Health and Planning Commission: Five-Year Plan for Health Standards (2014-2018)

According to the 12th Five-Year Plan for the Development of Health And the 12th Five-Year Plan for the Development of Standardization, this Plan is formulated for the purpose of doing a good job in health standards and improving the health standards system.
Health planning committee: five-year plan for health standards work (2014-2018)I. The status quo of health standards
(i) the major achievements made in the past five years.
1. The health standards system has been further improved. To "improve the quality of health standards, improve the health standards system, promote the implementation of health standards" as the main line, to meet economic and social development, especially to deepen the reform of the medical and health system as the goal, to promote health standards work. At present, there are more than 1100 effective health standards, involving areas from public health-oriented development to public health, medical field. Health standards in the field of medical care have taken solid steps, health information, nutrition and other standards from nothing, statutory infectious diseases, occupational diseases diagnostic standards basically achieve full coverage, initially formed a coverage of occupational health, radiological health, environmental health, school hygiene, infectious diseases, disinfection, blood, medical services and other 17 professional standards system, better meet the health needs of the masses.
development of health standards has benefited from the organization and institutional innovation of health standards. The Professional Committee on Health Standards has grown from 7 to 17 since its inception in 1981, and has formed a cross-sectoral health standards review team consisting mainly of authoritative experts in various fields, with the old and middle-class combined, creating a group of technical backbones capable of the task of revising the health standards system. In the past 5 years, the "Measures for the Management of Health Standards" and "Measures for the Review and Administration of Health Standards" have been issued, and comprehensive and detailed working procedures and requirements have been put forward from all aspects of standards, drafting, review and publication, providing institutional guarantees for improving the quality of health standards.
basic research on health standards in china is carried out effectively. The organization completed the Ministry of Science and Technology "11th Five-Year" National Science and Technology to support key technical standards to promote the project of "health and safety important technical standards development" topic. We have carried out comparative studies at home and abroad on medical services, health information and nutrition professional standards, research on standard systems and methods for regional health information connectivity, and research on the implementation of health information standards. Scientific research results into nearly a hundred professional health standards.
2. Health standards clean-up and review efforts are increasing. The organization completed more than 1000 reviews of health standards with a standard age of more than 5 years, and eliminated 40 items of aging backward standards. At the same time, in order to improve the efficiency of the revision of the health standard system, the organization of more than 300 overdue projects accumulated over the years to clean up the work. Through clean-up and review, the problems of standard aging, missing and lagging are initially solved.
3. Health standards publicity and implementation of the orderly progress. More than 280 training courses on the promotion of various types of health standards were held, a series of guidelines for the application of different professional health standards was prepared, a week of publicity on health standards was held, and a number of studies and follow-up evaluations were carried out on the implementation of health standards.
4. Local health standards are on track. The Code of Practice for the Management of Local Health Standards has been formulated, which puts forward requirements for the revision of local health standards, publicity and training, evaluation of implementation, supervision and inspection, etc. At present, most regions have initially established a health standards work system and organizational framework, for the development of local health standards to provide a strong guarantee.
(ii) the main problems that exist. There are still problems such as inability and inability to keep up with health standards. If the standard architecture is unreasonable, the coordination between standards needs to be strengthened, the overall quality level needs to be improved, some standards are older, and technological innovation, health development and social and grass-roots work needs there is a dissociation. The constraints of the work of health standards are: First, the standard basic research lags behind, the standard positioning is not clear enough, the research results are separated from the standard standard, second, the standard work guarantee mechanism needs to be perfected, the lack of specialized technical management institutions of health standards, the lack of corresponding input and incentive mechanism, third, the construction of standardized experts needs to be strengthened, and the professional committee needs to be further optimized., basic principles and objectives,
(i) basic principles.
is to adhere to the principle of scientificity. The development of health standards must be based on science, follow the laws of science, and at the same time, it must be fully investigated and studied and demonstrated in practice.
is to adhere to the principle of combining national conditions with international standard experience. The formulation of health standards should be adapted to the level of social and economic development of our country and take into account the actual needs of disease prevention and control, medical services, public health supervision and management, and at the same time, we should grasp and actively learn from relevant international standards and management experience, pay attention to the operability of standards.
is to adhere to the principle of openness and transparency. Medical and health institutions at all levels are encouraged to participate in the revision of the health standard system, actively broaden the scope and manner of public consultation on standards to the public, and widely listen to the views of all parties.
