Promote the Medical Association National Health and Care Commission to throw out examination papers, answers and small copy.

All medical institutions in the medical association shall strictly implement their own functional positioning and implement the requirements of rapid and slow partition.
In order to speed up the construction of medical unions (hereinafter referred to as medical unions), standardize the construction and management of medical associations, improve the operation and management mechanism of medical associations, and help build a hierarchical diagnosis and treatment system, on July 17, the National Health and Health Administration and the State Administration of Traditional Chinese Medicine jointly issued the "Management Measures for Medical Unions (Trial) " (National Health AndS (2020) No. 13, herein-after-law, effective from August 1, 2020.
the medical unions mentioned in the Measures include, but are not limited to, urban medical groups, county medical communities (or county medical communities, referred to as county medical communities), specialized alliances and telemedicine collaboration networks. the Measures
require that the construction of medical unions should fully mobilize the enthusiasm of the participation of medical practitioners in the community, guide the medical union to establish a perfect mechanism of division of labor and cooperation and benefit-sharing, and promote the sustained and healthy development of medical unions.
to promote mutual recognition of the results of examination and examination of medical associations in the body to encourage Chinese medicine hospitals to take the lead in the formation of various forms of medical associations. in the construction of urban medical groups and county medical community, the
should strengthen the construction of Chinese medicine hospitals, implement their functional orientation and retain their status as independent legal persons;
encourage disorganized health care institutions to participate in medical associations in accordance with the voluntary principle.
the Measures, it is proposed that urban medical groups and county medical communities should strengthen the sharing of resources in the medical associations and provide homogenization services to medical institutions in the medical associations by setting up centers for medical imaging, examination and examination, pathological diagnosis and disinfection supply.
, under the premise of ensuring the quality of medical care, promote the mutual recognition of the results of inter-agency examination and examination of medical and health care at different levels in the medical union.
urban medical groups and county medical communities should strengthen the standardization and standardization of information platforms, and gradually rely on the regional health information platform for the whole people to promote the interconnection of information systems of all types of medical and health institutions at all levels in the medical union.
medical and health institutions in the medical union should strictly implement their own functional positioning, the implementation of the requirements of rapid and slow partition.
medical association leading hospitals should strengthen the construction of emergency rescue teams, establish and improve the medical union's internal emergency materials reserve system, organize and carry out emergency drills, and strive to enhance emergency response capacity for public health emergencies. The
Specialist Alliance should strengthen the sharing of data information resources and the Measures for the safety management of the Measures to encourage the formation of provincial and municipal maternal and child health care hospitals to take the lead, with the regional federation of maternal and child health care institutions being members of the district-level maternal and child health institutions. The construction of
specialty alliance swells should be aimed at the construction of major diseases and key disciplines with great health hazards and great demand for medical treatment, and focus on promoting the construction of specialized alliances with shortages of medical resources in pediatrics, obstetrics and gynecology, anesthesiology, pathology, psychiatry and so on.
the Measures, the specialized alliance should strengthen the sharing and security management of data information under the premise of ensuring data security.
, by establishing clinical case databases, biological sample banks, and conducting multi-center clinical research, we will fully tap clinical data information and play a positive role in multi-center and big data. The lead unit of the
Specialty Alliance shall strengthen medical quality management, refine medical quality management standards and requirements, guide member units to strengthen medical quality management, and raise the level of homogenization of medical services.
the Measures for the reasonable collection of fees for tele-medical services in accordance with relevant provisions, health administrative departments and chinese medicine departments at all levels shall promote the development of tele-medical services, combine the construction of regional national health information platforms, take the leading units such as the commission's hospitals,universities and hospitals, provincial hospitals and maternal and child health hospitals as the main units, focus on developing the telemedicine collaboration network for remote and poor areas, and improve the five-level tele-medical service network.
the Measures, medical and health institutions should strictly abide by the requirements of the Internet Diagnostic and Treatment Administration (Trial) and the Measures for the Administration of Internet Hospitals (Trial) and the Regulations on the Administration of Telemedicine Services (Trial) to ensure the quality of medical care and medical safety.
medical and health institutions to carry out Internet diagnosis and treatment, remote medical services may be reasonable in accordance with the relevant provisions of the reasonable fee.
