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目的了解苏州市医疗机构开展第二类医疗技术临床应用的情况,分析存在的问题,提出建议。方法通过普查,采用现况调查的方法,获取苏州市所有开展第二类医疗技术临床应用的医疗机构基本情况、第二类医疗技术应用以及医务人员职称情况资料,资料来源于问卷调查、现场访谈及档案;采用Epidata软件编辑调查表及建立数据库,使用Spss18.0软件进行统计分析。结果苏州市共有48家医疗机构开展第二类医疗技术的临床应用625项,已申报425项,申报率为68%,通过审核275项,审核率为44.07%,进行医疗科目登记156项,登记率为24.96%。结论苏州市开展的第二类医疗技术以二级医院以上的医疗机构、高级职称的医务人员为主,数量大,种类多,但申报率低、审核通过率低、登记率低。存在医疗机构对医疗技术依法管理意识不强、管理和应用不规范,现行医疗技术临床应用法律法规和配套文件不足、审核机构设立、审核程序等存在缺陷。
Objective To understand the medical institutions in Suzhou City to carry out the second case of clinical application of medical technology, analysis of existing problems and make recommendations. Methods Through the census, the status quo survey was used to obtain the basic information of all medical institutions carrying out the second type of medical technology in Suzhou, the second type of medical technology and the titles of medical staff. The data were obtained from questionnaires and on-site interviews And files; use Epidata software to edit the questionnaire and set up a database, use Spss18.0 software for statistical analysis. Results A total of 482 medical institutions in Suzhou City carried out clinical application of the second type of medical technology 625, has declared 425, the declaration rate was 68%, passed the examination of 275, the examination rate was 44.07%, 156 medical subjects registered, registered The rate is 24.96%. Conclusion The second type of medical technology developed in Suzhou City is mainly medical institutions with higher than second-class hospitals and senior medical staffs, which are large in number and large in number. However, the second notification rate is low, the rate of examination and approval is low, and the registration rate is low. There are shortcomings in medical institutions such as the weak awareness of medical technology management according to law, the non-standard management and application, the lack of laws, regulations and supporting documents for clinical application of current medical technologies, the establishment of audit institutions and the audit procedures.