| 引用本文：李奥哲,吕一星,罗昊宇,等.我国外资办医安全风险审查指标体系构建研究[J].中国卫生政策研究,2025,18(6):34-40 |
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| 我国外资办医安全风险审查指标体系构建研究 |
| 投稿时间：2025-05-29 修订日期：2025-06-13 PDF全文浏览 HTML全文浏览 |
| 李奥哲1，吕一星2，罗昊宇2，孟彦辰1 |
| 1.首都医科大学医学人文学院 北京 100069;2.国家卫生健康委医疗管理服务指导中心 北京 100044 |
| 摘要:目的 针对我国医疗服务业扩大开放背景下的监管需求，构建外资办医安全风险审查评价指标体系，以实现开放与安全动态平衡，防范系统性风险。方法 采用德尔菲法与层次分析法相结合，邀请21名来自医疗机构管理、卫生政策、卫生法学及公共安全领域的资深专家参与指标构建。通过专家权威系数、协调系数、内容效度等统计量确保指标科学性，并运用层次分析法量化指标权重，得出分析结果。结果 两轮专家咨询的积极系数均大于95%，专家权威系数为0.897；专家肯德尔协调系数分别为0.178和0.182，P＜0.001，差异均有统计学意义。通过两轮专家函询，最终确定由职能安全、医疗安全、生物安全、信息安全4个一级指标、12个二级指标体系和38个三级指标构建的外资办医安全风险审查评价指标体系。结论 该体系通过多维度风险评估框架，为外资办医准入审查与动态监管提供量化工具，可支撑“高水平开放与高水平安全”的政策协同，助力我国医疗服务业治理能力现代化。 |
| 关键词:外资医院 医疗服务开放 卫生治理安全 |
| 基金项目:国家社会科学基金一般项目（21BFX105） |
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| Research on the construction of security risk review indicator system for foreign-funded medical practices in China |
| LI Ao-zhe1, LYU Yi-xing2, LUO Hao-yu2, MENG Yan-chen1 |
| 1.School of Medical Humanities， Capital Medical University， Beijing 100069， China;2.Medical Management Service Guidance Center， National Health Commission of the PRC， Beijing 100044， China |
| Abstract:Objective To construct a foreign-funded medical safety risk review evaluation index system for the regulatory needs in the context of expanding the opening up of China's medical service industry， in order to achieve a dynamic balance between opening up and safety and prevent systemic risks.Methods Using a combination of the Delphi method and hierarchical analysis method， 21 senior experts from the fields of management of healthcare institutions， health policy， health jurisprudence and public safety were invited to participate in the construction of the indexes. Statistical quantities such as expert authority coefficient， coordination coefficient and content validity were used to ensure the specificity of the indicators， and the hierarchical analysis method was used to quantify the weights of the indicators and derive the analysis results.Results the positive coefficients of the two rounds of expert consultation were greater than 95%， and the expert authority coefficient was 0.897； the expert Kendall coordination coefficients were 0.178 and 0.182， respectively， with P＜0.001， and the differences were all statistically significant. Through two rounds of expert correspondence， the evaluation index system of foreign-funded medical hospital safety risk review constructed by 4 first-level indicators， 12 second-level indicator systems and 38 third-level indicators of functional safety， medical safety， bio-safety and information security was finalized.Conclusions Through a multi-dimensional risk assessment framework， the system provides quantitative tools for the review and dynamic supervision of foreign medical access， which can support the policy synergy of "high level of openness and high level of security" and help modernize the governance capacity of China's medical service industry. |
| Key words:Foreign-funded hospitals Opening-up of medical services Health governance security |
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