A list of 15 policies that have helped China promote doctors to the market over the past decade

2018 is the year of the outbreak of China's doctors' group industry, the number of doctors' group's business registration ushered in a new round of peak, the number of doctors group has exceeded a thousand. According to industry insiders, in the next 5-10 years, there will be millions of doctors to the market to form or join the group of doctors, leading doctors more points, free practice to a new wave of climax.
in this important history of industry change, what does health care reform mean for the liberation of doctors and doctors' groups? What are the significant impacts?
In fact, from the emergence and development of the doctor group, to a large number of doctors to the market, to join and set up the doctor group, to the doctor group written in the "Healthy China 2030" plan, are inseparable from the new medical reform since a series of national and local policies to encourage doctors to practice more points.
end of 2018, "Look at the Medical Profession" for you to take stock of the new medical reform in 2009, affecting the development of China's doctors group and the liberation of doctors a series of related :The relevant policies of the doctors' group's breeding stage (2009-2014):
1, 2009 is known as the new year of medical reform, and document No. 6 of the State Council of the CPC Central Committee on Deepening the Reform of the Medical and Health System (Zhongfa (2009) clearly states that "the rational flow of medical personnel is steadily promoted, the vertical and horizontal exchange of talents between different medical institutions is promoted, and the research explores the multi-point practice of registered physicians." In
, the former Ministry of Health issued a Notice on Issues Related to Physician Multi-Point Practice, which was piloted in some areas. However, it is stipulated that when a physician is employed to practise in another medical institution, he shall obtain the approval of his unit and the relevant administrative department of health, and add a place of practice to the Certificate of Practice of a Physician.
3, 2011 the former General Office of the Ministry of Health issued a "notice on the expansion of the pilot scope of multi-point practice of physicians."
, September 2013, the State Council on promoting the development of health services, that is, the State Development Of the 40 document clearly stated: "Promote the flow of talent." We will accelerate the multi-point practice of standardized physicians. Local governments are encouraged to explore mechanisms for the full and orderly flow of regional medical and health personnel. The relevant policies ofDoctors Group (2014-2016):
5, December 2014, the Measures for the Implementation of Multi-Point Practice for Physicians in Zhejiang Province promulgated, which stipulates that medical institutions shall allow employed physicians to arrange one day for multi-point practice on statutory working days;
this is also the first time in the government documents appeared in the "free practice of doctors" expression, causing shock in the industry. In July of the same year, Dr. Zhang Qiang announced the establishment of the first medical group in China, Dr. Zhang Qiang Group.
6, 2015, the official website of the former Health and Planning Commission issued the Notice on the Issue and Standardization of Physicians' Multi-Point Practice, which was issued on November 5, 2014, and was jointly signed by the National Health and Family Planning Commission, the National Development and Reform Commission, the Ministry of Human Resources and Social Security, the State Administration of Traditional Chinese Medicine and the China Insurance Regulatory Commission.
July, 2015, the Shenzhen Municipal Health and Planning Commission reformed the registration and management of physician practice, fully liberalized the restrictions on the place of registration of physician practice, implemented regional registration of physician practice, and implemented online registration and multi-point practice reporting management.
Shenzhen became the first region in the country to implement a regional registration system for doctors. Since then, we have further simplified the online filing procedure for the multi-point practice of registered physicians and encouraged registered physicians from outside Shenzhen to practice multi-point in the city.
8, 2015, the General Office of the State Council on promoting the construction of a hierarchical diagnosis and treatment system guidance (Guofa (2015) No. 70) issued, through the formation of a medical complex, counterpart support, doctors multi-point practice, etc., to encourage urban hospital doctors above the second level to practice more practice at the primary health care institutions, or regular visits, visits, improve the capacity of primary services.Doctor Group Outbreak Phase (2016-present) related policies
September, March 2016, Shenzhen liberalized the industrial and commercial registration of the Doctor Group, allowing the "Doctor Group" to carry out the business registration, Bodejialian Group of Doctors obtained the first doctor group business license.
10. In September 2016, the Guangdong Provincial Health and Family Planning Commission and the Guangdong Provincial Administration of Traditional Chinese Medicine issued the Measures for the Administration of Multi-Point Practice of Physicians, announcing that from October 2016, regional registration will be implemented in the province, and medical institutions in the first place of practice shall support multi-point practice of physicians, establish a full-time and part-time employment system, and improve the management of physician posts. Guangdong has also become the first region in the country to achieve provincial administrative registration of doctors.
