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目的调查福建省乡村中非法行医的现状,分析乡村打击非法行医和医疗服务监督工作中的存在问题,探讨原因并提出建议。方法抽取福建省6个县区为样本,通过对基层卫生监督员和协管员的问卷调查和访谈,并抽查近3年查处的无证行医案卷,了解打击非法行医为的基本情况。结果集市上尤其是城乡结合部“游医”取证难、打击难等问题突出;乡镇卫生院存在医技人员超范围行医等问题;还存在“村改居”后乡村医生因资质不够无法取得执业助理医师或执业医师资格、原有已取得《医疗机构执业许可证》的个体诊所、门诊部等因执业人员不能以有效资质参加医师执业考试而不能继续行医等问题。结论加强乡村医疗服务监管力度,重视历史遗留问题和“村改居”后可能造成的非法行医问题,在实践中不断创新执法手段,坚决打击“游医”等非法行医。
Objective To investigate the status quo of illegally practicing medicine in villages and towns in Fujian Province and analyze the existing problems in the supervision of illegal medical practices and medical services in rural areas and to find out the reasons and make suggestions. Methods Six districts and counties in Fujian Province were selected as samples. Through questionnaires and interviews with grassroots health supervisors and co-ordinators, random samples of undocumented medical records investigated and prosecuted in the past three years were collected to understand the basic situation of cracking down on illegal medical practices. The results of the market especially in urban and rural areas “travel doctor ” evidence of the difficulty of the difficulty of striking the prominent problems; township hospitals there is the problem of medical workers beyond the scope of practice; there is The qualification is not enough to obtain the qualification of practicing assistant physician or practicing physician. The original clinics, clinics and other clinics that have already obtained the license of medical institution can not continue practicing medicine because they can not participate in the medical practitioners’ examination with valid qualifications. Conclusion Strengthening the supervision of rural medical services, attaching importance to the problems left over by history and the possible practice of illegal immigrants after the “reform of the village and changing residence”, constantly innovating the means of law enforcement in practice, resolutely cracking down on illegal medical practices such as “travel doctor”.