Study On The Theory Of Multivariate And Regulatory Mechanism Of The Guangxi Private Hospitals

[objective] This study was to survey about the present situation of Guangxi Zhuang autonomous region,civilian battalion hospital and on the basis,through theoretical analysis,understand the current characteristics of the development of the private hospitals in Guangxi,the existing problems and the present status of civilian battalion hospital regulation,analyze the current problems existing in the regulatory process in private hospitals in Guangxi,find the reasons of the problems in the process of civilian battalion hospital supervision,establishment conforms to the characteristics of Guangxi private hospitals multivariate supervision mechanism and analyzes the implementation strategy,in order to promote Guangxi private hospitals to realize rapid,stable,healthy and sustainable development to provide policy recommendations.[method] This study adopts the method combining the theoretical research and empirical research.Theory research,this research adopts literature research,collect related information regulation of private hospitals in China and mature experience,as well as the supervision and administration of our country civilian battalion hospital general situation and the future development direction.Integrated use of incomplete law theory,and the theory of incentive regulation theory,regulation game theory,the construction of private hospitals in Guangxi pluralistic supervision mechanism and its implementation of effective strategies.Empirical research,through the consult,collect,sort out the basic information of the Guangxi private hospitals,health statistics and supervision,and through expert interviews and stakeholder analysis,to explore and analyze the current defects and the main problems of the regulation of private hospitals in Guangxi,to study the multiple regulation of Guangxi Zhuang autonomous region,civilian battalion hospital strategy to lay the foundation.[results](1)Private hospitals of multiple regulatory agencies and their responsibilities.Civilian battalion hospital multivariate supervision mechanism is the emphasis on collaborative,a regulatory model of resource integration.The government as the leader of the regulation,mainly to undertake set for civilian battalion hospital regulatory laws and regulations and supervise the implementation of the rule of law norms.In addition to the government,regulatory agencies should also include health insurance agencies,industry groups,the third party appraisal institution,the social public,the hospital internal governance,etc.Medical insurance agency responsible for supervision and evaluation of the legitimacy and the rationality of the civilian battalion hospital medical service behavior;Industry association is responsible for participating in policy making,regulate professional standards,information disclosure,and use the legal measures to punish violations,civilian battalion hospital;Third party appraisal institution are entrusted to the government supervision department,implementation of certain aspects of the civilian battalion hospital professional supervision and evaluation,establish a fair and impartial supervision environment,promote the information disclosure;By the news media and consumer society is typical of the supervision of the public sector,is mainly responsible for guiding the correct social values,violation behavior of exposure and promote advanced units and individuals,protect the legitimate rights and interests of patients,etc.;Hospital internal set up a board of directors and supervision will,as a hospital and external supervision mechanism of cohesive unit.(2)the status quo analysis of the development of private hospitals in Guangxi.In2011-2015,Guangxi Zhuang autonomous region,the total number of civilian battalion hospital,compilation of beds,number of human resources for health trend of increased year by year,the average annual growth rate of 9.95%,18.45% and 6.42% respectively.Medical services has been gradually enhanced,doors,emergency services and hospitalization services in an average annual growth rate of 5.07% and 5.07%.But the public hospitals,private hospitals in Guangxi’s overall development is still in its infancy,especially the development scale and services compared with public hospitals still exists obvious gap.(3)The regulatory status quo analysis of Guangxi private hospitals.At present,problems of private hospitals in Guangxi in the regulatory process are: lack of systemic and specific laws and regulations and related policies;The supervision and administration of medical law enforcement team strength is insufficient;Information disclosure mechanism and supervision evaluation mechanism are not sound,it is illegal to hospital cost is low;Supervision mechanism is not perfect,lack of regulatory integrity and sustainability;Outside the regulatory body is limited,the government of multiple regulatory agencies failed to play advantage,etc.[Conclusion] Build multivariate supervision mechanism,the Guangxi Zhuang autonomous region give full play to the multiple supervision and responsibility of the regulatory body.First,the government department joint industry association,to establish and improve the regulation of civilian battalion hospital legal security system,increase violation penalties,each of the activities in the civilian battalion hospital operation process have the effect of rigid constraint.Civilian battalion hospital regulatory rules and relevant laws and regulations system mainly include private hospitals run legal system establishment and operation regulations,regulatory agencies,regulatory agencies,supervise the implementation rules,as well as the supervision legal system of accountability and so on.Second,quantitative classification management,establish a unified health service information platform.In the daily supervision or special inspection,according to the classification of quantitative evaluation on the results of the private hospitals,establishment of different levels,and in accordance with different evaluation level take different frequency of supervision and inspection.In addition,perfect the civilian battalion hospital medical information publicity system in Guangxi,the civilian battalion hospital medical information and regulatory results to the public,to strengthen the transparency of information,but also to urge civilian battalion hospital integrity legal and orderly competition in the medical market.Third,improve the civilian battalion hospital supervision evaluation mechanism,in order to reduce civilian battalion hospital regulator power abuse phenomenon,thus constantly correcting deviation and improve the main problems of regulation.Fourth,cultivate the industry group,the forces of industry regulations.Because industry association in the field of its industry is to have a certain authority,usually associated with the industry to participate in making laws and regulations,policies,have a certain rules and administrative privileges.Therefore,encourage the folk spontaneous set up specialized medical industry regulation organization,and to ensure the independence of the third industry regulators and authority,and the cultivation of private hospitals in Guangxi social regulatory power.Fifth,improve the civilian battalion hospital exit mechanism,and promote the benign competition.In order to really play to the role of the private hospitals in the medical service market,gradually ease restrictions on access to private hospitals at the same time,should also improve the exit mechanism of private hospitals,to avoid disorderly between a large number of low levels of private hospitals in the low level of competition,keep good hardware and software facilities to ensure the civilian battalion hospital,provide better medical services to the public.