我国医疗卫生领域行业组织的现状、问题及政策建议

摘要

This article is based on a questionnaire survey of healthcare professional organizations and interview leaders of them. The results of this investigation show that the number of staff is small, and lack of highly qualified human resources. The organizations rely on donation for income and some of them run at a deficit. The functions such as professional self-discipline are not well performed. The analysis reveals four reasons why functions are not well per-formed:the bureaucratic style of the professional organizations and unclear legal status;the limited authorization from legal and administrative bodies;the defects in the governance system and the lack of capacity. Four aspects of policy recommendations are were proposed: to clearly define the role of the professional organizations and authorization through legal and administrative procedures; to strengthen support of professional organizations through various poli-cies;to improve governance and build comprehensive regulation mechanisms;to enhance the capacity of these organi-zations and so on.%本文通过问卷调查和典型访谈，对医疗卫生领域行业组织的现状及存在的问题进行调研，同时提出促进行业组织发展的建议。调查结果显示，目前我国医疗卫生领域行业组织专职工作人员数量少，高素质人员缺乏；资金主要来源为企业或基金会赞助，部分行业组织收不抵支；行业自律等职能发挥不充分等。分析发现，影响行业组织发挥其职能的主要原因有：行政化色彩浓厚，法律地位不明确；法律和行政实质性授权不足，作用发挥有限；行业组织管理体制存在不适应问题；行业组织自身能力不足。针对这些问题，提出促进行业组织发展的建议：明确行业组织职能，进行必要的法律和行政授权；加大对行业组织的扶持，完善各项支持优惠政策；理顺管理体制，建立综合监督机制；加强行业组织自身能力建设，提高人员素质水平和服务能力。