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目的调查、研究我市黑诊所周边住户,了解人群对无证行医认知情况,加强民众就医时的自我保护意识,为政府部门打击无证行医工作提供决策依据。方法采用问卷调查的形式共收集到黑诊所周边住户380份调查资料,考查内容囊括人群基本情况、医疗保险情况及对无证行医认识情况等。采用均数、百分比等作描述性统计、卡方检验等作单因素分析。结果文化程度的差异与人群的黑诊所就医意向、医疗执业资质认知、黑诊所危害性认知的不同均有统计学意义(均P<0.05);152人(53.33%)认为“黑诊所距离住处较近、就医便利”是其选择黑诊所就诊的最主要原因;150人(52.63%)认为“朋友、老乡介绍”是其获取无证行医诊疗服务的最主要途径;260人(68.42%)选择通过“电视媒体”、165人(43.42%)选择通过“社区宣传栏”、133人(35.00%)选择通过“报纸报道”等途径获取无证行医相关知识;334人(87.89%)选择支持打击查处黑诊所行动,254人(66.84%)认为黑诊所应该被取缔;258人(67.89%)办理了医保。结论被调查人群因对无证行医危害认识不足、认知水平偏低等因素而选择黑诊所就医。今后要加大无证行医健康教育宣传力度,增强公众自我保护意识与法制意识,同时政府部门应统筹优化医疗服务资源,制定打击无证行医各项政策制度,探索长效监管机制,让无证行医失去存在的空间。
Objectives To investigate and study the residents around Heichao Clinic in the city, understand the awareness of unlicensed practice among the population, strengthen the self-protection awareness of the people when they seek medical treatment, and provide decision-making basis for government departments to crack down on unlicensed practice. Methods A questionnaire survey was conducted to collect 380 survey data of the surrounding residents of the Hei clinic. The contents of the survey included the basic situation of the population, the status of medical insurance and the understanding of unlicensed practice. Descriptive statistics, chi-square test, etc. were used for single factor analysis using the mean and percentage. Different results were statistically significant differences in the black clinics intention educational level and population, qualified medical practitioner awareness, awareness of the dangers of black clinics (all P <0.05); 152 people (53.33%) considered “black clinics from close quarters, to facilitate medical treatment ”is the main reason for their choice of black clinics; 150 (52.63%) think “ friends, fellow townsman ”is acquiring unlicensed medical clinic services the most important ways; 260 (68.42%) selected by the “TV media ”, 165 (43.42%) selected by the “community bulletin boards ”, 133 (35.00%) selected by the “newspaper ” practicing medicine without a license and other ways to obtain relevant Knowledge; 334 people (87.89%) chose to support the crackdown on investigations into black clinic operations, 254 (66.84%) thought black clinics should be banned, and 258 (67.89%) had medical insurance. Conclusion The investigated population chose black clinics for medical reasons due to lack of awareness of the hazards of unlicensed practice and low cognitive level. To practice medicine without a license in the future to increase health education and promotion efforts to enhance public awareness and legal awareness of self-protection, while government departments should co-ordinate health services optimize resources, develop policies to combat practicing medicine without a license system, to explore the long-term supervision mechanism for undocumented Practise lost space.