浙江省非法行医现状调查及长效治理策略研究
发布时间：2018-07-23 12:01
【摘要】： 本文全面论述了近年来浙江省非法行医的现状,逐一分析形成原因,并尝试从增加医疗供给和建立长效监管机制方面提出相应策略。 材料与方法:本文根据全国打击非法行医领导小组办公室设计的统计报格式搜集非法行医的主要数据。各市卫生局协助收集上报辖区内所有的报表,并对报表的内容进行复核。调查对象覆盖浙江省各级各类有证医疗卫生机构及无证诊所。数据包括全省各职能部门在打击非法行医专项行动中出动的人员、车辆数;全省无证行医的查处情况;医疗机构、计生机构监督检查情况等。统计数据自2005年5月1日至2007年12月31日。 调查结果:1.无证行医的场所多存在于外来流动人口集中的城乡结合部以及部分农村地区;2.无证行医的内容以内科和牙科居多;3.查处的无证行医案件,移送困难;4.查处的无证行医案件中,能追究刑事责任的少之又少;5.在历时2年的打击非法行医专项行动中,主要还是靠卫生部门开展工作,部门配合不强;6.有证医疗机构最多的违法行为依次为使用非卫技人员、超范围开展诊疗活动、医疗机构违法发布医疗广告、出租承包科室。 结论及建议:治理非法行医需要标本兼治,综合治理。一方面要完善法律法规,建立预防和打击非法行医的政策体系,进一步提高执法水平,探索长效监管机制。另一方面根本出路在于政府增加必要的投入,切实负起满足群众基本医疗需求的责任,特别是建立面向外来务工人员、弱势群体的医疗保障体系。采取疏堵结合,打防并举,力求从源头和根本上断绝非法行医的土壤,合理规范医疗秩序,才能达到长效治理的效果。
[Abstract]:This paper comprehensively discusses the current situation of illegal medical practice in Zhejiang Province in recent years, analyzes the causes one by one, and tries to put forward corresponding strategies from the aspects of increasing medical supply and establishing long-term supervision mechanism. Materials and methods: the main data of illegal medical practice were collected according to the statistical report format designed by the Office of the National leading Group for Combating illegal practice of Medicine. The municipal health bureau assists in collecting all the reports in the reporting area and reviewing the contents of the reports. The subjects covered all kinds of licensed medical and health institutions and unlicensed clinics in Zhejiang Province. The data include the number of personnel and vehicles dispatched by all functional departments in the special action against illegal practice of medicine; the investigation and punishment of unlicensed medical practice in the province; the supervision and inspection of medical institutions and family planning institutions. The statistics cover the period from 1 May 2005 to 31 December 2007. The result of the investigation was 1: 1. Unlicensed practice of medicine mostly exists in the urban and rural areas where the migrant population is concentrated and in some rural areas. The content of unlicensed medical practice is mostly in internal medicine and dentistry. Investigation and treatment of undocumented medical cases, transfer difficulties. In the cases of undocumented medical practice investigated and dealt with, very few of them can be investigated for criminal responsibility. In a two-year campaign to crack down on illegal practice of medicine, the health sector mainly depends on the work, which is not strong enough. The most illegal behavior of licensed medical institutions is the use of non-health personnel, beyond the scope to carry out diagnosis and treatment activities, medical institutions illegally publish medical advertisements, lease contracted departments. Conclusion and suggestion: it is necessary to treat illegal medical practice with both symptoms and comprehensive treatment. On the one hand, we should perfect laws and regulations, establish a policy system to prevent and crack down on illegal practice of medicine, further improve the level of law enforcement, and explore a long-term supervision mechanism. On the other hand, the basic way out is for the government to increase the necessary input and take up the responsibility of meeting the basic medical needs of the masses, especially to establish a medical security system for migrant workers and vulnerable groups. In order to achieve the effect of long-term control, the combination of prevention and control should be adopted in order to cut off the soil of illegal medical practice from the source and the root, and to regulate the medical order reasonably.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2008
【分类号】：R197.1
本文编号：2139346
[Abstract]:This paper comprehensively discusses the current situation of illegal medical practice in Zhejiang Province in recent years, analyzes the causes one by one, and tries to put forward corresponding strategies from the aspects of increasing medical supply and establishing long-term supervision mechanism. Materials and methods: the main data of illegal medical practice were collected according to the statistical report format designed by the Office of the National leading Group for Combating illegal practice of Medicine. The municipal health bureau assists in collecting all the reports in the reporting area and reviewing the contents of the reports. The subjects covered all kinds of licensed medical and health institutions and unlicensed clinics in Zhejiang Province. The data include the number of personnel and vehicles dispatched by all functional departments in the special action against illegal practice of medicine; the investigation and punishment of unlicensed medical practice in the province; the supervision and inspection of medical institutions and family planning institutions. The statistics cover the period from 1 May 2005 to 31 December 2007. The result of the investigation was 1: 1. Unlicensed practice of medicine mostly exists in the urban and rural areas where the migrant population is concentrated and in some rural areas. The content of unlicensed medical practice is mostly in internal medicine and dentistry. Investigation and treatment of undocumented medical cases, transfer difficulties. In the cases of undocumented medical practice investigated and dealt with, very few of them can be investigated for criminal responsibility. In a two-year campaign to crack down on illegal practice of medicine, the health sector mainly depends on the work, which is not strong enough. The most illegal behavior of licensed medical institutions is the use of non-health personnel, beyond the scope to carry out diagnosis and treatment activities, medical institutions illegally publish medical advertisements, lease contracted departments. Conclusion and suggestion: it is necessary to treat illegal medical practice with both symptoms and comprehensive treatment. On the one hand, we should perfect laws and regulations, establish a policy system to prevent and crack down on illegal practice of medicine, further improve the level of law enforcement, and explore a long-term supervision mechanism. On the other hand, the basic way out is for the government to increase the necessary input and take up the responsibility of meeting the basic medical needs of the masses, especially to establish a medical security system for migrant workers and vulnerable groups. In order to achieve the effect of long-term control, the combination of prevention and control should be adopted in order to cut off the soil of illegal medical practice from the source and the root, and to regulate the medical order reasonably.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2008
【分类号】：R197.1
【引证文献】
相关硕士学位论文 前1条
1 赵骏静;上海市非法行医及其卫生监督状况的研究[D];复旦大学;2010年
，本文编号：2139346
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