 四川泸州 646000;
2. 湖北大学政法与公共管理学院 湖北武汉 430062;
3. 国家卫生与计划生育委员会卫生发展研究中心 北京 100191;
4. 武汉大学政治与公共管理学院 湖北武汉 430072 |
| 摘要:作为个体开业行医的主要承载机构和组织形式，诊所在我国的发展历程反映了我国医务人员自由执业的情况。本文根据文献资料对诊所监管政策进行系统梳理发现，建国以来，伴随着宏观经济体制改革和政府对医疗卫生领域治理思路的变迁，我国诊所发展经历了允许（1949-1957年）、限制（1958-1977年）、重新允许（1978-1996年）、促进和鼓励（1997年-）四个阶段。经过几十年的发展，政府对诊所在卫生系统中地位和作用的重要性认识逐渐加强，对其监管措施经历了从原则性监管到精细化监管的发展历程。结合诊所的发展历程和特点，未来诊所可以作为我国基层公立医疗机构的重要补充。 |
| 关键词:诊所 监管政策 演变历程 |
| 基金项目:国家自然科学基金项目（71203058）；国家卫生计生委委托项目（01275） |
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| Evolution of supervision policies on clinic in China |
| HUANG Xiao1, LI Wen-min2, XIANG Guo-chun3, GU Xue-fei3, SUN Yang4 |
1. School of Humanities and Management Science, Southwest Medical Univercity, Luzhou Sichuan 646000, China;
2. College of Politicis & Law and Public Administration, Hubei University, Wuhan Hubei 430062, China;
3. China National Health Development Research Center, Beijing 100191, China;
4. School of Political Science and Public Administration, Wuhan University, Wuhan Hubei 430072, China |
| Abstract:Clinics are a main institutional form for doctors to open personal business in China. The development process of clinic reflects the situation of medical staff free practice. This study summarized the supervision policies on clinic in China since the founding of China and got three conclusions.The first one was the attitude of the practice of the clinic has changed significantly. The change include four stages which were authorization(1949-1957), limitations(1958-1977), re-authorization(1978-1996), promotion and encourage(1997-)along with macroeconomic system reform and the changes of government's governance ideas on health sector. The second conclusion was that the government gradually raised awareness of the status and role of the clinic institutions in the health system over the past several decades. The third conclusion was the supervision policies became more meticulous. In the future, clinical institutions can be a useful supplement to public medical institutions in China for its development process and characteristics. |
| Key words:Clinic Supervision policies Evolution |
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