通讯作者: 王亚东, yadong61@ccmu.edu.cn

DOI：10.12201/bmr.201910.00001

The construction of the comprehensive regulation system of the medical and health industry :a qualitative analysis based on the grounded theory

• 摘要：目的：运用扎根理论方法研究医疗卫生行业综合监管制度体系框架并提出相应对策，为改革完善医疗卫生行业综合监管制度提供科学依据。方法：2018年9月—12月对北京市各级卫生行政部门、卫生监督机构以及医疗机构、相关行业协负责人、领域内专家、高校教师共计27名专家进行访谈，结合文献资料和小组研讨等内容，采用三级编码将原始资料逐级浓缩并分类、归纳。结果：经过三级编码提炼出42个初始范畴、11个主范畴及5个核心范畴，最终形成综合监管制度体系框架，应构建“四位一体”相互协作的综合监管格局，建立信息平台实现技术上的严密管控，同时完善定期督察机制和法律法规的制定。结论：实施医疗卫生行业综合监管必须坚持政府主导，完善多元主体协调机制，创新监管机制、完善保障制度，构建科学合理的综合监管体系。

  关键词： 医疗卫生行业；综合监管；扎根理论；框架

   

  Abstract: Objective：Based on the grounded theory and method, this paper studies the framework of the comprehensive regulation system of the medical and health industry and puts forward the corresponding countermeasures, so as to provide a scientific basis for the reform and improvement of the comprehensive regulation system of the medical and health industry. Methods：From September to December 2018, 27 experts from all levels of health administrative departments, health supervision institutions, medical institutions, relevant industry associations, experts in the field and university teachers were interviewed. Combined with literature and group discussion, the original data were condensed, classified and summarized by three-level coding. Results：After three-level coding, 42 initial categories, 11 main categories and 5 core categories are extracted to form the framework of the comprehensive regulation system. A comprehensive regulation pattern of four in one cooperation should be constructed, an information platform should be established to achieve strict technical control, and the regular regulation mechanism and the formulation of laws and regulations should be improved. Conclusions：To implement the comprehensive regulation of medical and health industry, we must adhere to the governments leadership, improve the coordination mechanism of multiple subjects, innovate the supervision mechanism, improve the security system, and build a scientific and reasonable comprehensive regulation system.

  Key words: Medical and health industry；Comprehensive regulation；Grounded theory；Framework

  提交时间：2021-01-15

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2019-10-22	bmr.201910.00001V1	下载

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