The Study On The Unlicensed Medical Practice In Gusu District And Control Measures

Objective We aimed to know unlicensed medicine condition and medical and health supervision and law enforcement status of Gusu district. We investigated unlicensed medical people, unlicensed medical people with punishment, and supervisors of Gusu district. We aimed to analyze the cause of repeated unlicensed medicine and explore the long-term management measures to standardize medical service market, safeguard the people’s medical safety.Methods 30 individuals of unlicensed medicine,44 cases of unlicensed medicine and 52 supervisors of Gusu district were randomly selected from Gusu district from 2013 to 2015. The basic information of subjects of unlicensed medicine and information of unlicensed medical behaviors were collected. The basic information of cases of unlicensed medicine and the basic information of supervisors and the attitude to crack down unlicensed medicine of the supervisors also were collected. The information was gained by the trained investigators using the standard questionnaires. Epidata 3.1 software was used to build the database. All questionnaires were double entry and checked. The statistical analysis was conducted using SAS statistical software (version 9.1 Cary, North Carolina) A two-tailed P value less than 0.05 was considered statistically significant.Results1. A total of 30 subjects of unlicensed medicine were surveyed, including 26 males and 4 females. The average age of the subjects was 40.8±12.4. In these subjects of unlicensed medicine,80% of who were individuals without any professional qualifications,86.7% of who were individuals without any medical education,76.7% of who were individuals from other places,96.7% of who practice medicine in the combination of urban and city community. Most of the unlicensed medicine people supply service for people around by renting house.2. More than 90% of the 30 individuals of unlicensed medicine engaged the unlicensed medicine work with knowing the legal consequences of unlicensed medical work.3. A total of 44 cases of unlicensed medicine were surveyed, including 36 males and 8 females. The average age of the published individuals was 41.4±10.9. In these subjects of published unlicensed medicine,86.36% of who were individuals without any professional qualifications,88.24% of who were individuals without any medical education,55.88% of whom with the degree below senior high school, and 75% of who were individuals from other places.4. Among the 44 cases of unlicensed medicine,95.45% of who were found by report complaints and supervision,93.19% of who practice medicine in the combination of urban and city community,85% of who practice medicine by renting house.38.64% of the medical subjects were the department of internal medicine, and 34.09% were dental.5.44 cases of unlicensed medicine were banned by the general procedure. The unlicensed medical practice was conformed mainly on the fixed medical place (95.45%), equipped with medical pharmaceutical equipment (94.45%), and the often practice of medicine (95.45%). No suspected unlicensed medical criminal and none was sent to the public security department. The main punishment forms were fine (100%), and the confiscation of medical devices (93.18%).6. A total of 52 supervisors of the Gusu district engage on the cracking down unlicensed medical work, including 37 males and 15 females. The average age was 37.0±10.2.92.15% of the supervisors has the college education and above.63.27% of the supervisors were the major of prevention medicine. The personnel structure shape was pyramid.7. The attitude of the supervisors on the work of cracking down the unlicensed medicine was positive. They were fully aware of the harm of unlicensed medical work, but the current work still exist problems, including:65.38% of who thought that was difficult to obtain evidence,82.69% of who thought that it was hard to eliminate, 51.92% of whom believed that inadequate supply of medical service,42.31% of who thought that the law and regulation was lag,51.92% of who believe that the strength of administrative punishment was small, and 63.46% of who believed that it was hard to implement the administrative penalty.Conclusions1. It was prevalent phenomenon of unlicensed medicine in Suzhou. The individuals of unlicensed medicine were with low education, and most of them were without medical education background. The phenomenon suggested that the medical service market of Gusu district could not meet the demand of the people’s medical need, and provided the soil for the existence of unlicensed medical.2. The punishment for the individuals of unlicensed medicine was slight in Gusu district. It was hard to completely eliminate the unlicensed medicine. These reflected that the punishment was not enough to alter the individuals of unlicensed medicine.3. The work of cracking down medical work of Gusu district was very arduous and long way to go.