北京市医疗机构合规管理专项领域调查分析

娄丹, 李维玮, 郑雪倩, 曹艳林, 刘兆艳, 王桂娟

中国医疗保险 ›› 2024, Vol. 0 ›› Issue (12) : 74-80.

中国医疗保险 ›› 2024, Vol. 0 ›› Issue (12) : 74-80. DOI: 10.19546/j.issn.1674-3830.2024.12.011
医疗视点

北京市医疗机构合规管理专项领域调查分析

  • 娄丹1,2, 李维玮1,2, 郑雪倩2, 曹艳林3, 刘兆艳4, 王桂娟4
作者信息 +

Compliance Management Special Field Investigation and Analysis of Medical Institutions in Beijing

Author information +
文章历史 +

摘要

目的: 调研北京市医疗机构法治合规专项领域管理情况。方法: 通过问卷调研北京市613家医疗机构工作人员,共计30833份问卷,对问卷结果进行统计分析。结果: 通过排查情况与分析可知,北京市各医疗机构对不同合规专项领域存在聚焦程度的偏差,最受关注的合规领域是执业合规、医保合规与采购合规。结论: 北京市各医疗机构在部分领域组织开展了合规管理工作,但尚未形成全领域的合规管理体系,医疗机构应结合目前已开展领域合规管理经验,逐步实现在医疗服务各领域完善合规管理建设的目标。

Abstract

Objective: The paper investigates the law compliance special field management of medical institutions in Beijing. Methods: A total of 30833 questionnaires were collected from 613 medical institutions in Beijing, and the results of the questionnaires were statistically analyzed. Results: Through investigation and analysis, we found that there were deviations in the focus degree of different compliance areas among medical institutions in Beijing, and the most concerned compliance areas are practicing compliance, medical insurance compliance and procurement compliance. Conclusion: Medical institutions in Beijing have carried out compliance management in some fields, but have not yet formed a compliance management system in all fields. Medical institutions should gradually achieve the goal of improving compliance management in all fields of medical services based on the current experience of compliance management in several fields.

关键词

执业合规 / 医保合规 / 采购合规 / 合规管理体系 / 聚焦程度偏差

Key words

practicing compliance / medical insurance compliance / procurement compliance / compliance management system / focus degree deviation

引用本文

导出引用
娄丹, 李维玮, 郑雪倩, 曹艳林, 刘兆艳, 王桂娟. 北京市医疗机构合规管理专项领域调查分析[J]. 中国医疗保险. 2024, 0(12): 74-80 https://doi.org/10.19546/j.issn.1674-3830.2024.12.011
Compliance Management Special Field Investigation and Analysis of Medical Institutions in Beijing[J]. China Health Insurance. 2024, 0(12): 74-80 https://doi.org/10.19546/j.issn.1674-3830.2024.12.011
中图分类号: F840.684    C913.7   

参考文献

[1] 张远煌. 企业合规全球考察[M].北京大学出版社:2021,11-469.
[2] 邵永生. 医院合规管理中“规”的内涵及其应用[J].河北法律职业教育,2024,2(02):60-67.
[3] 武迎慧,苗国梅,徐艳玲,等.公立医院腐败现状与法律建议——基于裁判文书网2016个卫生刑事司法判决文书数据分析[J].中国卫生事业管理,2023,40(03):193-197.
[4] 国家医疗保障局.打击欺诈骗取医疗保障基金举报通道[EB/OL].[2024-10-27].https://www.nhsa.gov.cn/col/col73/index.html.
[5] 朱晨,魏灿灿.强监管背景下医疗机构的数据合规之路[EB/OL].(2021-06-29)[2024-09-20].https://www.secrss.com/articles/32213.
[6] 中华人民共和国中央人民政府.医保事业高质量发展迈出新步伐[EB/OL].(2024-09-11)[2024-10-27].https://www.gov.cn/lianbo/bumen/202409/content_6973657.htm.
[7] 韩作为,李宏芳,赵韡.医疗机构构建个人信息保护合规体系研究[J].中国数字医学,2022,17(3):26-29.
[8] 吴凌放. 《个人信息保护法》实施下的医疗数据管理和应用探讨[J].卫生软科学,2022,36(1):5-7.
[9] 郑健,任元鹏.医疗机构医疗数据合规体系建立探索[J].现代医学,2022,50(S1):78-82.
[10] 吴凌放. 改革中的我国医院绩效管理:现况、困境与出路[J].同济大学学报(社会科学版),2018,29(02):118-124.
[11] 国家医保局.《2024年医疗保障基金飞行检查工作方案》政策解读[EB/OL].(2024-04-28)[2024-10-27].https://www.nhsa.gov.cn/art/2024/4/28/art_105_12530.html.

基金

北京市卫健委委托项目“医疗机构法治合规管理体系研究”

Accesses

Citation

Detail

段落导航
相关文章

/