摘要目的 研究大学生对医药回扣及其相关问题的认知，分析央视2016年年底曝光的医药回扣事件，提出医药回扣法律治理的建议。方法 采用问卷调查与案例分析相结合的方法进行研究。问卷调查以杭州三所高校学生为调查对象，对学生的医药有回扣认知状况进行描述性分析，并通过χ2检验比较临床实习生和其他学生的差别。案例分析针对央视2016年年底曝光的医药回扣事件，追踪其进展，分析研究我国医药回扣存在的法律问题，并有针对性地提出建议。结果 问卷调查中，学生对医药回扣的知晓率为84。8%；在医药回扣的法律、监管、公众监督的认知中，学生对法律的认知状况相对较差；医学专业临床实习生和其他学生在回扣是否合理以及发现收受回扣现象时会采取的行动这两个问题上差异具有统计学意义。经案例分析，医生收受医药回扣属违法行为，情节严重者可构成犯罪，监管部门若监管不力或不作为造成不良社会影响也应追责。当前我国医药回扣治理存在一些问题，包括立法、守法、监管和执法、公众监督、药品招标采购等问题。结论 医药回扣的治理应当从完善立法、严格执法、促进守法，完善监管制度，改革药品招标采购制度，提高医生合法收入、完善公立医院补偿机制，充分发挥公众监督的作用等方面进行。88189

毕业论文关键词：医药回扣； 法律； 治理； 问题； 对策

Abstract Objective Studying the cognition of medical rebates and related problems of college students, analyzing the medical rebate events exposed by CCTV at the end of 2016 and making suggestions for the governance of medical rebates。 Methods The study used the method of questionnaire survey and case analysis。 Questionnaires were used to investigate the students' cognitive status in three colleges in Hangzhou, and the differences between clinical interns and other students were compared by χ2 test。 Case study was about the exposure of the medical rebate incident on CCTV at the end of 2016, to track its progress, analyze the legal issues of Chinese medical rebate, and to make targeted suggestions。 Results In the questionnaire survey, the awareness rate of medical rebates among students was 84。8%。 Among the cognition of law, regulator and public supervision of medical rebates, the cognitive status of the law was relatively poor。 The difference between the clinical interns and other students in the attitude of rebate’ rationality and the action they would take when discovering the phenomenon of accepting the rebate is statistically significant。 Through the case analysis, doctors’ behaviors of receiving medical rebate are illegal, and the serious circumstances may constitute a crime。 If the regulatory authorities’ neglect of duty results in adverse social impact, then they should also be responsible。 At present, there are some problems in the management of Chinese medical rebate, including legislation, law-abiding, supervision and law enforcement, public supervision, bidding and purchasing of drugs and so on。 Conclusion It is necessary to strengthen the management of medical rebates through perfecting legislation, strictly enforcing the law, promoting law-abiding, perfecting the supervision system, reforming the bidding system of drugs, improving the legal income of doctors, improving the compensation mechanism of public hospitals and making full use of the role of public supervision。

Keyword: Medical rebate; Law; Governance; Problem; Countermeasure

目录

1 引言 4

2 研究方法 5

2。1文献研究法 5

2。2问卷调查法 5

2。3案例分析法