医疗合规改革中的利益冲突与平衡——以三明市为分析对象

摘要：随着老龄化社会来临，患者、医院、医药企业、政府之间的矛盾进一步激化。如何形成一个政府、市场、社会各方都利益平衡、合作共赢的激励约束机制尤为重要。近日，《广州市深入推广福建省三明市经验深化医药卫生体制改革实施方案》印发，三明医改的经验对全面医疗合规改革具有重大意义。因此，本文以三明市医疗合规改革为研究对象，通过对三明市医疗合规改革中的利益冲突与平衡路径进行分析，得出普遍性的医疗合规改革应当注意的原则，为进一步深化新医改提出建议。

Abstract: As our society continues to age, the tensions between the public, hospitals, pharmaceutical companies, and the government are becoming even more pronounced. It is crucial to establish a system that incentivizes and regulates these parties, ensuring a balance where everyone’s interests are taken into account and mutually beneficial outcomes are achieved.A recent document titled “Guangzhou In-depth Promotion of Fujian Province Sanming experience to deepen the implementation plan of medical and health system reform” has been issued, highlighting the valuable insights gained from the medical reform carried out in Sanming City. These experiences hold significant importance for the broader comprehensive medical compliance reform. Consequently, this paper focuses on studying the medical compliance reform in Sanming City, examining the conflicts of interest that arise and exploring the best path to achieve balance. It also identifies key principles that should guide the universal medical compliance reform, providing recommendations for the further advancement of this new medical reform agenda.