(ii) the main objectives.
improve the health standards system. We will speed up the formulation of health standards that are closely related to health laws and regulations and are closely related to people's livelihood projects. Within five years, 300 health standards are planned.
improve the management system of health standards. We will strengthen the management of the whole process of health standards and improve the scientific and impartiality of the review of health standards.
continuously improve the quality of hygiene standards. Promote the close integration of standards with scientific and technological innovation and actual needs, improve the quality and technical level of standards, enhance the practicality and effectiveness of standards.
promote the effective implementation of health standards. Broaden the channels of publicity of health standards, increase the training of standards, and promote the correct use and effective implementation of standards. , the main task
(i) to strengthen health standards project work. We will improve the demand-oriented standard project mechanism and guide the declaration and project of standards around the key health work and the needs of economic and social development. To solicit publicly the health standards system revision plan projects, fully listen to the views and suggestions of standard users, improve the participation of the whole society (especially grass-roots personnel). Further improve the project evaluation system, to ensure that the project demonstration rigorous and sufficient, improve the scientific nature of the project. To select with professional strength, rigorous style of units and drafters to assume the responsibility of standard development.
(ii) to improve the quality of health standards. Improve the standard system revision procedures, ensure that stakeholders fully express their views, and promote a more open and transparent standard system revision process. Improve the standard review mechanism. Strengthen the rights and obligations of members of the Professional Committee to review the standards, and clarify the time limits and quality requirements for the review of the standards. Innovative management model to explore ways to improve the quality of professional standard reviews through the establishment of a pool of experts.
(iii) strengthen the review of health standards. We will further improve the mechanism of review of health standards and make the review work normal. Strengthen the maintenance of existing health standards, timely update and eliminate aging backward standards, improve the applicability and effectiveness of standards.
(iv) to do a good job in the declaration and implementation of health standards. We will continue to innovate the model of health standards, make use of various channels and take various forms to strengthen the implementation of health standards. After the release of health standards with wide social impact, the standards should be interpreted in a timely manner, health standards training should be carried out, and publicity and interpretation should be done well. Carry out follow-up evaluation of health standards, grasp the implementation of standards and existing problems, timely revision and improvement of health standards.
(v) Strengthen guidance on the work of local standards. We will further promote local health standards, fully mobilize local initiatives, and establish effective monitoring and information feedback mechanisms for the implementation of health standards.
(vi) to strengthen basic research on health standards. Focus on strengthening the professional health standard system revision of key technologies, health standards applied evaluation technology methods and other research work. According to the development needs of health service industry, explore the establishment of the corresponding health standards system, regulate the development of the industry, for health and safety supervision to provide a basis. Promote the transformation of disease prevention, medical clinical and industry scientific research results into health standards. Strengthen the close relationship between health standards and scientific and technological innovation, promote and support each other. Actively learn from international organizations and foreign standards, improve the advanced nature of standards. , key standards project
(1) information standards. Develop health information model, primary health care information standards, connectivity standards compliance testing standards, information security and health information privacy protection norms, ICD disease diagnosis code and surgical operation code and other standards.
(ii) the management standards of medical institutions. Revise the standards for the safety management of medical institutions, formulate the standards for the construction of paediatrics in general hospitals, the standards for the construction of psychiatric departments in general hospitals, the standards for the construction of specialist hospitals in obstetrics and gynecology, the standards for the construction of emergency medical institutions in township hospitals, the standards for the construction of emergency departments in township hospitals, the standards for the construction of village health rooms, and the standards for the equipment and configuration of medical and health institutions such as county hospitals and township hospitals. Develop standards for the clinical safe use of medical devices and medical devices.
(iii) standards of medical services. Develop standards for medical service-related processes, imaging diagnostics and technical operations that are in urgent need of regulation. Develop a standardized thesaology of common medical nouns.
(iv) clinical testing standards. To formulate practical guidelines for testing medicine related to common and frequent diseases in China, to formulate the general technical standards and guidelines of the discipline around the various sub-disciplines of test medicine, and to formulate the reference system standards for common and important testing projects in China.
(v) blood standards. We will improve the standard system covering the whole process of blood harvesting, formulate standards focusing on the four areas of blood donation service, blood screening, quality control and rational use of blood in clinical science, and speed up the development of basic standards such as blood transfusion medicine terminology and blood qualified label coding.
(vi) hospital infection control standards. We will improve the framework system for hospital infection prevention and control standards and revise the standards of hospital disinfection supply centers.
(7) standard of care. Develop and improve the framework system of nursing standards, and formulate the relevant management, service behavior and operating technical standards of nursing services.
