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[目的]了解目前河北省医疗机构依法执业现状,规范医疗机构及其从业人员的执业行为,净化医疗服务市场,积极探索医疗卫生监督执法的模式。[方法]制作调查表,随机抽取158家医疗机构,对其依法执业情况等进行调查。[结果]调查发现无证行医行为多发生在城乡结合部,使用非卫生技术人员、超范围开展诊疗活动等问题主要集中在二级以下的医疗机构,以民营医院、个体诊所尤为突出。基层医疗机构管理者及医务人员卫生法律意识淡漠。[结论]医疗机构应加强自身管理,依法执业。各级卫生行政部门、卫生监督机构应加强医疗卫生监管力度,重点对二级以下医疗机构,尤其是民营医疗机构加强监管,严格执法,加大对违法行为的查处力度。
[Objective] To understand the current medical institutions in Hebei Province, the status quo according to law, regulate the practice of medical institutions and practitioners, clean up the medical service market, and actively explore the mode of medical supervision and law enforcement. [Method] Make a questionnaire, randomly select 158 medical institutions and investigate their legal practice. [Results] The survey found that unlicensed practice mostly occurred in the urban-rural areas, the use of non-health technical personnel, out-of-scope diagnosis and treatment activities and other issues mainly concentrated in the second-level medical institutions, with private hospitals, individual clinics are particularly prominent. Grassroots medical institutions managers and health workers apathetic legal awareness. [Conclusion] Medical institutions should strengthen their management and practice according to law. Health administrative departments at all levels and health supervision agencies should step up supervision over medical and health services, with a focus on stepping up supervision and strict enforcement of medical institutions under the second class, especially private medical institutions, and intensifying the investigation and punishment of illegal activities.