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    Home > Medical News > Latest Medical News > Eight departments! Unreasonable inspection of special governance began

    Eight departments! Unreasonable inspection of special governance began

    • Last Update: 2021-01-14
    • Source: Internet
    • Author: User
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    Pharmaceutical network January 6th, with the national drug, consumables collection and mining promotion and the fight against the pharmaceutical purchase and sale of the field of the wind is not the increase, the interests driven by the abuse of drug supplies phenomenon has been curbed at the source, so, unreasonable examination has become the core of increasing the burden of patients' medical expenses. The Tort Liability Act, which was implemented more than
    years ago, and the Basic Health care and Health Promotion Act, which was put into effect on June 1 last year, as well as the Civil Code, which began on January 1 this year, have targeted the disease, but there are few solutions.
    December 29, 2020, the National Health and Safety Commission and other eight departments jointly issued guidance to further standardize medical behavior to promote reasonable medical examination (National Health Care Administration (2020) No. 29, called "Guidance").
    understood that the introduction of the "guidance" is the Central Committee for The Reform of the Central Committee of the review, it can be seen that its high degree of concern.
    , what are the important initiatives proposed in the Guidance? Embedding "norms" in a medical worker's workstation is unruly.
    to solve the unreasonable inspection must first find out what is unreasonable inspection, how to judge unreasonable inspection.
    article 54 of the Basic Medical and Health Promotion Law stipulates that medical and health personnel shall follow the laws of medical science, abide by the relevant technical norms and operating norms for clinical diagnosis and treatment, as well as medical ethics norms, use appropriate technologies and drugs, reasonable diagnosis and treatment, and shall not over-medicalize patients due to illness.
    The Civil Code of the People's Republic of China follows the provisions of the Tort Liability Law, Article 1,227 states that "medical institutions and their medical personnel shall not carry out unnecessary examinations in violation of the norms of diagnosis and treatment".
    It can be seen that the "diagnosis and treatment norms" is to determine the reasonable and unreasonable examination of the "standard", all do not meet the "diagnosis and treatment norms" of the examination is unreasonable, so the "guidance" from the beginning to "improve the standard system of diagnosis and treatment", requiring the National Health and Health Commission to organize the formulation of national clinical guidelines, clinical technical practice norms, rational drug guidelines, clinical pathways.
    Medical institutions should strictly implement the main responsibility of medical management, strengthen the supervision and management of medical personnel's medical behavior norms, in accordance with the relevant state regulations on industry management, will be clear and detailed of the diagnosis and treatment norms of various diseases, drug guidelines, clinical pathways, etc., through electronic medical records, knowledge base, intelligent audit and other ways, electronic form embedded in the medical staff workstation, to promote rational inspection, rational drug use, reasonable treatment.
    large-scale medical equipment inspection suitability review system to come to have a decision "scale" also need system constraints.
    further proposed to strengthen the management of medical behavior in the "Guidelines".
    medical institutions are required to continue to consolidate the prescription audit and review system at the same time, to establish a large-scale medical equipment inspection suitability evaluation system, the examination of the adaptive certificate, necessity, positive test results, etc. to assess and publicize the results within the institution.
    the same time, strengthen medical technology access, clinical path management and health technology assessment, and gradually improve the clinical path management entry rate, completion rate, reduce variation rate, exit rate.
    by the end of 2022, 50% of patients discharged from level 3 hospitals and 70% of discharged patients from level 2 hospitals should be managed according to clinical pathways.
    for a year! Unreasonable medical examination special governance action to carry out in order to effectively grasp this work, "guidance" decided to carry out a one-year unreasonable medical examination special governance action.
    Requires the formulation of a work programme, clear governance priorities and related requirements, comprehensive organization of medical institutions self-examination and self-correction, supervision and inspection by local authorities, organization of experts to take flight inspection, due to inspection, random spot checks and other ways to supervise and manage, focusing on the rectification of unfounded inspection and repeated inspection.
