他们被唤作“医生”，佯装能手到病除，但几乎都不穿白大褂，连最起码的医师资格证也没有。简陋的“诊疗室”里摆放一两张病床，散装的药架上摆着一些空盒子，病人在脏兮兮的诊室内接受“治疗”——这就是“黑诊所”的真实写照。近年来，一些分布在城乡接合地带的黑诊所，似乎有了魔力，总能死灰复燃。黑诊所缘何成为屡禁不止的顽疾？本报记者为你揭开鲜为人知的黑幕。

They are called"The doctor",Pretend to instant solutions,But almost all don't wear white,Even the least physician certificate no.crude"surgery"Put a in the two beds,Bulk medicine shelf pendulum with some empty box,Patients in dirty in clinic to accept"treatment"- this is"Black clinic"Real portraiture of the.In recent years,Some distribution in the urban and rural joint zone of black clinic,There seems to be a magic,Can always resurgence.Black clinic why become a long-standing persistent ailment?Our reporter for you uncover little-known shady.

暗访 investigations

取缔不到20天黑诊所“复活” Less than 20 on dark clinic"resurrection"

　　一提起黑诊所和非法行医，人们的脑海中自然会浮现这样的场景，背街小巷的出租屋里，昏暗的灯光下，“大夫”向病人诊疗和抓药。而这些被称作“大夫”的人并没有《医疗机构执业许可证》《执业医师资格证》。11月2日上午，兰州市城关区卫生监督所将辖区内的32家黑诊所全部进行了曝光和取缔。将涉事诊所向社区卫生服务中心卫生监督协管站进行移交，请他们跟踪检查，并通报给工商、派出所和街道办等单位进行共同监管。

At the mention of black clinic and illegal practice medicine,The minds of people will naturally emerge such a scene,The back alleys rental house,A dim light,"The doctor"Diagnosis and treatment to patients and their.And these are called"The doctor"Person is not[The "practice license of medical institution][Medical practitioner certificate].On November 2, morning,Lanzhou city ChengGuanOu health supervision will be within the jurisdiction of the 32 home all black clinic the exposure and ban.Will wade things clinic to community health service center health supervision assistant station to hand over,Please they track inspection,And report to the commerce/Police and neighborhood, and other units to common supervision.

　　11月19日早上，伴随着初冬的微微寒意，记者来到南面滩和雁西路黑诊所密集的街巷，暗访这些刚刚被取缔不久的黑诊所的情况。在南面滩80-1号的一家名为“瀚园”的诊所门口，停放着几辆自行车，不到半个小时的时间，就有4名顾客前后进入诊所看病抓药。这家被城关区卫生监督所刚刚取缔不到20天的黑诊所，依旧肆无忌惮地开门招揽生意。记者进入这家诊所看到，室内面积狭小，医疗器械缺失严重，输液器、药品杂乱堆放，室内弥漫着一股炒菜的味道。

On November 19, morning,With the winter slightly chill,The reporter comes to the south beach and goose west road black clinic crowded street,These investigations had been banned the near black clinic situation.In the south beach 80-1 a name"John garden"Clinic at the door of the,The park bicycles,Less than half an hour,There is four customers into the clinic before and after their doctor.This is ChengGuanOu health supervision have banned just less than 20 days of black clinic,Still unbridled ground open the door soliciting business.Reporters enter the clinic to see,Indoor narrow area,Medical equipment shortage,Transfusion system/Drug mixed and disorderly pile up,Indoor smell the smell of cooking a share.

　　在雁西路1064号，一家在11月2日刚刚被取缔的黑诊所也照样开门营业，记者进入诊所看到，室内连最起码的消毒设备也没有，几名男子正在抽烟。在均家滩、东岗一带记者暗访发现，多家刚被取缔的诊所重新开门营业。虽然也有一些被取缔的诊所关门或者变成小卖部。但背街小巷内又新出现一些没有门头，正在进行诊疗活动的“诊所”。

In the wild goose west road no. 1064,A on November 2, days had been banned black clinics are so open,Reporters saw into the clinic,Indoor even minimal disinfection equipment also have no,A few men are smoking.In all house beach/East sloping area reporter investigations found,Several has just been banned clinic to open.Although some are banned clinic closed or become canteen.But the back alley and some new no door head,Diagnosis and treatment of the ongoing activities"clinic".