11. In October 2016, the State Council of the CPC Central Committee issued the Outline of the "Healthy China 2030" Plan: Innovative models for the use, mobility and service provision of medical personnel, and actively explore the free practice of physicians, individual physicians and medical institutions to contract services or form a group of doctors.
To this, the introduction of nearly 30 doctors group platform-type public hospital - Shanghai Punan Hospital President Liu Weidong excitedly said that with the introduction of this national document, the doctors group is equal to the state not only formally recognized the legitimacy of the doctors group, but also become a supporter of the development of the doctors' group industry, for all parts of the country committed to the doctors group industry to eat a heart-stopping pill.
, November 2016, the Tianjin Municipal Health planning commission issued the Interim Regulations on regional registration of physicians: from November 20, doctors after registration in other institutions of practice, do not need to go through the relevant procedures. Tianjin became the first municipality directly under the Central Government to achieve regional registration of doctors.
13, 2017, the Health and Planning Commission officially issued the Decision on Modifying <>, removing the restriction that "medical personnel who are in service, who have retired from their posts due to illness or who remain without pay may apply for the establishment of medical institutions".
14, 2017, the Ministry of Human and Social Affairs issued the Guidance on Supporting and Encouraging Professional and Technical Personnel in Institutions to Innovate and Start Businesses, to support and encourage professional and technical personnel to take up their posts, participate in project cooperation, part-time work and leave their posts to start their own businesses.
15, April 1, 2017, the State Health and Planning Commission promulgated the "Measures for the Administration of the Registration of Physicians' Practice", the place of practice of physicians from the past "medical, preventive, health care institutions" modified to "medical, preventive, health care institutions located in the provincial or county administrative divisions", to achieve "one registration, regional validity." After a doctor determines that a major practice institution is registered, other practice institutions file a record and the number of practicing institutions is not limited.
, article 17 clearly states that physicians who increase the number of practising institutions across places of practice shall apply to the administrative department of health and family planning that approves the practice of such institutions for additional registration. A Practising Assistant Physician may register only one place of practice.
, at the policy and regulatory level, Chinese doctors can say that they have a more perfect multi-point practice rights. the cornerstone of the liberation of doctors: the two most far-reaching policies affecting social health care
back to the germination stage of the doctors' group industry (2009-2014), the 2009 new medical reform document and the 2013 National Document No. 40 can be said to be the policy of the Chinese doctor group breeding period, during which a group of leading figures of the Chinese doctor group, including Zhang Qiang, Song Donglei, Lin Feng, etc., explored the doctors' multi-point, free practice, and the continuous loose policy environment became a breeding bed for the doctors' group.
Doctor Group is a more convenient carrier for organizing the flow of doctors, according to the survey of a number of doctor group samples, the main multi-point practice hospital selected by the group of doctors to social-run medical institutions, it can be seen that the emergence and development of the doctor group and the development of social-run medicine is inextricable, so the emergence and development of the group of doctors as an important part of social-run medicine, its emergence and development and the state strongly encourage the development of social-run medical policies are inextricable. Among the most far-reaching policies affecting the development of China's social health care in recent years are the two documents mentioned above:
First: Opinions of the State Council of the CPC Central Committee on Deepening the Reform of the Medical and Health System in 2009 (Zhongfa (2009) No. 6, the new medical reform document clearly aims at establishing a medical and health system with Chinese characteristics, gradually achieving the goal of basic medical and health services for all, and improving the health of the whole people. The document explicitly encourages and guides social capital to develop medical and health services.
: September 2013 State Council Opinions on Promoting the Development of Health Services. The
document clearly states that speeding up the development of health services is an inevitable requirement for deepening medical reform, improving people's livelihood and improving the health quality of the whole people, and an important measure to further expand domestic demand, promote employment and transform the mode of economic development. The document is clear, adhere to government guidance, market-driven. Give play to the basic role of the market in the allocation of resources, stimulate social vitality, increase the supply of health services, improve service quality and efficiency.
the two documents clearly define the two main objectives of the country's development of social health care: one is to solve the people's difficulties in accessing health care and the other is to solve economic problems through the development of health services.
two documents and two major goals have also laid the tone of the country's policy of vigorously developing social medical treatment since the new medical reform. As the leader of the health service industry, in recent years, a series of related policies have been good, clinics, hospitals and other medical institutions, the entry threshold has been greatly reduced, social medical treatment ushered in rapid development, the annual addition of more than 2000 private hospitals, for doctors multi-point, free practice, as well as the development of the group of doctors to provide a continuous landing cooperation platform. (See the medical profession)