卫生监督执法风险因素研究与对策分析
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南京医科大学公共卫生学院

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风险评估技术在卫生计生综合监督执法中应用研究


Risk factors of health supervision and law enforcement and countermeasures analysis
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School of Public Health Nanjing Medical University

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Research on the application of risk assessment technology in the comprehensive supervision and law enforcement of health and family planning

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    摘要:

    目的 探讨卫生监督执法风险评估方法,评估卫生监督执法风险,为制定风险应对策略提供科学依据。方法 运用Delphi法对卫生监督执法风险发生的可能性及后果的严重性进行风险分析;运用风险矩阵法评估各风险因素的风险水平;使用Borda序值法确定各风险因素风险水平的序列。结果 风险水平位于前5位的风险因素依次为:编制数量不合理,人员数量不足列第1位;机构建设缺乏顶层设计,重视程度不够列第2位;卫生法律法规严重滞后与卫生监督网络不健全,基层乡镇监督力量薄弱并列第3位;没有明确的法律直接规定卫生监督机构地位列第5位。建议 (1)充实执法队伍,提高人员素质;(2)明确机构定位,加快参公步伐;(3)完善相关法律法规,健全卫生法律体系;(4)加强协管队伍建设,健全卫生监督体系;(5)加强社会宣传,增强社会认知度;(6)创新监管模式,全面推行“双随机,一公开”;(7)大力推行行政执法全过程记录制度。

    Abstract:

    Objective To explore the risk assessment method of health supervision and law enforcement and evaluate the risk of health supervision and law enforcement, it is necessary to provide scientific basis for formulating risk response strategies.Methods Delphi method was used to analyze the possibility and severity of health supervision and law enforcement risks.Using the risk matrix method to evaluate the risk level of each risk factor;The Borda ordinal value method was used to determine the sequence of risk levels of each risk factor. Results The top 5 risk factors in the risk level are in order as follows: unreasonable number of establishment and insufficient number of personnel rank first;The health laws and regulations lag behind seriously rank second, the health supervision network is not perfect and health supervision force is weak in grass-roots places rank second too.There is no clear law that directly stipulates the status of health supervision agencies rank fifth .Suggestions (1) To enrich the law enforcement team and improve the quality of personnel;(2) To clarify the organization positioning and accelerate the pace of public participation;(3) To improve relevant laws and regulations and the health legal system;(4) Strengthen the construction of the assistant management team and improve the health supervision system;(5) Strengthening social publicity and enhancing social awareness;(6) Innovate the supervision model and fully implement "double random, one open";7) Vigorously promote the entire process of administrative law enforcement record system

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  • 收稿日期:2020-01-05
  • 最后修改日期:2020-02-29
  • 录用日期:2020-06-19
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