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    Home > Medical News > Medical World News > National Health Commission: Launching special actions for irrational medical examinations

    National Health Commission: Launching special actions for irrational medical examinations

    • Last Update: 2021-07-08
    • Source: Internet
    • Author: User
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    Medical Network, April 15th, April 14th, General Office of the National Health Commission, General Office of the State Administration for Market Regulation, Office of the State Medical Insurance Administration, Office of the State Administration of Traditional Chinese Medicine, General Department of the State Food and Drug Administration, and Department of Logistics of the Central Military Commission.
    The Bureau and others jointly issued the "Notice on Carrying out Special Treatment Actions for Irrational Medical Examinations", which aims to carry out special treatment actions to seriously investigate and deal with unreasonable medical examinations (including various types of Imaging examinations, laboratory examinations, pathological examinations, etc.
    ), guide medical institutions to establish and improve systems and regulations that standardize medical behaviors to promote reasonable medical examinations, create a good medical environment, promote the establishment of a long-term mechanism for medical examination supervision, and effectively protect the people Health rights
    .
    Attachment: Thespecial action planfor irrational medical inspections is to further standardize medical behaviors, promote reasonable inspections, improve the efficiency of medical resource utilization, reduce medical expenses, effectively protect the people’s health rights and interests, and improve the people’s medical experience.
    The “Guiding Opinions on Behavior Promotion of Reasonable Medical Examinations” require this plan to be formulated
    .
    1.
    Action goals:Through carrying out special treatment actions, we will seriously investigate and deal with unreasonable medical examinations that violate relevant laws and regulations , diagnosis and treatment technical specifications, and harm the interests of the people (including various imaging examinations, laboratory examinations, pathological examinations, etc.
    , the same below) It guides medical institutions to establish and improve systems and regulations that standardize medical behaviors to promote reasonable medical inspections, create a good medical environment, promote the establishment of a long-term mechanism for medical inspection and supervision, and effectively protect the people’s health rights and interests
    .
    2.
    Scope of action:Medical institutions at all levels and various types, and other institutions that conduct medical inspections in violation of laws and regulations
    .
    3.
    Key content(1) Controlling violations of laws and regulations and conducting medical examinations
    .
    Conduct medical inspections that have not obtained a medical institution's practice license and exceed the scope of diagnosis and treatment subjects, conduct medical inspections that are prohibited from clinical use, use medical devices that are not legally registered or filed , hire non-health professional and technical personnel to conduct medical inspections, and charge medical inspections in violation of regulations Charges and other violations of laws and regulations shall be severely cracked down and dealt with strictly in accordance with laws and regulations
    .
    The designated medical institutions and related personnel involved in the illegal use of medical insurance funds found in special governance actions shall be dealt with strictly in accordance with laws and regulations
    .
    (2) Control unreasonable inspections such as unfounded inspections and repeated inspections
    .
    Organize self-examinations and random inspections of outpatient (emergency) clinics and inpatient medical examinations of medical institutions, organize experts to demonstrate the necessity and standardization of examinations, and have no basis for violations of the regulations of the health administrative department and relevant technical specifications for diagnosis and treatment.
    Inspections, unnecessary repeated inspections, etc.
    shall be investigated and dealt with, rectification shall be ordered, and severely dealt with in accordance with laws and regulations
    .
    (3) Control the conduct of inspections that violate the principle of informed consent
    .
    Prioritize the implementation of special inspections where the informed consent is not signed
    .
    Guide medical institutions to strengthen the implementation of informed consent and hospital affairs disclosure requirements, strengthen popular science and education, and disclose the charging standards for inspection items carried out by the hospital
    .
    Before issuing an examination form for a patient, the medical staff shall explain the purpose and necessity of the examination, and seek the understanding and cooperation of the patient or their family members
    .
    For special examinations, the written consent of the patient or family member must be obtained
    .
    (4) Governance may induce excessive inspection indicators and performance distribution methods
    .
    Strictly investigate and punish medical institutions and departments that implement "bill commissions", set business income indicators and directly link them to medical staff's income, and other behaviors that may induce excessive inspections
    .
    Promote the use of technical level, difficulty coefficient, work quality, positive rate of test results, and patient satisfaction as key performance evaluation indicators for performance distribution, and guide the establishment of a performance distribution method that reflects the labor value and technical value of medical staff
    .
    (5) Controlling the violation of the plan to configure large-scale medical equipment
    .
    Strengthen the supervision and inspection of relevant medical institutions, and investigate and deal with violations of large-scale medical equipment configuration license management and illegal use of large-scale medical equipment for clinical diagnosis and treatment, and severely deal with them in accordance with laws and regulations
    .
        4.
    Division of Responsibilities The     health department, in conjunction with relevant departments, formulates special governance action plans, and organizes and coordinates the work of various departments
    .
    It is specifically responsible for inspecting the medical inspection behavior and internal management of medical institutions and their medical staff, collecting and sorting out clues reported by the masses, and transferring them to relevant departments for investigation and handling according to their duties, and publicizing the progress and results of special governance actions
    .
