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目的了解宁夏银川地区医疗机构开展互联网医疗保健信息服务现状,探讨原因,为监管提供依据。方法通过互联网对112家医疗机构开展互联网信息服务情况进行在线监测。结果 2012—2014年医疗机构开展互联网信息服务的比例分别为79.41%、66.67%和64.10%,差异无统计学意义(χ2=2.264,P>0.05)。3年间取得卫生行政部门许可同意并标注同意书编号的检出率分别为14.82%、50.00%和56.00%,呈逐年上升趋势,差异有统计学意义(χ2=40.750,P<0.01)。开设多家网站提供信息服务和超出审核同意范围、进行夸大或虚假宣传的均为民营医院,比例分别为43.59%和47.44%。结论银川地区医疗机构依法开展互联网信息服务状况并不乐观,民营医院违规发布虚假医疗广告和夸大宣传率较高,要重点进行监管。
Objective To understand the status quo of internet healthcare information service in medical institutions in Yinchuan, Ningxia, explore the reasons and provide the basis for supervision. Methods Online monitoring of Internet information services carried out by 112 medical institutions through the Internet was conducted. Results The proportion of Internet information services provided by medical institutions in 2012-2014 was 79.41%, 66.67% and 64.10%, respectively, with no significant difference (χ2 = 2.264, P> 0.05). The detection rates of consenting numbers and approval numbers of the administrative departments of public health which were approved by the administrative department of public health in 3 years were 14.82%, 50.00% and 56.00% respectively, showing an upward trend year by year with a significant difference (χ2 = 40.750, P <0.01). Opened a number of websites to provide information services and beyond the scope of the approval of the audit, to exaggerate or false publicity are private hospitals, the ratio was 43.59% and 47.44%. Conclusion The medical institutions in Yinchuan are not optimistic about the status of Internet information service according to law. Private hospitals issue false medical advertisements illegally and exaggerate the rate of publicity, so supervision should be focused on.