CAJ | 학술논문

目的深入了解卫生监督体系建设的现状、成就和问题.方法综合利用焦点小组讨论和问卷调查,收集调研对象对卫生监督体系建设及发展的看法和建议.结果从访谈结果来看,访谈对象普遍认为卫生监督领域成效显著,但也存在不少问题.卫生监督领域存在的主要问题包括:(1)机构性质不明确,名称不统一;(2)各级机构职能定位不明确;(3)人员数量不足,素质有待提高;(4)经费投入不足,人员经费缺乏,部分机构仍然为生计执法收费;(5)房屋装备不能满足工作要求;(6)机构改革导致职能削弱,影响力降低,队伍不稳定;(7)卫生法律法规滞后,不能满足工作要求;(8)在执法过程中,缺乏必要的技术支撑.访谈对象期望通过新一轮的机构改革,解决上述问题,更好地发挥卫生监督的作用.讨论卫生监督领域面临许多问题,需要做好顶层设计,从明确机构地位与性质、明确机构职能、加强队伍建设、落实经费投入等方面进一步完善监督体系.
목적 심입료해위생감독체계건설적현상、성취화문제.방법 종합이용초점소조토론화문권조사,수집조연대상대위생감독체계건설급발전적간법화건의.결과 종방담결과 래간,방담대상보편인위위생감독영역성효현저,단야존재불소문제.위생감독영역존재적주요문제포괄:(1)궤구성질불명학,명칭불통일;(2)각급궤구직능정위불명학;(3)인원수량불족,소질유대제고;(4)경비투입불족,인원경비결핍,부분궤구잉연위생계집법수비;(5)방옥장비불능만족공작요구;(6)궤구개혁도치직능삭약,영향력강저,대오불은정;(7)위생법율법규체후,불능만족공작요구;(8)재집법과정중,결핍필요적기술지탱.방담대상기망통과신일륜적궤구개혁,해결상술문제,경호지발휘위생감독적작용.토론위생감독영역면림허다문제,수요주호정층설계,종명학궤구지위여성질、명학궤구직능、가강대오건설、락실경비투입등방면진일보완선감독체계.
Objective To deeply understand the status, achievements and issues of Health Supervisory system. Meth?ods Focus Group Discussion and questionnaire survey are used to collect views and suggestions about Health Supervision system development. Results The issues existing in the field of health supervision include:institutional nature is not clear;the name of institutions is not uniform;function of different levels of institutions is not clear;personnel is insufficient , and the quality needs to be improved;the funding is not enough, some agencies still charge for their livelihood;housing and equipment could not meet the requirements;institutional reform leading to weakening functions and unstable team;health laws and regulations lag behind;the lack of the necessary technical support in the enforcement process. So interviewees ex?pect a new round of institutional reform to solve these problems and to strengthen role of health supervision. Discussion Health Supervision system faces many problems, top-level design is very essential. Specifically, the nature of institution should be defined, the functions should be made clear, the personnel and the funding should be strengthened to further im?prove the Health Supervision system.