Nine departments jointly issued a message to the community to run the doctor's "big pit" was filled!

January 3rd, the website of the National Development and Reform Commission (NDRC) published a circular issued jointly by nine departments on optimizing the inter-departmental approval of social-run medical institutions (NDRC (2018) No. 1147), referred to as "Notice".nine departments are the National Development and Reform Commission, the Ministry of Civil Affairs, the Ministry of Natural Resources, the Ministry of ecological environment, the Ministry of Housing, Urban and Rural Construction, the Health and Health Commission, the Ministry of Emergency Response, the General Administration of Market Supervision, and the Chinese Medicine Bureau. It is worth mentioning that the document was issued on August 2, 2018, four months after it was officially released.
the introduction of this document, in the medical community caused a warm response, because this document sword refers to the pain point of social access to medical treatment, by the industry interpreted as a multi-sectoral joint kick open the "glass door" of social medical treatment.
behind this policy, who has made little-known efforts to do so? What are the little-known stories? What policies are of greatest concern to all?
It is understood that the Notice is led by the National Development and Reform Commission, in March 2018, the National Development and Reform Commission sent a letter to the China Association of Non-Public Medical Institutions, commissioned the China Association of Non-Public Medical Institutions to organize the "Notice on optimizing the inter-departmental approval of social-run medical institutions (draft for comments)" consultation forum.
, the China Association of Non-Public Medical Institutions attached great importance to it, and on March 23, 2018, it organized a symposium to optimize the inter-departmental approval process for social-run medical institutions.
The heads of departments participating in the symposium included leaders from the Social Development Department of the National Development and Reform Commission, the National Health And Health Commission, the Social Organization Administration of the Ministry of Civil Affairs, the Planning Department of the Ministry of Natural Resources, the Environmental Impact Assessment Department of the Ministry of Ecological Environment, the Enterprise Registration Bureau of the State Administration of Market Supervision, the Fire Department of the Ministry of Public Security, etc.
It is worth mentioning that the symposium invited a group of social medical professionals to attend: Xiao Zhengquan, President of Beijing North Asia Orthopaedic Hospital, General Manager of Muan, United Ligue Medical Beauty Group, Chairman Lu Wenzhao of Lu Daopei Medical Group, JD.com General Manager Guan Guangpu of Yumei Kidney Hospital, Li Jianhua, Founder of Adjacent Clinic, Chairman of Shanghai Tianqiao Hospital Investment Management Co., Ltd. Li Aichuan, Consultant of Capital Medical Group Fan Maoxuan, General Manager of Investment and Development Department Wang Ying, Director Li Wei of Songtang Care Hospital, Etc.
in contrast to the "Notice Draft" and the "Notice" document issued, "Look at the medical profession" found that many of the first-line social medical professionals at the symposium were very concerned about the adoption of the proposal, which was eventually written into the document.and the official notice issued the original text is as follows:
comparison, very strikingly showed that the officially issued documents more than a statement: according to the provisions of the establishment of examination and approval and practice registration "two certificates in one" medical institutions, health, Chinese medicine authorities before the registration of access policy advice.
"biggest pit" in the approval of social doctors!
does this new expression mean for the approval of social medical institutions?
It is understood that under the guidance of the relevant policies of the State to simplify the approval process for social medical practice, many places have adopted the "two certificates in one" for the establishment and registration of medical institutions at the second level and below, and the administrative department of health and health has no longer issued the "Approval for the Establishment of Medical Institutions" and issued the "License for Medical Institutions" only when the medical institutions are registered.
this means that the "Approval for the Establishment of Medical Institutions" for medical institutions below the second level has been cancelled. The approval certificate was canceled, but the approval was not actually canceled.
to this, Professor Lin Feng, chairman of the Bodegalian Doctors Group, told the Medical Watch community that the cancellation of the "Approval for the Establishment of Medical Institutions" was a huge pit for the medical institutions' hosts.
because in the need for pre-approval stage, investors can at least apply first, if the pre-approval pass, at least do not need decoration, buy equipment, recruitment team.
and medical institutions set up approval and practice registration "two certificates in one", investors to decoration, equipment, team are done well, may face the huge risk of approval, resulting in huge investment drift.
To this, to participate in the China Non-public Medical Institutions Association organized a symposium of the founder of the next-door clinic Li Jianhua deeply felt that the United States returned Dr. Li Jianhua, that is, and partners out of their own pocket to decorate the clinic, buy a good after applying for practice, was informed by the local health authorities, the clinic downstairs restaurant, does not meet the conditions, millions of investment almost idle, can only do health consulting.
a doctor's group founder's bid for the hospital was even more difficult, and after the hospital was renovated, it was told that it did not comply with an internal regulation of the local health department, asked what the specifics were, and was told that it was not convenient to make them public.
a chain of day surgery centers is also caught in a local policy trap, with huge investments that can't be approved for long periods of time, according to The View.
the medical profession to be adopted by the national document!
It is understood that the experts who participated in the symposium of the China Association of Non-Public Medical Institutions put forward the following dozen wonderful suggestions around the discussion of "Notice on optimizing the inter-departmental approval work of social-run medical institutions (draft for comments)", some of which are as follows:
First, land use planning can be broken, land use planning in many areas has fallen behind, does not meet the requirements of the "Healthy China" document, and suggest that social medical institutions should be given priority use rights without planning or land use restrictions; Three is the proposal according to the medical institution department assessment, divided into infectious and non-infectious different site selection requirements


Fifth, it is suggested that social medical institutions lease non-public land can also change the nature of land for medical land;
6 is the proposal for the new completed completed fire acceptance housing as a medical institution housing, fire acceptance should not be repeated audit, medical use of special parts of the local assessment


9 is to recommend health, environmental protection, fire three departments to form a joint office to shorten the approval time of medical institutions

The 11th is to propose to relax the access conditions for medical clinics, unify local policies, and allow corporate companies to open clinics;
12 is to recommend the transition of social-run medical institutions to the one-in-one license, there is currently a problem of industry and commerce departments and health administrative departments do not recognize
each other
That is to say, the National Development and Reform Commission and other departments issued this "notice", is to fully investigate, listen to the medical industry associations and professional advice on the basis of the introduction of the policy. The competent departments of health and chinese medicine are explicitly required to provide access policy advice before registering their practices. To prevent the above-mentioned doctors from repeatedly falling into a pit that appears to cancel the pre-approval.
, executive vice president and secretary-general of the China Association of Non-Public Medical Institutions, said that how to maintain the healthy and sustainable development of non-public medical institutions, non-public medical institutions can provide effective medical services for the health of the people. This is not only a matter of concern to investors, operators and practitioners of non-public medical institutions, but also a matter of great concern to the Government and society as a whole. In the report of the opening ceremony of the 19th National Congress of the Communist Party of China, the Supreme Leader gave the important instruction of "adhering to social medical treatment and developing health industry", which pointed out the direction and provided the basis for the further healthy development of social medical treatment.
And hope that the National Development and Reform Commission and health and other departments at all levels should introduce relevant systems and measures to mobilize the enthusiasm of non-public medical institutions, give full attention and support in the implementation of policy systems, allocation of resources, optimization of start-up processes, standardization of professional supervision, feedback on people's satisfaction, further strengthen the supervision and training of medical and health professionals, speed up the reform of access thresholds for institutions, enhance the service capacity of non-public medical institutions, and provide better services for people's health. Social medical practice is on the rise, there is a long way to go, improve people's health level, serve the great cause of healthy China, as a new era of healthy development of the non-public medical industry propaganda team, seeding machine, is China's non-public medical institutions association is a duty.