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| 投稿时间： 2015-07-04 最后修改时间： 2015-09-06 摘要点击次数: 2400 全文下载次数: 5 |
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| 引用本文：程雪莲, 严亚, 杨洋,等.我国医疗机构管理省级立法现状研究[J].中国卫生政策研究,2015,8(9):40-44 |
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| 程雪莲1, 严亚2, 杨洋3, 李孺睿4 |
1. 重庆市卫生和计划生育委员会 重庆 401147;
2. 重庆第二师范学院文学与传媒系 重庆 400065;
3. 重庆医科大学公共卫生与管理学院 重庆 400016;
4. 重庆邮电大学法学院 重庆 400065 |
| 基金项目:重庆市科学技术委员会决策咨询与管理创新重点项目(cstc2014jccxB0038) |
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| | 摘要:1994年国务院《医疗机构管理条例》颁布后,我国26个省市区相继制定了医疗机构管理的地方立法。这些地方立法充分利用了上位法赋予的地方立法空间,合理确定本地域内各级卫生行政部门的管理职责,细化审批责任分工,明确对医疗机构执业行为要求,为合理配置医疗资源和规范本地医疗机构执业秩序起到了积极作用。然而,这些地方立法也存在一些缺陷:年久失修、老化现象严重;照抄照搬,盲目重复上位法;过分倚重稳定性差的规章和规范性文件;抱残守缺,鲜有与时俱进的制度设计;违反许可法,增设准入条件;重行政审批,轻执业行为管理。本文在在充分调研全国各省市区的医疗机构管理立法和现有关于医疗机构管理的相关法律法规和政策基础上,通过分析现行省级立法中的亮点和不足,为完善我国医疗机构管理地方立法提出相应建议。 | |
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关键词:医疗机构管理 地方立法 现状
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| Study on the provincial legislation of medical institution management |
| CHENG Xue-lian1, YAN Ya2, YANG Yang3, LI Ru-rui4 |
1. Health and Family Planning Commission of Chongqing, Chongqing 401147, China;
2. School of Literature and Media, Chongqing University of Education, Chonqing 400065, China;
3. School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China;
4. School of Law, Chongqing University of Posts and Telecommunications, Chongqing 400065, China |
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| | Abstract:After The Medical Institution Management Regulations was enacted by the State Council in 1994, 26 Chinese provinces and municipalities have enacted the local legislation of medical institution management. These local legislations make a full use of the space of legislation which the host law gives, reasonably determined the health administrative departments' management responsibilities at all levels, detailed the responsibility division for examination and approval, and defined the medical institution practice behavior requirement. The local legislation has played a positive role for the rational medical resources allocation and standardized the local medical institutions practice order. But as time goes by and reform deeply, the weakness of these legislations has emerged. This is seen for the fact that they have not been repaired for many years, blindly repeat host law, heavily rely on the regulations with poor stability, do not keep the pace with the system design times, violate the license law, and pay attention to the administrative examination and approval instead of the occupational behavior management. This paper makes full investigation on the existing relevant medical institution management laws, regulations and policies. Through the analysis of advantages and disadvantages of provincial legislations, some thinking on the medical institutions management is put forward. | |
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