引用本文:孙长青, 王博, 连祎晓, 毛相杰, 付先知, 裴青燕, 周灵灵.医疗损害无过错补偿制度利益相关者分析[J].中国卫生政策研究,2018,11(3):25-28 |
|
医疗损害无过错补偿制度利益相关者分析 |
投稿时间:2017-09-01 修订日期:2017-12-27 PDF全文浏览 HTML全文浏览 |
孙长青1, 王博1, 连祎晓2, 毛相杰1, 付先知1, 裴青燕1, 周灵灵1 |
1. 郑州大学公共卫生学院 河南郑州 450001; 2. 北京大学人民医院 北京 100044 |
摘要:本文运用利益相关者分析法,对医疗损害无过错补偿制度构建中涉及到的利益主体的诉求、立场、权力和角色进行分析,认为政府包括卫生行政部门是政策的具体构建者和重要主导者,需利用其公权力主导该制度的构建和试运行;医方、患者及其家属是政策的直接受益者,但需要通过建立多元化筹资渠道、设定合理补偿范围等方式来保障制度良好运转;司法鉴定机构和专家团体是政策实施的重要保障方,但需统一鉴定制度,并引入专家团体评价机制;保险行业是政策实施的重要推进者,但需通过扩大筹资途径等方式提高其参与程度;新闻媒体对政策构建与推行具有重要影响,需进行适当引导以发挥其正面促进作用。 |
关键词:医疗损害 无过错补偿 利益相关者分析 |
基金项目:河南省人文社会科学研究项目(2018-ZZJH-546) |
|
Stakeholder analysis of no-fault compensation system on medical damages |
SUN Chang-qing1, WANG Bo1, LIAN Yi-xiao2, MAO Xiang-jie1, FU Xian-zhi1, PEI Qing-yan1, ZHOU Ling-ling1 |
1. College of Public Health, Zhengzhou University, Zhengzhou Henan 450001, China; 2. People's Hospital of Peking University, Beijing 100044, China |
Abstract:Using stakeholder involvement analysis to analyze the appeal, position, power and role of stakeholders involved in the creation of the no-fault compensation system of medical damage, this paper believes that the government, including the health administrative department, is the concrete maker and the important facilitator of the policy implementation, which needs to take advantage of the public power to predominate the creation and trial operation of the system; the medical staffs, patients and their families are the direct beneficiary of the policy, but it is necessary to ensure the good operation of the system by establishing diversified financing channels and setting reasonable compensation scope. The judicial appraisal institution and the expert group are the important guarantors of the policy implementation, but the authentication system should be unified and the expert group evaluation mechanism should be introduced. The insurance industry is an important propellant of policy implementation, but it needs to increase its participation by taking measures, such as expanding financing channels. The news media has an important influence on the making and implementation of the policy and should be properly guided to play its positive role. |
Key words:Medical injuries No-fault compensation Stakeholder analysis |
摘要点击次数: 1282 全文下载次数: 664 |
|
|
|
|
|