    At the same time, the use of information-based means to medical institutions to check the results of mutual recognition and data sharing real-time monitoring, high-value high-frequency, the masses reflect outstanding inspection projects for real-time monitoring, and gradually realize the unreasonable medical examination of automatic discovery, automatic reminders, automatic intervention.
    establish a long-term mechanism for medical examination and supervision, strengthen accountability and joint accountability.
    medical institutions and personnel that violate the relevant provisions shall be warned, interviewed, ordered to rectify and inform of criticism, and the relevant responsibilities shall be investigated in accordance with the law if the circumstances are serious.
    the problem of excessive inspection of medical institutions is serious and the supervision is weak, the person in charge of the relevant department shall be held accountable.
    To promote mutual recognition of inspection results and mutual recognition of inspection data sharing inspection results is also an important measure to reduce the burden of the masses that has been repeated over the years, but in general it is still in the state of "autonomous" evaluation of medical personnel, that is, recognition is still judged by the medical personnel who receive medical treatment.
    is the lack of uniform quality standards and legal safeguards.
    This "guidance" in promoting mutual recognition of inspection results, the first put forward: health and health departments to develop mutual recognition of medical institutions inspection results management methods, clear mutual recognition of the scope of institutions, conditions, diagnosis and treatment projects (content) and technical standards.
    the results of the inspection into the "rule of law" track, initially solved the problem of how to mutual recognition of the rules.
    , put forward the quality control work of medical examination, in principle, medical quality control qualified and in line with the technical requirements of the inspection project, medical institutions should steadily achieve mutual recognition of results.
    provincial health departments may jointly formulate the scope, conditions, diagnosis and treatment projects (contents) and technical standards of mutual recognition of medical institutions' examination results, and gradually realize mutual recognition of inspection results among medical institutions across provinces.
    to promote mutual recognition of inspection results, the government also proposed to promote the sharing of inspection information.
    medical institutions should strengthen the information construction with electronic medical records as the core, and gradually realize the digital storage and transmission of inspection data.
    health departments should strengthen the construction of regional health information platforms and promote the sharing of inspection data through the establishment of a database of medical institutions' inspection data or "cloud film".
    to provide inspection services to other medical institutions in the region at or above the second level.
    To encourage qualified areas to set up medical imaging centers, medical examination centers and pathological diagnostic centers independently in accordance with the standards, and to integrate them into the medical quality control system of the health departments, provide inspection services to medical institutions in the region, and realize the sharing of resources.
    also called for faster mutual recognition of the results of medical in viscer examinations.
    can be implemented where conditions can be implemented "grassroots examination, superior diagnosis."
    clear that by the end of June 2021, close urban medical groups and county medical community to achieve inspection data sharing and mutual recognition of results.
    Thy five measures, the unreasonable examination of the "root of the disease" and many of China's medical services behavior is not standardized "root", in addition to the lack of capacity, most of the institutional mechanisms, so from the principle of disease-based, the fundamental solution needs to "deepen reform."
    , the Guidance proposes five reform measures.
    is to improve the performance distribution system of medical institutions.
    medical institutions are required not to set indicators that may induce over-examination and over-medical treatment and to link them to the income of medical personnel.
    is the scientific configuration of large-scale medical equipment.
    health departments are required to improve the scientific and binding nature of large-scale medical equipment configuration planning, which should conform to the advanced, appropriate and accessibility of medical technology and the functional orientation and clinical service needs of medical institutions.
    to promote resource sharing and improve the efficiency of use.
    is to deepen the reform of the price of medical services.
    in accordance with the principle of "total control, structural adjustment, up and down, step by step in place", steadily and orderly pilot exploration of medical service price reform, the establishment of scientific determination, dynamic adjustment of the price formation mechanism, and continuously optimize the price structure of medical services.
    fourth is to further promote the reform of health care payment methods.
    to speed up the establishment of multi-composite medical insurance payment methods, guide medical institutions to take the initiative to control costs, reasonable examination, rational drug use, reasonable treatment, control the unreasonable growth of medical expenses.
    is to improve the operation and assessment management of medical institutions.
    to further promote the performance appraisal of public hospitals at the third level, initiate the implementation of performance appraisal of public medical institutions at the second level and below, and strengthen the mechanism of linking government input with the performance appraisal results of public medical institutions.
    There is a long way to go to solve unreasonable inspection, from the cause, perhaps more difficult than to solve unreasonable treatment, unreasonable drug use, because it is not only a policy issue, but also involved in technical problems, legal issues, to "cure" must be multi-pronged and persistent.
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