论文部分内容阅读
目的为了解河北省打击无证行医工作的形势,通过调查分析无证行医存在的原因与影响因素,研究和探讨无证行医的特点及治理过程中出现的问题,为科学有效的治理无证行医和建立长效监管机制提供依据。方法设计调查问卷,采用回顾性调查和现状调查,对河北省参与调查的6个县(区)2010年1月1日~2013年5月20日的行政执法案卷、卫生监督档案和现场人员访谈等资料数据进行分析。结果调查显示无证行医者以男性居多(63.11%),以在农村和城乡结合部租赁房屋开设内科、牙科诊疗科目所占比例较大,就诊人群主要为周边居民,对“黑诊所”的危害认知水平不高;无证“黑诊所”消亡的主要原因是卫生执法部门的反复取缔和行政处罚;不同年龄、级别监督执法人员对无证行医的危害认知不同。结论由于利益驱动、就诊人群的医学知识匮乏多方面的原因和一定市场需求,无证行医行为仍一定程度存在。应针对其存在的原因和现状采取疏堵结合、打防并举措施,强化部门联合执法,加强卫生执法监督体系建设,持续推动打击非法行医深入开展。
Objective To understand the situation of Hebei Province against unlicensed medical practice, investigate and analyze the causes and influencing factors of unlicensed medical practice, investigate and discuss the characteristics of unlicensed medical practice and problems arising in the course of treatment, and provide scientific and effective treatment of unlicensed medical practice And establish a long-term regulatory mechanism to provide the basis. Methods The questionnaire was designed and retrospective survey and status quo survey were conducted to investigate the cases of administrative law enforcement files, health supervision files and on-the-spot interview in 6 counties (districts) from January 1, 2010 to May 20, 2013 in Hebei Province Other data analysis. Results The survey showed that the majority of undocumented practitioners were men (63.11%), with a large proportion of dental clinics in rented houses in the rural and urban-rural areas. The majority of the patients were peripheral residents, The main reason for the demise of “Black Clinic” was the repeated banning and administrative punishments by the law enforcement departments of health; and the different cognitions of the dangers of the supervision and law enforcement personnel of different ages and levels on the practice of unlicensed practices. Conclusion Because of the interest-driven, the lack of medical knowledge of the treatment population and the needs of certain markets, the practice of undocumented practice still exists to some extent. In view of its existing causes and current situation, it should take the combination of removing and blocking off, preventing and guarding against each other simultaneously, strengthening the joint law enforcement of departments, strengthening the construction of supervision system of health law enforcement, and continuing to push forward the fight against illegal medical practice.