卫生监督员对中医监督的认知状况调查  

Investigation on Health Supervisors'Cognition of Traditional Chinese Medicine Supervision in the New Situation

作　　者：刘艳 祝秀英 周万里 王娴 Liu Yan;Zhu Xiuying;Zhou Wanli;Wang Xian(Shanghai Pudong New Area Health Supervision Institute Commission,Shanghai 200129,China)

机构地区：[1]上海市浦东新区卫生健康委员会监督所,上海200129

出　　处：《健康教育与健康促进》2024年第6期597-600,共4页Health Education and Health Promotion

基　　金：上海市卫生健康委员会中医药监管能力培育项目(ZYYJGNLPY-4);浦东新区卫生健康委员会卫生计生科研项目科研课题(PW2020A-13)。

摘　　要：目的了解卫生监督员对新形势下中医监督现状的认知,提出措施和建议,以适应新形势下中医监督执法要求,提高监管效能。方法以上海市某区从事一线监督执法任务的监督员为研究对象开展问卷调查。结果认为监督员中医监督能力不足的占90.32%;中医监督中自身执法薄弱环节居前3位的依次为中药及煎药管理、医疗技术、药品器械;中医执业中存在的主要问题居前3位的依次为中医医疗技术不规范、相关感染防控不规范、中医医疗文书不规范;中医诊所备案制管理中存在的不足居前3位的依次为不良执业记分未和校验联动—缺乏强有力震慑、执业中存在诚信缺失—缺乏退出机制、备案事项不清—后续监管困难。认为有必要发挥中医行业自律管理的占82.80%,并应依次加强行业自律培训、信息数据与监督的信息反馈互通、联合检查指导力度。在中医监督场景预警模块依次为科目设置、中医医疗技术使用、医务人员资质、文书书写、中药使用、中医医疗器械使用、诊疗费用和医疗废物处理。结论卫生监督员的中医监督能力薄弱,应加强实践性培训;中医依法执业存在薄弱环节,应厘清中医依法执业监管重点,加强监管措施;应引导行业自律管理与监督联动,加强信息化技术执法,提高中医监管效能。Objective To understand the understanding of health supervisors on the current situation of traditional Chinese medicine(TCM)supervision under the new situation,propose measures and suggestions to adapt to the requirements of TCM supervision and law enforcement under the new situation,and improve regulatory efficiency.Methods A questionnaire survey was conducted on supervisors engaged in frontline supervision and law enforcement tasks in a district of Shanghai.Results the promotion of the supervisors who had insufficient ability in TCM supervision was 90.32%;the top three weak areas in the self enforcement of TCM supervision were TCM and decoction management,medical technology,and drug equipment;the top three main problems in TCM practice were non-standard medical technology,non-standard infection prevention and control,and nonstandard medical documents;the top three deficiencies in the management of the registration system for TCM clinics are the lack of linkage between negative practice scores and verification—a lack of strong deterrence,a lack of integrity in practice—a lack of exit mechanisms,unclear registration matters—and difficulties in subsequent supervision.The proportion of the respondents who believed that it is necessary to exert self—discipline management in the TCM industry was 82.80%,and to strengthen industry selfdiscipline training,feedback and exchange of information data and supervision,and joint inspection and guidance in sequence.In the TCM supervision scenario warning module,the sequence includeed subject setting,use of TCM medical technology,qualifications of medical personnel,document writing,use of TCM,use of TCM medical equipment,diagnosis and treatment expenses,and medical waste disposal.Conclusion The TCM supervision ability of health supervisors is weak,and practical training should be strengthened;There are weak links in the legal practice of TCM,and it is necessary to clarify the key points of supervision for the legal practice of TCM and strengthen regulatory measures;We s

关 键 词：卫生监督 中医 监督能力 认知状况 

分 类 号：D92[政治法律—法学]