CAJ | 학술논문

目的了解卫生监督领域存在的问题,并按照卫生系统宏观模型进行归类,同时对问题的重要性、严重性和可解决性进行论证,明确焦点问题和可解决程度.方法运用文献归纳分析收集关于卫生监督领域存在的问题描述,并按照"卫生系统宏观模型"进行整理和归纳.运用意向调查对问题的重要性和严重性进行评分,筛选焦点问题.结果我国卫生监督体系存在的焦点问题是机构人员数量不足、机构性质与行政执法主体不相适应、职能调整导致卫生监督机构职能弱化、财政投入不足、卫生监督体制改革滞后,其中问题1、问题17和问题34也属于较难解决的问题之列.结论为了更好地解决焦点问题,需要加强顶层设计,重视多部门合作,从机构性质、机构职能、人员队伍、财政投入等方面进一步完善卫生监督运行机制.
목적 료해위생감독영역존재적문제,병안조위생계통굉관모형진행귀류,동시대문제적중요성、엄중성화가해결성진행론증,명학초점문제화가해결정도.방법 운용문헌귀납분석수집관우위생감독영역존재적문제묘술,병안조"위생계통굉관모형"진행정리화귀납.운용의향조사대문제적중요성화엄중성진행평분,사선초점문제.결과 아국위생감독체계존재적초점문제시궤구인원수량불족、궤구성질여행정집법주체불상괄응、직능조정도치위생감독궤구직능약화、재정투입불족、위생감독체제개혁체후,기중문제1、문제17화문제34야속우교난해결적문제지렬.결론 위료경호지해결초점문제,수요가강정층설계,중시다부문합작,종궤구성질、궤구직능、인원대오、재정투입등방면진일보완선위생감독운행궤제.
Objective To define the problems in the field of health supervision and classify them according to the Mac?ro-Model of Health System, and then to define key issues according to the result consultation. Methods Literature review is done to collect issues of health supervision, and the Macro Model of Health System is used to classify issues. And intention investigation is used to define the focus of issues. Results The key problems of Health Supervision system include:Inade?quate number of personnel, the law enforcement agency is incompatible with the institution nature, the weakening of health supervision function resulted from functional adjustments, lack of financial investment, Health Supervision system reform lags behind the economic reform, which Problem 1, Problem 17 and Problem 34 are also among the problems that are diffi?cult to solve. Conclusion In order to solve the key issues in the field of health supervision, top-level design is very essen?tial, and multi-sectoral cooperation is also very important. Specifically, the nature of institutions and institutional functions should be defined clearly. And personnel building and financial investment should also be strengthened.