　　“几乎所有黑诊所都只有一间很小的门面房，里边除了一些药架和桌子外，只有一张沙发或者一张床。就是这样简陋的环境，里边既是非法行医者的诊室，又是病房和药房，病人往沙发或床上一坐，就可以打吊针或进行更为复杂的治疗。房间的中间用布帘一隔，又成了非法行医者的卧室和厨房，有的黑诊所甚至将药品、医疗器械堆放在床上或做饭的案板上，使用过的一次性注射器也不做毁形处理，随处堆放。”这是常年从事卫生监督工作的兰州市卫生局卫生监督所医疗市场监督科科长田丰对黑诊所的描述。

"Almost all the black clinics have only a very small appearance room,Except for some medicine frame inside and outside the table,Only a sofa or a bed.Is such simple environment,It is those illegal medical clinic,And ward and pharmacy,The patient went to bed a sofa or sit,Can is treated now with intravenous fluids or more complex treatment.In the middle of the room with drape a partition,And have become illegal medical person bedroom and kitchen,Some black clinic and even the drug/Medical equipment piled up in bed or cooking chopping board,Use a disposable syringe also do not destroy form processing,Pile up everywhere."This is a perennial engaged in health supervision work of lanzhou city health bureau health supervision medical market supervision and coco long ford to black clinic description.

　　在采访中，城关区卫生监督所工作人员告诉记者，最近检查的32家黑诊所里，除了条件简陋、卫生状况差之外，没有一家有卫生部门发放的《医疗机构执业许可证》。“这些黑诊所还有一个通病，就是胡吹冒撂，多数都在广告牌上打出包治内科、外科、妇科、儿科等几乎所有病症，有的还称可以做手术、激光、B超等，可执法人员检查时，发现他们什么设备也没有。一些黑诊所还用假药骗人，或者药品已严重变质，仍然放在店内。”一名工作人员这样说道。

In the interview,ChengGuanOu health supervision by the staff told reporters,Recently inspected 32 home black in the clinic,In addition to primitive conditions/Poor hygiene outside,Not a department of health issued[The "practice license of medical institution]."These black clinics and a common fault,Is those risk flow,Most were billboard is typed package to medicine/surgery/gynecological/Pediatric etc almost all disease,Some also say can do surgery/laser/B superfine,But law enforcement inspection,Find what they equipment also have no.Some black clinic still use a fake,Or drugs already serious metamorphism,Still on the."A staff member said so.

调查 survey

谁在“养活”黑诊所 Who is"support"Black clinic

　　黑诊所“阴魂不散”，最大威胁在于一旦出现医疗事故，病人的权益根本无从保障。

Black clinic"haunting",The biggest danger is that once appear medical accident,The patient's rights never security.

　　“在取缔过程中，许多黑诊所今天被取缔，明天换个地方又开张。很多黑诊所甚至长期采取‘打一枪换个地’的狡猾手段”。田丰称，在频繁的打击后，黑诊所也开始“熟谙战法”，与执法人员打起“游击战”。很多黑诊所负责人与卫生监督员周旋长达几年之久，始终是取缔后不久便重新开门营业。

"In the process of the ban,Many black clinic today be banned,Change a place and opening tomorrow.Many black clinics even long take‘A gun to change’Cunning means".Ford said,In frequent after blow,Black clinic also began"The feel of fighting",And law enforcement personnel dozen"Guerrilla warfare".Many black clinic responsible persons and hygiene supervisors move for years,Is always ban soon after to open.

　　从卫生监督部门的调查结果来看，黑诊所的分布有其地域特征，主要分布在城中村和城乡接合地带。日前城关区卫生监督所曝光的32家黑诊所主要分布在雁滩、均家滩、东岗一代。这些地方居住着大量外来务工人员，流动人口多。许多黑诊所借机挂着“专家就诊”“包治百病”等旗号大肆招揽病员。而一些低收入者和外来务工人员，由于对相关法律法规和医疗卫生常识知之甚少，往往难以鉴别黑诊所“包治百病”的真实性，难免受骗、延误病情。

From health supervision department to see the results of the survey,Black clinic distribution has its regional characteristic,Mainly distributed in villages and urban and rural joint zone.ChengGuanOu health supervision by the exposure of 32 home black clinic are mainly distributed in the wild goose beach/All house beach/East duty generation.These areas inhabited by a large number of migrant workers,Floating population more.Many black clinic hanging looking"Experts see a doctor""cures"Flag of such as a solicit the sick.And some low income group and migrant workers,Due to the relevant laws and regulations and medical and health little common sense,Is often difficult to identify black clinic"cures"The authenticity of the,Unavoidably deceived/Delay condition.

