医疗保健监管中的旋转门
Genevieve P Kanter1, Daniel Carpenter2
1Genevieve P. Kanter (gkanter@usc.edu), University of Southern California, Los Angeles, California.
Health affairs (Project Hope)
|September 5, 2023
概括
政府雇员经常在公共服务和私营行业之间转移. 在2004年至2020年期间,15%的卫生和人类服务部任命人员来自工业,而32%的工业职位.
科学领域:
- 公共卫生政策 公共卫生政策
- 政府事务政府事务
- 卫生管理卫生管理
背景情况:
- 政府和私营行业之间的人员流动是公共卫生的一个重要因素.
- 了解这些转变对于评估卫生和人类服务部 (HHS) 内的潜在利益冲突和政策连续性至关重要.
研究的目的:
- 从2004年到2020年,分析私营部门和卫生与人类服务部 (HHS) 之间的员工流动.
- 确定HHS内部具有员工向工业过渡率最高的特定机构.
主要方法:
- 在2004年至2020年期间,对HHS内部个人的任命和退出数据进行了回顾性分析.
- 职业历史的分类,区分私营行业和公共服务角色.
主要成果:
- 在2004年至2020年间被任命为HHS的个人中,有15%以前在私营行业就业.
- 32%的HHS员工在离开政府职位后转移到私营行业的职位.
- 疾病控制和预防中心 (CDC) 和医疗保险和医疗补助服务中心 (CMS) 经历了对工业的最高净退出.
结论:
- 在政府服务之前和之后,大量的HHS人员与私营行业有联系.
- 显著的"旋转门"现象,特别是在CDC和CMS,需要进一步调查其对公共卫生政策和监管监督的影响.
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