The Current Situation Research Of Health Law Enforcement Instrument In Jilin Province

Purposes: By investigating the making situation of medical health lawenforcement resource allocation and document in medical institutions in Ji Linprovince, summarize existing problems of medical law enforcement document inmedical institutions, combine present situations and needs of health careadministrators, and put forward with operable contextual standards, evidence chainstandards, textual standards, in order to protect the legal rights of the counterpart, aswell as to ensure that health law and regulation can be carried out and complementedeffectively.Methods: by consulting the related references, to know current application ofmedical law enforcement document in health institutions, to sum up the existingproblems and solving countermeasures in the making process of medicalinstitutions’health administration law enforcement documents. To explore thetheoretical basis of the research on the law enforcement documents in the lawfulcontext. Taking the form of self-administrated questionnaire, to know65independent health and administrative law enforcement units ruled by9cities andautonomous prefectures, as well as329medical health supervisors to make thegeneral survey. The main contents of this general survey are medical healthsupervisors’ basic information(gender、age、qualification、major、positional titles、length of service、income and so on), the working mount situation of medical healthsupervisors, the usage situation of medical health law enforcement documentsmodule, the grasping situation of context in the field of medical law enforcementinspection and document producing, as well as the evidence collecting andprofessional training situation. After that, typing questionnaire date by means ofEpidata3.1, and making statistical analysis by means of SPSS13.0. Interviewing basic-level health care administrators by semi-structured interview,3-5representatives are selected randomly. Making the interview outline, the interviewingcontent are the basic information of the interviewee; the practical feeling towardsmedical health law enforcement work; the self perception of the administration lawenforcement documents making in medical institutions; the existing problems anddifficulties in the process of law enforcement and documents making; the opinionand advice towards the process of law enforcement and documents making. Tounderstand the practical needs of the supervisors and the difficulties faced in theprocess of making medical administrations health law enforcement documents andcollect the feasible advice from the professionals.Results: Hardware facilities in Health Supervision Agencies are insufficient, theoverall ratio of health care administrators counts small, the frequency of medicalhealth law enforcement inspection is low, and the difference among the regions islarge; most health care administrators are male, age distribution is more dispersedwith aging population tendency, the level of education is specialized subject andundergraduate, relatively dispersed major field and poor professional skills,relatively long overall length of service、rich working experience, professional ranksand titles and level of income are not high; and the income does not match the dailyoverall workload, workload is in large amount; The template of law enforcementdocument is good but sometimes not suitable and needs improving; The record ofinquiry transcripts are used to restore the scene and write down the original words.The contextual manipulation of inquiry record is better than that of spot record, thecontextual manipulation of administrators in city is better than that of administratorsin county; the contextual manipulation of law enforcement spot is not very good; thesupervisors all think that it is hard to collect the evidence, and the most of thesupervisors collect evidence by live recording, photo taking and copying, but thereare still a few supervisors collecting the evidence by relative personnel supplement、secret inquiry or indirect access；the supervisors generally believe that the frequencyof professional training is low, and nearly not involve the training in contextual manipulation.Conclusion: There are constraints to improve the quality and efficiency ofhealth law enforcement and supervision problem in the aspect of the optimization ofhuman resources, talent introduction and hardware facilities in the healthadministrative institutions. The general service level of health inspectors is not high.The workload is too heavy, therefore, work treatment needs to be strengthened. Inthe process of law enforcement, we should pay more attention to the emphasis andimportance of the context. We should strengthen the continuous education and dailybusiness training of the medical health supervisor to improve the contextualunderstanding. The process of medical health supervision law enforcement not onlyrequires the improvement and hard work of the medical health supervisor, but alsorequires the understanding and support of the broad masses of the people andmedias.