Retrospective Analysis And Countermeasure Research On Bad Practice Behavior Of Profit Medical Institutions In Shanghai

Since2000, with the government’s encouragement, the establishment of for-profit medical institutions is currently in a period of rapid growth. With some of them owning core competitiveness and meeting the needs of certain medical desires, they gain not only economical but social profits as well. Meanwhile there are still a lot of for-profit medical institutions with lower health scale and medical level, which challenges the health supervision department. In spite of the limit of effectiveness and specificity, health supervision department is now trying to improve their ability. On Jan12007, Regulation on Score Management of Bad Practice in Medical Institution> was issued and made optimistic effect on medical supervision ever since.This paper tries to analyze the bad practice data from Jan1,2008till Dec31,2010in for-profit medical institutions. With the method of quantitative research, it makes a comparison of developing trend, constituent ration, incident rate, regional distribution and institution category distribution of bad practice. Those institutions and districts with high bad practice score received specially emphasized supervision. And further analysis of the reasons of bad practice, and specific strategy were made. At the same time the experts from SMHB, SMHI and hospitals were invited to give advice to current situation of medical bad practice, intending to improve the inspection effectiveness and specificity.The results show that medical bad practice focuses on following7aspects12classes, disinfection and isolation, medical advertisements, internal regulations, staffs, medical subjects, radiation treatment and medical technique. The distribution area is larger in the urban rather than that in suburbs and the bad practice score is higher in suburbs comparing with that in the urban. Most of the bad practice occurred in hospitals and clinics, especially the general hospitals and polyclinics. After discussion by the experts, it is agreed that the result of7aspects12classes’bad practice is consistent to the current medical situation of for-profit medical institutions. However at the present stage, the consciousness of practice according to laws and regulations is quite limited in for-profit medical institutions. Therefore the supervision should emphasize on the key object observation as well as the general practice examination. It is also very important to vary inspection tactics according to different characteristics of each district. In the urban area supervision depth should be reinforced while in the suburbs supervision width and frequency should be strengthened. Meanwhile the clinics and above level medical institutions should receive further more inspection. It is advised that related government department give more training to for-profit medical institutions on relevant laws and regulations, improve self-discipline, intensify industry management, give guideline on market positioning, improve information-shows, complete social supervision system, explore multi-department collaboration, enhance government inspection duties, establish information sharing channel and improve warning analysis ability.