    The market supervision department investigates and punishes various price violations in accordance with the law
    .
    For those suspected of not obtaining legal qualifications to conduct medical inspections during routine supervision, they shall promptly report to the health administrative department
    .
    The medical insurance department severely dealt with the designated medical institutions and related personnel involved in the illegal use of medical insurance funds discovered in the special governance actions in accordance with laws and regulations
    .
        The drug regulatory authority shall strictly deal with institutions and relevant persons responsible for conducting inspection activities using medical devices that have not been registered or filed in accordance with the law
    .
    In medicine departments responsible for organizing the implementation of the system of TCM special operations medical institutions
    .
    The military health department is responsible for the organization and implementation of special governance actions for medical institutions in the military system
    .
        5.
    Implementation steps The     special governance activities will be implemented in 4 phases from April 2021 to March 2022
    .
    (1) Deployment phase (April-May 2021)
    .
    Based on actual conditions, localities determine a multi-departmental joint work mechanism, formulate and publish implementation plans for the region, carry out relevant training and publicity, and emphasize the deployment of the content and requirements of special governance actions
    .
    (2) Self-examination stage (May-August 2021)
    .
    Local health administrative departments take the lead to organize various medical institutions at all levels to carry out self-examination and rectification in accordance with the requirements of this plan
    .
    The scope of special governance self-examination should achieve full coverage of hospitals (including Chinese medicine hospitals and maternal and child health care centers) within the jurisdiction, and more than 50% coverage of other types of medical institutions (community health service centers, township health centers, outpatient departments, and clinics)
    .
    (3) Inspection and evaluation stage (September 2021-January 2022)
    .
    Relevant departments in various regions conduct random inspections of medical institutions in the region, rectify problems found, deal with them in accordance with laws and regulations, guide medical institutions to establish and improve systems and standards, and summarize and evaluate the special governance work
    .
    The National Health Commission and related departments organize inspections and evaluations in some areas
    .
    (4) Summary stage (February-March 2022)
    .
    Provincial health administrative departments take the lead to summarize the special governance work in the region
    .
        6.
    Work requirements     (1) Strengthen organization and leadership
    .
    All localities must fully understand the importance of special treatment of irrational medical inspections in promoting the deepening of the reform of the medical and health system, standardizing medical service behavior, promoting the healthy development of the medical industry, and protecting the health rights of the people
    .
    All relevant units should take the initiative to take the initiative, strengthen leadership, establish a provincial-level multi-departmental joint cooperation mechanism, refine measures, and clearly divide labor
    .
    All localities and departments must conscientiously perform their duties, earnestly implement the requirements of the work plan, and organize the self-inspection of medical institutions and the supervision and inspection of medical institutions
    .
    (2) Disposal in accordance with laws and regulations
    .
    All localities and departments must establish a ledger for the violations of laws and regulations in the medical inspection field discovered in the special governance work, and deal with them seriously in accordance with laws and regulations. .
    It is necessary to give full play to the role of social supervision, set up special lines and special channels for unreasonable medical inspection, supervision and reporting on the basis of relevant reporting hotlines, online platforms, WeChat public accounts in the health field, etc.
    , and announce them to the public, solicit clues extensively, and earnestly investigate and verify.
    Ensure that the special action achieves tangible results
    .
    (3) Increase publicity efforts
    .
    All localities and departments must carry out extensive publicity activities
    .
    For typical cases and cases with serious circumstances, they shall be notified and exposed, and follow-up reports shall be organized
    .
    Vigorously publicize the effective measures and work results of purifying the industry environment and promoting the standardized and orderly development of the industry, and create a good public opinion atmosphere for the smooth development of special actions
    .
    (4) Promote the construction of a long-term mechanism
    .
    All localities should guide medical institutions to pay close attention to rectification and implementation of problems found
    .
    In response to the outstanding problems and common problems found in the special governance actions, we will further improve the system design, innovate supervision methods, incorporate them into the daily work of medical service supervision, and promote the establishment of an information-based supervision platform, with constant attention
    .
    Actively promote industry self-discipline, give full play to the role of social organizations such as the quality control center and industry (association) associations, and earnestly implement the main responsibilities of medical institutions
    .
    Adhere to the combination of positive guidance and problem rectification, continue to make efforts in optimizing the allocation of medical resources, improving the standardization of diagnosis and treatment, and promoting the reform of the salary system and medical insurance payment methods, forming a good policy environment that promotes reasonable medical inspections
    .
    (5) Do a good job in submitting information
    .
    The provincial health administrative departments take the lead in summarizing the special governance work in the region, filling in the "Unreasonable Medical Inspection Special Quality Quantitative Statistics Table", and summarizing the governance measures, achievements, typical experiences and established systems of each department The report materials shall be formed on September 15, 2021 and March 15, 2022, respectively, and the semi-annual report and the annual report shall be submitted to the Medical Administration and Hospital Administration Bureau of the National Health Commission
    .
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