221例医疗卫生举报投诉案件的分析

目的:为了解医疗卫生举报投诉的情况,掌握医疗机构存在的问题。方法:将221例举报投诉建立数据库,进行统计分析。结果:举报投诉主要问题是机构和人员问题,其中非法行医的举报投诉占43.0%。举报投诉主要集中在城乡结合部的朝阳区、海淀区和丰台区,营利性医疗机构的举报投诉率明显高于非营利性医疗机构,实名投诉的真实性明显高于匿名投诉。对医疗机构现场检查时发现的主要问题是人员问题。结论:打击非法行医是卫生行政部门的重点。医疗机构的检查重点是使用非卫生技术人员、超范围经营、承包科室。要进一步规范医疗卫生举报投诉的受理程序。

Objective： To know the situation of medical complaints and master the problems existing in medical organizations. Method： To set the database for 211 cases of complaints and the implement statistical analysis. Result： The major complaining reports are organizational and personnel problems. Complaints of illegal medical practice account for 43.0 %. Main complaints are from Chaoyang district, Haidian district and Fengtai district. All of them located in the joint region of cities and countries. The rate of complaints in interest-oriented medical organizations is much higher than that of non-interest-oriented organizations and complaints by name-reported persons are more true than that by anonyms. The major problems found in the field inspection are personnel problems. Conclusion ： Eradicating illegal medical practice is the key point of health service. Inspection focus of medical organizations are employing non-health technological personnels, operating beyond range and contracting departments. We further need to standardize the receiving process of medical health complaints.