(viii) infectious disease standards. The system combed and revised 39 statutory diagnostic standards for infectious diseases, including multidrug-resistant tuberculosis tuberculosis, tuberculosis, hepatitis C, endemic meningococcal meningitis, brucel disease, syphilis and gonorrhea, etc.;
(9) Parasitic disease standards. To formulate standards such as diagnosis of Baber worm, antigen detection technology for ensnail disease manure, and technical specifications for screw-out.
(10) local disease standards. To formulate standards such as the normal value of arsenic in human urine and the technical specifications for improving stoves for local fluorine poisoning contaminated with coal.
(11) vector biological control standards. We will strengthen the research on the standards for the control of vector biological infectious diseases, establish guidelines and operational norms for the control of vector biological diseases, and standardize pest prevention services.
(12) occupational health standards. We will speed up the formulation and revision of basic standards for occupational health, establish and improve supporting standards for occupational health inspection methods, improve standards for the prevention and control of occupational disease hazards in key industries and key occupational diseases, and further improve the relevant standards for occupational hazard factor engineering, occupational protection facilities and individual occupational protection of employers. The diagnostic standards for new occupational diseases such as dust lung disease, hard metal lung disease and laser-caused eye injury of metals and compounds are formulated, and the criteria for the diagnosis of bromopropane poisoning, occupational infectious diseases and occupational tumors are revised.
(13) Environmental health standards. We will carry out research on the basic standards of environmental health professionals, the evaluation and monitoring methods of environmental pollution on the health of people, revise the standards of drinking water hygiene and their testing methods, carry out research on sanitary standards for desalination for drinking water, improve the relevant standards of wading products, and formulate technical standards for monitoring and evaluating hazards in public places.
(14) Radiological hygiene standards. We will revise the standards of quality control and testing methods for radiation diagnosis and treatment equipment, develop standards for radiation diagnosis and nuclear medicine guidance, radiation health protection standards for new technologies for radiation diagnosis and treatment, and formulate standards for patient protection and safety in medical treatment, personal dose monitoring, occupational radiation protection series standards, and health emergency preparedness and response to nuclear and radiation accidents. to revise the relevant standards for medical emergency treatment of nuclear and radiation accidents, and to revise the diagnostic standards for external exposure to chronic radiation diseases, the diagnostic standards for radioactive tumors and the criteria for theological judgment of pathogenesis.
(15th) nutritional standards. Focusing on the main nutritional problems of the residents of our country, we should formulate the evaluation standard of human nutrition status, the standard of dietary nutrient needs, the guidance and intervention standard of dietary nutrition, standardize the classification and expression of food composition data, formulate the standard of food nutrition, and formulate the methodological standards of nutrition research, investigation, testing and intervention.
(16) School health standards. To carry out research on the school health standard system, carry out basic research and development of standards such as student health and related behavior factors, common disease monitoring methods, monitoring techniques, monitoring content, etc., and formulate standards for the living, learning environment and related facilities of school students.
(17) disinfection hygiene standards. Develop on-site disinfection standards in urgently needed emergency states, focus on general technical standards for disinfection products, develop standards for disinfection equipment and disinfectants, and improve the standard system for disinfection products.
(18) other areas. Develop health emergency management, technical standards and evaluation norms. , safeguard measures,
strengthen cooperation and establish coordination and coordination mechanisms. Each professional committee studies and perfects the framework of the health standard system in this field, ensures the quality of the examination of the standard, and integrates the dynamic tracking of relevant standards at home and abroad, the review of the standards, etc. into the important daily work. Health supervision center to do a good job of coordination, play a central role, a comprehensive grasp of the work of the professional committees and existing problems, timely feedback. The Legal Affairs Department of the National Health and Family Planning Commission shall do a good job in the management of standards, strengthen overall planning and explore the establishment of a more efficient management and operation mechanism, strengthen the operational guidance of the professional committees, and closely combine the revision and implementation of professional health standards with the operational management of the Department.
(ii) strengthen the construction of organizational institutions. In due course, a special health standards management office and management technical institutions will be established. We will carry out dynamic management of the work of professional committees and improve the performance evaluation mechanism. Increase the support of secretariat-relying units for professional committees and improve the working conditions of Secretariat personnel and members. Explore the establishment of professional committee reward and punishment mechanism and member withdrawal mechanism, the formation of power in place, responsibility in place, capacity in place of the working procedures and mechanisms.
(iii) to increase investment in standard work. Actively communicate with relevant departments, establish a sustainable and stable financial guarantee mechanism for health standards, actively strive for special funding support from the state and industry, and focus on supporting the implementation of the key standards system revision and implementation of this plan