Survey And Analysis Of Lawful Practice By Medicay Institutions Of Taiyuan City

Major ObjectivesThrough the investigation of562Medical institution in Taiyuan, in order to understand the survey of Taiyuan medical institution, and aim at the existing question and the reason propose the countermeasure and the suggestion, strengthening Medical establishment’s daily supervision, to further standard medical market and the reorganization socialist market economy order, enhancing synthesis law enforcement ability provide the basis, protesting people’s healthy rights and interests, and provided an important management and decision.Research MethodsThe method which used in this research included census method, the interview of the literature and so on, The investigation of Taiyuan medical institution was conducted by unified training medical and health inspectors with designed’General situation of the medical institution’.It included the private hospital, the public hospital, the factories and mines clinics, and to get results for analysis.ResultThe zero-inflated Possion regression was applied to reveal the relevant affecting the accumulated points of the poor professional conduct.we analyzed the penalty cades by Taiyuan medical institutions in post five years(from2006to2010years),The medical resource configuration was not reasonable in10counties of Taiyuan; The medical management model was not reasonable in Taiyuan; The profit hospitals compared with the nonprofit hospitals, the private hospitals compared the public hospitals, there were statistical difference in administration punishment, The nonprofit hospitals were worse than the profit hospitals, the private hospitals were more worse than the profit hospitals, the private hospitals were worse than the public hospitals; The briefs of cases were mainly in employing non-technical personal, over range clinical performance, illegally medical advertisements and illegally registration of disciples; The results show that the average frequency of employing non-technical personal was0.107every year. We found that the amount of medics were statistical difference in different types medical institutions, the case of employing non-technical personal had significantly negative correlation with the amount of medics(p=0.044); The average frequency of over range clinical performance was0.238every years. There were statistical differences in the amount of medics, the amount of nurses, the types of medical institutions, the forms of ownership. The case of over range clinical performance had positive correlation with the amount of edits, the profit hospitals, and had negative correlation with the amount of nurses, and clinics; The average frequency of the illegally registration of disciple was0.062, there were statistical difference in the amount of med ice, the amount of nurses, the grade level of medical institutions, the forms of ownership, the amount of beds; The average frequency of the illegally medical advertisements was0.153, there were statistical difference in the grade level, the forms of ownership, the type and registered funds, The profit medical institutions was more likely to post illegally medical advertisements.Conclusions and recommendationsAccording to the survey, some medical institution practiced diagnosing and treating subject beyond the scope, outpatient clinic illegal issued medical service advertisement medical resource configuration was not reasonable, medical technicians relative surplus, and current health supervision regulations system relative delay cannot adapt to the needs of medical supervision.It was suggestions proposed by the article that strengthens law enforcement; Humanity, must unblock to all levels of Medical establishment primarily; Comprehensive promotion Medical establishment quantification level-to-level administration system; improving the legal system; displaying the function of media, strengthening supervision of public opinion; Based in the medical institutions accumulated points of poor professional conduct; All levels of health administrative departments and health department should strengthen supervision of medicine and heath; Explore a new model of supervision of medical services; The government allocates medical institutions resource under the sole heath system planning, improve regulations on health care quality.