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| 投稿时间： 2015-06-08 最后修改时间： 2015-08-01 摘要点击次数: 2423 全文下载次数: 3 |
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| 引用本文：顾梓玉, 王安其, 郑雪倩.我国“注册前”临床实践人员执业调查分析[J].中国卫生政策研究,2015,8(9):53-57 |
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| 顾梓玉1, 王安其1, 郑雪倩2 |
1. 首都医科大学卫生管理与教育学院 北京 100069;
2. 中国医院协会 北京 100034 |
| 基金项目:中国医院协会法制专业委员会课题 |
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| | 摘要:目的:从法律角度分析我国“注册前”临床实践人员无资质参与临床执业的现状,为完善《执业医师法》提供政策依据。 方法:通过整群抽样的方法,集中选择北京等地区较早开展住院医师规范化培训的大型临床教学医院,针对“注册前”临床实践者、临床带教教师及卫生行政管理者开展定量调查,进行统计描述并应用卡方检验进行组间率的比较。同时,对北京朝阳区和海淀区人民法院近3年的764起医疗纠纷案件进行描述性统计分析。 结果:“注册前”临床实践人员,存在独立出诊、单独值班、独立处置患者、独立操作有创技术、独立书写病历等违规情形;带教教师的现场督导亦存在缺位,医疗纠纷时有发生。 建议:从立法、资格认证、医师资质考试等多角度确立“注册前”实践人员从事临床工作的法定资格,并针对“执业医师指导下”存在的法律问题提出解决方案。 | |
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关键词:注册前 临床实践培养 执业现状 合法性
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| Investigation on clinical practice of pre-registered medical practitioner in China |
| GU Zi-yu1, WANG An-qi1, ZHENG Xue-qian2 |
1. School of Health Management and Education, Capital Medical University, Beijing 100069, China;
2. Chinese Hospital Association, Beijing 100034, China |
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| | Abstract:Objective: To understand the current situation about pre-registered medical practitioner's ineligible practice from a legal point of view and provides references for "the Law of Medical Practitioners". Methods: The survey is based on cluster sampling method which centralized the selected large clinical teaching hospitals which have launched the standardized residents training. The research is focused in Beijing and involves three kinds of people including the pre-registered medical practitioners, clinical teaching teachers and health administrators. The descriptive statistics and the Comparison rates between groups by chi-square test rates were adopted. Meanwhile, the 764 medical malpractice cases from the past three years were analyzed in the Courts of the People of Haidian and the Beijing Chaoyang Districts. Results: The clinical trainees “pre-registration” made illegal situations such as independent visits, finding a single worker on duty, independent patient disposal, invasive technology's independent operation, independently writing the medical records, and the absence of tutors on the supervision sites. All of these mischiefs enhanced the occurrence of medical disputes. Suggestions: Based on the current situation, it is necessary to establish the legal qualifications for the “pre-registered” trainees engaged in the accredited clinical work legislation, physician qualification examination, and in so many angles. Proposing solutions based on legal issues about “the practitioner guidance” should also be efficient. | |
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