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目的了解福建省卫生行政部门行政处罚案卷质量,发现存在问题,为提高案卷质量提供依据。方法运用随机抽样法,选取2012—2014年福建省9个设区市卫生行政部门案卷进行调查。结果在调查的135件案卷中,80分以上的案卷占83.0%。3大项质量分析中,卫生行政处罚程序问题件数97件最多(71.9%),其中现场笔录、卫生监督意见书、询问笔录、现场取证材料和合议记录问题件数占比均在25%以上;卫生行政处罚文书书写制作项问题件数72件(53.3%),有40.7%项目填写不完整;卫生行政处罚实体内容问题件数19件最少(14.1%),适用法律条文不正确占6.7%。结论被评查案卷整体质量较好,但大部分需要改进,尤其在行政处罚程序方面。应加强对卫生监督员培训和绩效考核,落实责任追究制度,坚持开展案卷评议考查工作,以提升案卷质量。
Objective To understand the quality of administrative punishment files of health administrative departments in Fujian Province and to find out the existing problems so as to provide the basis for improving the quality of the files. Methods Random sampling method was used to select the case files from 9 administrative districts in Fujian Province from 2012 to 2014. Results Among the 135 cases investigated, 83.0% of the cases were above 80 cases. Among the three major quality analysis items, the number of health administrative sanctions procedures was 97 (71.9%), of which the number of on-site transcripts, health supervision submissions, inquiries transcripts, on-the-spot evidence materials and collegiate records accounted for more than 25% There were 72 pieces (53.3%) of the items in writing of administrative penalties and 40.7% of them failed to fill in the items. The content of the administrative penalties in administrative sanctions was 19 (14.1% at least) and 6.7% was incorrect in the applicable laws. Conclusion The overall quality of the dossier being appraised is good, but most of the improvements need to be improved, especially in administrative penalties. Health supervisors should be strengthened training and performance appraisal, implementation of accountability system, adhere to the case review and examination work to enhance the quality of the case file.