摘要
目的调查沈阳市中医医疗机构执业活动现状,分析存在的主要问题,提出中医医疗机构执业活动及中医类别医师监督的主要关键点及对策。方法对沈阳市共415家中医医疗机构,共2 143名中医类别执业医师展开调查,包括中医类医院40家,中医类门诊部53家,中医类诊所272家及50家设置中医科室的医疗机构。发放《沈阳市中医医疗机构执业活动现状调查表》《医疗机构中医类别人员情况汇总表》,通过文献检索、统计分析等研究方法,采用Excel进行数据的双录入,对结果进行描述性分析。结果在被调查的沈阳市共2 143名医师中,执业范围为中医专业的医师占89.22%,中西医结合的专业医师占比8.21%。沈阳市开展中医监督工作人数(含专职及兼职)共31人,监督中医医疗机构户数415家。结论沈阳市中医医疗机构执业活动监督工作逐步展开,中医监督工作积累了一定的工作经验,但仍需找到中医监督中的核心内容,确立监管模式。沈阳市中医类别医师的执业范围二级科目的备注工作仍在逐步推进,中医类别医师使用现代诊疗技术的监督工作仍存在监管空白。应明晰中医医疗机构监管核心内容及监管风险,探索中医医疗机构执业活动的监管模式。
Objective To investigate the practicing status of medical institutions of Traditional Chinese Medicine in Shenyang, analysis the main problems, put forward the key and countermeasures of the inspection to the practice of medical institutions and doctors of traditional Chinese medicine. Methods Investigate a total of 415 TCM medical institutions, and a total of 2143 TCM Doctors in Shenyang, including 40 TCM hospitals, 53 TCM outpatient departments, 272 Outpatient clinics, and 50 medical institutions,with TCM department set. Send out ＂Shenyang Medical Institutions of Traditional Chinese Medicine Practice Status Questionnaire＂ and ＂Summary Table of Personnel Situation of Traditional Chinese Medicine Doctors in Medical Institutions＂. Through literature retrieval, statistical analysis and other research methods, using Excel in data double data input, we got the descriptive analysis of the result. Results Of the total 2143 TCM Doctors investigated in Shenyang, 89.22% were of traditional Chinese medicine, and 8.21% were professional doctors of Chinese and western medicine. The total number of health inspectors of traditional Chinese medicine was 31（including full-time and part-time） in Shenyang, and number of TCM medical institutions under inspection was 415. Conclusions The inspection on medical institutions of traditional Chinese medicine practice in Shenyang had gradually carried out. The inspection work of TCM had accumulated certain experience, but still needed to find the core content in TCM health inspection, and established regulatory model. TCM health inspection related Laws and regulations related were not clear. The secondary subject remark of the TCM doctors in Shenyang was still moving toward normalization, and there were still regulatory gaps to fill in the health inspection of the TCM doctors using modern diagnostic technology. It was suggested to clarify the core contents and regulatory risks of health inspection on TCM institutions, and explore the regulatory mode of inspecting medical institution＇s practice activities.
出处
《中国卫生监督杂志》
2017年第6期567-576,共10页
Chinese Journal of Health Inspection
关键词
中医执业
卫生监督
医疗技术
现状分析
Traditional Chinese medicine practice
Health inspection
Medical technology
Analysis of the status