　　采访中一名姓王的外来务工人员告诉记者，他们也知道去正规的医院看病好，但像感冒、咳嗽、摔伤这些小病一进正规医院就得两三百元。而去附近的小诊所一二十元就能解决问题。在雁滩一家菜市场上做生意的张师傅一家，只要是头疼感冒，就到就近的小诊所就诊。“一家人都在这里，得病了没那么多钱看病，只好到小诊所买点药，严重了输液体。何况附近的小诊所又比较近，看起病来也方便，总之能看好就行。”张师傅说道。记者了解到，居住在城乡接合部的低收入者和外来务工人员，大部分人患病后都去附近的小诊所就诊，这无形中也给黑诊所的滋生提供了土壤。

A interview name the king's migrant workers told reporters,They also know that go to normal hospital good,But like a cold/cough/These disorders fall into a regular hospitals have to 2300 yuan.And to a nearby small clinic a decade or two yuan can solve the problem.In the wild goose beach a market business on a teacher a,As long as it is a headache cold,Went to the nearest small clinics."The family are all here,Sick didn't so much money to see a doctor,Have to buy some small clinic medicine,Serious lose liquid.How much more will nearby small clinic and relatively close,See onset to also go to the lavatory,In a word can value will do."Zhang teacher said.The reporter understands,Living in urban and rural copula of low-income and migrant workers,Most people are sick to a nearby small clinics,This virtually also give black clinic growth provides soil.

　　记者调查发现，许多黑诊所都是以偏街背巷的出租屋为窝点，这些出租屋由于地理位置偏僻，房租便宜，而且执法部门不易发现，已经成为黑诊所滋生的温床。记者以租房为由走进雁滩一处待出租的房屋，询问是否可以租房开诊所时，对方说，只要每月按时交纳房租，干什么都不管。“严厉打击非法出租房屋是杜绝黑诊所的必要手段。”城关区卫生监督所一位负责人告诉记者。

Reporter survey found,Many black clinic are PianJie back alley let for shelter,These let due to the geographical position remote,Rent cheap,And law enforcement is not easy to find,Has become a hotbed of black clinic breeding.Reporter to renting a house for into the wild goose beach one place for rent houses,Ask if you can rent a house when open clinic,Each other and say,As long as the monthly pay the rent on time,Do whatever."To crack down on illegal rental housing is the necessary means to eliminate black clinic."ChengGuanOu health supervision have a person in charge told reporters.

　　一位熟知黑诊所利益链的人向记者透露黑诊所的敛财奥秘：“只要有人来看病，就说他的病可以治愈，然后取药或者输液，一般没有太大的副作用。最后治不好了，就让他们去医院，告诉他们这里的设备不完善。这样一来，房租便宜，病人也多，成本低利润好，平均每个月都有上万元的高收入，而出了医疗事故则关门跑路。”

A person familiar with black clinic interests chain to reporters revealed that black clinic PRD mystery:"As long as someone to see a doctor,He said his illness can be cured,Then medicine or infusion,Generally not too big side effect.Finally put the bad,Let them go to the hospital,Tell them the equipment not perfect.so,Rent cheap,The patient is much,Low cost profit good,Average every month there are tens of thousands of yuan high income,And out of the medical accident is close to run road."

原因 reason

监管不到位法制不健全 Regulation is not in place the legal system is not sound

　　为什么黑诊所屡屡取缔，又屡屡复生呢？在记者的一再追问下，兰州市卫生局卫生监督所的工作人员向记者道出了非法行医屡禁不止的深层原因。首先，执法人员的人力和权力有限。“城关区仅有2名卫生监督员，不仅要对正规的430多家医疗单位进行长期的监督检查，还要对市民举报的黑诊所明察暗访，人力严重不足”。其次在取缔非法行医的过程中，执法人员只能没收其药品、器械，对非法行医者的罚款也无法落实，就连面对关门逃避检查这样的情况也毫无办法。非法行医者采取与执法人员打游击的策略，利用周末和晚上营业，或者诊室内只放一些空盒子，而将大量药品藏匿，执法行动不能对非法行医伤筋动骨，更无法对其进行根除。

