摘要
基于对北京10家中医医疗机构的问卷调查发现,65.2%的医务人员和82.0%的患者认可将医术专长人员纳入中医服务体系;37.3%的医务人员认为放宽中医诊所准入存在一定的风险,38.4%的患者表示会选择私人诊所就诊。大部分医务人员认为当前中医诊疗的风险集中在毒性饮片的规范使用和大剂量用药方面。医务人员对互联网"诊疗"风险的担忧最大,对"配送"的风险担忧最小。《中医药法》的诊所备案制、临方炮制饮片备案制以及诊疗技术范围不明确对于未来风险治理形成了挑战,需要采取对策予以回应:即建立多元、多层级的风险治理新机制,探索差别化监管,完善中医诊疗技术规范和适用范围,建立规制中医养生保健服务的特别制度,建立健全保障相对人合法权益的柔性监督执法模式。
Based on the questionnaire survey among 10 Traditional Chinese Medicine medical institutions in Beijing,this paper found that 65. 2% of the medical staffs and 82. 0% of the patients agreed to include the medical expertise into Traditional Chinese Medicine service system; 37. 3% of the medical staffs believed that there was a certain risk of relaxing access of Traditional Chinese Medicine clinics,and 38. 4% of the patients showed that they would choose private clinics to see a doctor. Most medical staffs considered that the current risks of Traditional Chinese Medicine diagnosis and treatment focused on standardized use of toxic decoction pieces and overdose of drugs.Medical staffs were most concerned about the risk of ＂diagnosis and treatment＂on the Internet,were least worried about the risk of ＂distribution＂. The clinic registration system of the Law of the People＇s Republic of China on TCM,the registration system of the processed concocted decoction pieces,and the unclear scope of diagnosis and treatment technology posed challenges to future risk management,and it need to adopt the following countermeasures to respond： establishing a new multiple and multi-level risk management mechanism,exploring differentiated supervision,perfecting the technical norms and application scope of Traditional Chinese Medicine diagnosis and treatment,establishing a special system for regulating Traditional Chinese Medicine health care services,and establishing and improving a flexible supervision and law enforcement model to protect the legitimate rights and interests of relatives.
作者
张博源
李筱永
赵晓佩
牛田园
：ZHANG Boyuan;LI Xiaoyong;ZHAO Xiaopei;NIU Tianyuan(Department of Health Law,Capital Medical University,Beijing 100069,China)
出处
《中国医学伦理学》
2018年第6期688-692,共5页
Chinese Medical Ethics
基金
北京市中医管理局委托项目"北京市中医药地方法治建设研究"(项目编号TCML_1731061)
关键词
风险管理
法律治理
中医药服务
Risk Management
Legal Governance
Traditional Chinese Medicine Service
