卫生监督分级管理中的问题及对策

• 作 者: 黄先青 彭崇信
• 机 构: 深圳市卫生防疫站,深圳市卫生防疫站 518020,518020
• 出 处: 中国公共卫生管理
• 发表日期: 1996年06期
• 关键词: 分级管理 卫生监督 监督机构 卫生行政部门 被监督对象 财政拨款 监督单位 地段医院 一级机构 行政隶属关系

卫生监督实行分级管理,在计划经济的单轨体制中,监督与被监督均属于同一主体,这种分级管理无疑是很成功的。然而,随着体制的改革,计划经济与市场经济双轨并行,特别是股份制机制的实行,被监督对象的行政隶属关系变得模糊不清;监督单位本身又实行财政拨款与自身补偿的机制,这样,传统的卫生监督分级管理便出现了诸多问题。

Sanitary supervision adopts a hierarchical management. In the monorail system of planned economy, both supervision and supervision are the same subject. This kind of hierarchical management is undoubtedly very successful. However, with the reform of the system, the planned economy and the market economy are in parallel, especially the implementation of the joint-stock system, and the administrative affiliation of the supervised objects becomes ambiguous; the supervising unit itself implements the mechanisms of financial appropriation and self-compensation. There have been many problems with the traditional hierarchical management of health supervision.