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高质量发展视角下公立医院廉政风险点及对策研究

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目的 梳理公立医院高发廉政风险点并提出对应的防范对策建议。方法 选取 2021-2023 年中国裁判文书网公布的符合公立医院职务犯罪案件的判决书 59 份,涉及 73 名医院工作人员,2 个公立医院内设科室为研究对象,对犯罪罪名、人员职务、涉案领域及不同罪名首次违纪违规年龄进行汇总分析。结果 公立医院职务犯罪案件中,受贿罪占比最高(49。32%),其中"关键少数"、中层干部、普通职工均涉及职务犯罪。涉案领域集中在招标采购(25。74%)、财务结算(24。75%)、医保使用(18。81%)、基建工程(13。86%)及药、械、耗材使用(8。91%)。在不同罪名的首次违纪违规年龄构成上,年龄≤40 岁的受贿罪、贪污罪、挪用公款罪的构成比分别为60。87%、8。70%、30。43%;年龄>40 岁受贿罪、贪污罪、挪用公款罪构成比分别为68。75%、25。00%、6。25%,2个年龄段3类罪名构成情况不完全相同(P<0。05)。结论 对于公立医院廉政风险防范,要以正面引领、警示教育双轮驱动廉洁教育全覆盖,排查廉政风险,建立等级目录规范权力运行。借鉴先进工作经验改进流程措施,围绕"重点岗位、重点领域、重点环节、重点节点"强化监督提增质效,以高质量的风险防范为新时期推动公立医院高质量发展提供坚实保障。
Research on the Risk Points and Countermeasures of Clean Governance in Public Hospitals From the Perspective of High Quality Development
Objective To sort out the high-risk areas of anti-corruption in public hospitals and propose corresponding preventive measures and suggestions.Methods A total of 59 judgments related to public hospital duty crime cases published on the"China Judgments Online"from 2021 to 2023,involving 73 hospital staff members,and 2 departments within public hospitals were selected as the research objects,and the criminal charges,personnel positions,involved fields,and age of first violation of discipline and rules were summarized and analyzed.Results Among the cases of job-related crimes in public hospitals,bribery accounted for the highest proportion(49.32%);"key minorities",middle-level cadres,and ordinary employees were all involved in job-related crimes.The areas of involvement were concentrated in bidding and procurement(25.74%),financial settlement(24.75%),medical insurance usage(18.81%),infrastructure projects(13.86%),and the use of drugs,equipment,and consumables(8.91%).In terms of age composition for first-time violations of discipline and rules under different charges,the composition ratios of bribery,embezzlement,and misappropriation of public funds for those age≤40 years old were 60.87%,8.70%,and 30.43%,respectively.The composition ratios of bribery,embezzlement,and misappropriation of public funds for those age>40 years old were 68.75%,25.00%and 6.25%,respectively.The composition of three types of charges in two age groups was not completely the same(P<0.05).Conclusion For the prevention of anti-corruption risks in public hospitals,it is necessary to use a dual wheel drive of positive guidance and warning education to fully cover anti-corruption education,and establish a hierarchical directory to investigate anti-corruption risks,standardize power operation,learn from advanced work experience to improve process measures,strengthen supervision and improve quality and efficiency.Centre around"key positions,key areas,key links,and key nodes",and provide solid guarantees for promoting high-quality development of public hospitals in the new era through high-quality risk prevention.

high-quality developmentanti-corruptionpublic hospitalanti-corruption riskparty conduct and clean governance constructionmedical field

肖燕

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常州市妇幼保健院院部,江苏 常州 213000

高质量发展 反腐败 公立医院 廉政风险 党风廉政建设 医药领域

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(23)