Why black clinic repeatedly banned,And repeatedly resurgence??With the reporter's questions over and over again next,Lanzhou city health bureau of health supervision staff to reporter expressed an illegal medical practice develops long-standing deep reasons.First of all,Law enforcement personnel human and power limited."ChengGuanOu only two hygiene supervisors,Not only to normal more than 430 medical units for supervision and inspection,But also to members of the public to report black clinic conduct a thorough investigation,A serious shortage of human".Secondly in banning illegal medical process,Law enforcement personnel can confiscate their drugs/instrument,The crime of illegal medical fine also cannot implement,Even in the face of the closed escape check this situation also have no way.An illegal medical practice develops into a person take and law enforcement personnel to fight a guerrilla war strategy,The weekend and evening business,Or in the office just put some empty box,And a large number of drugs will be hidden,Law enforcement action can not have a fracture of the crime of illegal medical,More can't carry on the eradication.

　　“法律上只对非法行医情节严重、严重损害就诊人身体健康、造成就诊人死亡等条款有具体规定和处罚，而对一般的非法行医却没有相应的处罚条款。按照相关法律规定，卫生监督部门对连续两次取缔之后，仍在非法行医的，应直接移交公安部门，但是移交公安部门后，又缺乏实质性的惩罚性条款，难以具体惩罚，最后又不了了之。”田丰称，监管人力缺乏和具体法律条款不完善，没有对处罚情况作出细化，让非法行医钻了空子。

"The law on the crime of illegal medical only if the circumstances are serious/Severe physical health injury of patient/Cause of patient death terms have specific provision and punishment,And for most of the illegal practice medicine but no penalties clause.In accordance with the relevant laws and regulations,Health supervision departments to clamp down on two consecutive times after,Still in the illegal medical practice,Should be directly handed over to the public security department,But over the public security departments,And the lack of substantial punitive clause,Difficult to specific punishment,Last, nothing."Ford said,Supervision human lack of and concrete legal terms not perfect,No punishment situation make refining,Let the illegal medical practice drill a hole.

治理 management

铲除黑诊所还得“下猛药” Weed black clinic still have to"Fierce medicine under"

黑诊所猖獗根治难，到底该如何解决这一难题呢？ Black clinic rampant effect a radical cure difficult,How should solve the problem?

　　“要想彻底铲除黑诊所，首先必须完善打击非法行医的各项法律条款，或者根据各地的医疗市场实际情况，出台综合治理的地方性法规，加大惩罚力度。其次对‘非医’行为的打击，各部门应该形成合力，工商、公安和卫生主管部门共同行动。卫生监督部门加强日常监管，公安部门应该根据刑法和相关法律解释，对违法行为作出惩罚。同时，工商部门应根据《无照经营查处取缔办法》对为非法行医者提供场地者(房东)作出处罚，这种合力的形成，是杜绝非法行医的必由之路。”显然，作为一名长期工作在基层的执法者，对于如何根除黑诊所田丰有着自己的想法。

"If you want to completely eradicate black clinic,You must perfect the laws against illegal medical terms,Or according to the actual situation of all medical market,Comprehensive control on the local regulations,Increase penalty.Next to‘Non medical’Behavior blow,Each department should form a resultant force,commerce/The public security and the competent department of health of common action.Health supervision departments to strengthen daily supervision,The public security department should according to criminal law and related legal interpretation,To make punishment for illegal activities.At the same time,According to the ministry of commerce shall be[Without according to manage investigate suppress idea]For those who provide illegal medical field(The landlord)Made the punishment,The formation of the force,Is the only way to eliminate illegal medical practice."obviously,As a long-term work in the grass-roots law enforcers,For how to eliminate black clinic ford have his own ideas.

　　同时田丰称，低收入人群看病难的问题也应引起有关部门重视；要提高外来务工人员的医疗卫生知识，让一些低收入者在家门口就可以到正规医院或社区卫生服务站看病，彻底切断黑诊所的病患来源，也是根治黑诊所的关键。(西部商报 记者 窦文杰 何静)

At the same time, ford says,Low-income people see a doctor difficult question should also cause the relevant departments pay more attention to;To improve migrant workers health knowledge,Let some of the low income earners at home can to normal hospital or community health service station to see a doctor,Completely cut off the black clinic patients source,Is also the key to effect a radical cure black clinic.(Western business newspaper reporter DouWenJie HeJing)