摘要
目的分析2019—2023年河南省放射卫生监督行政处罚现状,为进一步做好放射卫生监督工作提供数据支持。方法收集汇总河南省近5年来放射卫生监督行政处罚资料,从基本情况、案件种类、处罚机构、案件来源、违法情形、违反法律法规等方面进行分析。结果近5年来河南省放射卫生行政处罚案件共1622起,处罚金额达739.12万元,平均案值0.46万元。2019—2023年放射卫生行政处罚案件数量的比例各年差异有统计学意义,且有下降趋势(P<0.001),一般程序案件数最多,占74.04%。案件来源主要以“在卫生健康监督检查中发现的”为主,共1557件,占96%。行政处罚案件数量及金额均以一级或未定级医疗机构为主,占总罚款户次的58.69%。处罚案由主要是放射诊疗许可不符合有关规定(583条)。违反法律法规情况中,违反《放射诊疗管理规定》占比最高,达88.15%。结论河南省放射卫生监督行政处罚存在问题主要是处罚数量少、处罚金额不高、案件来源单一,基层卫生监督员人员能力及水平有待于提高。建议卫生行政部门加大执法力度,加强培训,重视多种渠道的行政处罚案件来源,不断探索发现新案由,完善放射相关法律法规修订。
Objective To analyze the current situation of administrative punishment for radiological health supervision in Henan province from 2019 to 2023,and to provide data support for further radiological health supervision.Methods The data of administrative punishment for radiological health supervision in Henan province in the past 5 years were collected and analyzed from the basic situation,types of cases,punishment agencies,sources of cases,illegal situations and violations of laws and regulations.Results In the past five years,there were 1622 cases of administrative punishment for radiological health in Henan province,with the penalty amount reaching 7391200 yuan,and the average case value of 0.46 million yuan.The proportion of the number of radiological health administrative punishment cases from 2019 to 2023 had statistical significance,and had a downward trend(P<0.001).The number of general procedure cases was the largest,accounting for 74.04%.The source of the cases was mainly"found in health supervision and inspection",with a total of 1557 cases,accounting for 96%.The number and amount of administrative punishment cases were mainly first-class or ungraded medical institutions,accounting for 58.69%of the total number of fines.The main punishment cases were that the radiological diagnosis and treatment license did not meet the relevant provisions(article 583).Among the violations of laws and regulations,the violation of the Radiation Therapy Management Regulations accounted for the highest proportion,accounting for 88.15%.Conclusion The main problems in the administrative punishment of radiological health supervision in Henan province are the small number of penalties,the low amount of penalties,the single source of cases,and the ability and level of grass-roots health supervisors need to be improved.It is suggested that the health administrative departments should strengthen law enforcement,strengthen training,pay attention to the sources of administrative punishment cases through various channels,constantly explore and discover new causes,and improve the revision of radiology-related laws and regulations.
作者
刘小茹
刘士源
刘四海
林宝
LIU Xiao-ru;LIU Shi-yuan;LIU Si-hai;LIN Bao(Hebi Center for Disease Control and Prevention,Hebi,Henan 458000,China;Henan Provincial Health technology supervision center,Zhengzhou 450052,China;Nanyang City Health Sports Comprehensive Law Enforcement Detachment,Nanyang,Henan 473000,China)
出处
《医药论坛杂志》
2024年第18期1952-1956,1961,共6页
Journal of Medical Forum
关键词
放射卫生
卫生监督
行政处罚
行政处罚案件
Radiological hygiene
Health supervision
Administrative punishment
Administrative penalty case
