我国医疗技术临床应用治理困境及对策研究

Researchon the difficulties and countermeasures of clinical application governance of medical technology in China

目的进一步优化完善我国技术治理体系的路径,破解技术治理的困境,为创新技术治理、优化技术自治提供具体思路。方法阐述我国医疗技术治理困境,单纯的去行政化未能够充分激活医疗机构技术治理的自觉和自治的活力;分析困境背后可能的原因。结果治理困境主要有自治难、监督弱、创新少;分析其相应原因为意识不足、专业壁垒、结构性张力。结论从三方面探索医疗技术治理体系路径:用自主权激活自治权、用技术治理促进技术创新、建立多元主体的治理体系。将技术治理的重心下沉至基层各级医疗机构,回应群众的医疗需求才是技术治理的理想样态。

Objective Further optimize and improve the path of China s technological governance system,solve the difficulties of technological governance,and provide specific ideas for innovative technological governance and optimization of technological autonomy.Methods Elaborate on the dilemma of medical technology governance in China,as simple de administration has not fully activated the conscious and autonomous vitality of medical institution technology governance;Analyze the possible reasons behind the dilemma.Results The main difficulties in governance include difficulty in autonomy,weak supervision,and limited innovation;Analyze the corresponding reasons for insufficient awareness,professional barriers,and structural tension.Conclusion Exploring the path of medical technology governance system from three aspects:activating autonomy,promoting technological innovation through technological governance,and establishing a governance system with multiple entities.The ideal form of technological governance is to shift the focus of technological governance to grassroots medical institutions at all levels and respond to the medical needs of the masses.