医学职业潜规则流行原因解析
The Reasons Analysis of the Prevalence of Hidden Rules in Medical Profession
方毅 1任守双 1王莉媛 2朴金花 2方睿哲 2孙福川1
作者信息
- 1. 哈尔滨医科大学人文社会科学学院 黑龙江哈尔滨 150081
- 2. 哈尔滨医科大学 黑龙江哈尔滨 150081
- 折叠
摘要
调查显示,医学职业潜规则的产生和流行是由多重因素相互作用形成的合力导致的.主要因素有医改政策取向、“医药合一、以药养医”的体制及具体措施失误、医院管理过分追求经济效益、拜金主义影响导致医德水平下降等,其中起决定作用的因素是医改政策取向、体制缺陷及具体措施失误,由此诱发其它因素的相互作用和相互影响,最终导致潜规则 逐渐流行.
Abstract
This survey showed that the creation and prevalence of hidden rules in medical profession was formed by the interaction of multiple factors together. The major factors were wrong orientation of health reform policy, system such as "one body of medicine and drugs", "medicine supported by drugs" and errors of specific measures, hospital management to pursuit excessively economic efficiency, the reduction of the medical ethics level of doctors leaded by social money worship and so on. The wrong orientation of health reform policy, the defect of system and the errors of specific measures were crucial, and those induced the interaction and influence of other factors each other, eventually led to the prevalence of hidden rules in medical profession.
关键词
医学职业潜规则/医改政策/以药养医Key words
hidden rules in medical profession/health reform policy/medicine supported by drugs引用本文复制引用
基金项目
北京大学医学部中美医师职业精神研究中心资助项目(PUHSC-MPC0903)
出版年
2012
NETL
NSTL
万方数据