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1Approved by the State Council, official documents issued
Approved by the State Council, official documents issuedOn March 22, according to the National Health Commission, the "Video and Telephone Conference on Further Regulating Medical Behaviors and Promoting Reasonable Medical Inspections" was held in Beijing.
The meeting requested that relevant departments in various regions should earnestly implement the spirit of the Central Deep Reform Commission meeting and the deployment requirements of the State Council, start with standardizing the behavior of medical subjects, increase the supervision and management of the behavior of medical institutions and medical staff, strengthen technological innovation, promote resource sharing, and make overall plans.
This document requires the people's governments of all provinces, autonomous regions, and municipalities directly under the Central Government, the Xinjiang Production and Construction Corps, various ministries and commissions of the State Council, and various agencies directly under the State Council to implement it.
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2Scientifically configure large-scale medical equipment
Scientifically configure large-scale medical equipmentThe document pointed out that large-scale medical equipment should be equipped scientifically in various places.
The health department should improve the scientific and restrictive nature of the large-scale medical equipment configuration plan.
Encourage medical institutions equipped with large-scale medical equipment to provide related services to other medical institutions, promote resource sharing, and improve use efficiency.
Medical personnel shall follow the laws of medical science, abide by the relevant clinical diagnosis and treatment technical specifications, various operating specifications, and medical ethics specifications, use appropriate technologies and drugs, conduct reasonable diagnosis and treatment, and treat due to disease.
Medical institutions shall establish an evaluation system for the suitability of large-scale medical equipment inspections, evaluate the indications, necessity, and positive rate of inspection results, and publicize the results within the institution.
Before the end of 2022, 50% of discharged patients in tertiary hospitals and 70% of discharged patients in second-level hospitals will be managed according to clinical pathways.
All localities need to promote mutual recognition of inspection results.
The health department shall formulate management measures for the mutual recognition of medical institution inspection results, clarify the scope, conditions, diagnosis and treatment items (content) and technical standards of the mutual recognition institutions.
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3Set up regional medical imaging, inspection, pathology and other diagnostic centers
Set up regional medical imaging, inspection, pathology and other diagnostic centersMedical institutions should strengthen the informatization construction with electronic medical records as the core, and gradually realize the digital storage and transmission of examination data.
Encourage second-level and higher medical institutions to provide inspection services to other medical institutions in the region.
Accelerate the mutual recognition of in-vivo examination results of medical unions.
Strengthen the construction of compact urban medical groups and county medical communities.
Relevant departments will carry out a one-year special rectification action for unreasonable medical inspections, and deal with violations of laws and regulations in accordance with laws and regulations.
Medical institutions must establish a public welfare-oriented performance distribution system, and must not set indicators that may induce over-examination and over-medical treatment and link them with the income of medical staff.
We should learn from methods and experiences such as disease diagnosis-related groupings (DRGs) and resource-based relative value ratios (RBRVS), and take technical level, difficulty coefficient, work quality, positive rate of test results, and patient satisfaction as key performance assessments Indicators, so that the income of medical staff can truly reflect the value of labor and technology, and achieve excellent performance and good remuneration.