the Official Interpretation of the National Health and Health Commission came up with a, why the Introduction of the Measures? In accordance with the decision-making and deployment of the CPC Central Committee and the State Council, the Commission will take the construction of the medical complex as an important grasper in the construction of a hierarchical diagnosis and treatment system, and will work with the State Administration of Traditional Chinese Medicine to launch a pilot project for the construction of urban medical associations and county medical community, promote the construction of close-knit medical unions and medical community in 118 cities and 567 counties in the country, and gradually realize the management of the grid layout of medical associations.
by the end of 2019, 1408 urban medical groups, 3,346 county medical communities, 3,924 cross-regional specialized alliances, 3,542 telemedicine collaboration networks for remote and poor areas, and 7,840 social-run medical institutions have joined the medical unions.
According to the data of the Sixth Health Service Survey, 46.9% of patients referred in two-way were referred in the medical union, higher than other referrals.
led the hospital to guide the grass-roots level to carry out new technologies and new projects a total of 15,656, an increase of 34.5% from the end of 2018.
led hospitals sent 780,000 professional and management personnel to the grass-roots level, an increase of 28.0% over the end of 2018.
actively explore all over the country, a number of typical experiences have emerged.
Zhejiang Huzhou, Shandong Rizhao, Guangzhou Huadu, Liaoning Dalian to promote the urban medical union grid layout management, to achieve high-quality medical resources sinking and regional resource sharing.
Zhejiang Deqing and Fujian Yuxi to promote the construction of close-knit county medical community, effectively enhance the county medical service capacity.
the National Health And Wellness Commission combed the pilot work of the construction of the medical union, summarized and refined the typical experience of various places, and formed the normative document of the management of the medical union, which is of great significance for promoting the continuous normative development of the medical union and constructing the hierarchical diagnosis and treatment system. What are the basic principles of the construction of the
and medical associations? The construction of the medical union should adhere to the following basic principles: First, adhere to the government-led.
the construction of urban medical groups and county medical community should adhere to the government-led approach and implement grid management according to the layout of regional medical resources structure and the health needs of the masses. the second
is to adhere to the government's responsibility to run medical care unchanged, and effectively safeguard and safeguard the public welfare of basic medical and health services. The third
is to adhere to the health care, medical insurance, medicine joint reform, guide the medical union to establish a perfect division of labor and cooperation and benefit-sharing mechanism.
fourth, we should adhere to the people's health as the center, guide the sinking of high-quality medical resources, promote the combination of disease prevention, treatment and management, and gradually realize the quality of medical quality homogenization management. What are the basic principles of
's three-grid layout management of medical union? Urban medical groups and county medical community to implement grid layout management, in accordance with the "planning and development, zoning package segments, prevention and control, industry supervision" principle of planning, layout, construction.
to play the leading role of municipal and county hospitals, as well as hospitals representing regional medical level, while encouraging Chinese medicine hospitals to take the lead in forming various forms of medical associations.
Fourth, how to play the leading role of the government? How does the Health Federation implement "partition package segment" management? The district-level municipal and county-level health administrative departments formulate plans for the construction of medical associations in the region, divide the service areas into several grids according to such factors as geographical relations, population distribution, public medical needs and distribution of medical and health resources, integrate medical and health resources within the grid, and form medical associations led by three-level public hospitals or hospitals representing the medical level of the district, and several other hospitals, primary health care institutions, public health institutions, etc. as members of the medical union.
principle, each grid is the responsibility of a medical group or the health community to provide integrated and continuous health services such as disease prevention, diagnosis, treatment, nutrition, rehabilitation, nursing, health management, etc. for the population of the grid.
V. Does social medical institutions be encouraged to participate in the medical association? The Measures clearly call for the full mobilization of the enthusiasm of the participation of medical practitioners in the community, and encourage social forces to organize medical institutions to participate in medical associations in accordance with the voluntary principle.
6. How can the urban medical group and the county medical community strengthen the internal management? Urban medical groups and county medical associations shall set up specialized medical management agencies to coordinate major matters such as the planning and construction of medical associations, input guarantee, project implementation, personnel arrangements, salary distribution and examination and supervision. the
shall formulate a constitution of the Medical Association, stipulate the responsibilities, rights and obligations of the leading hospital and other member units, and establish a benefit-sharing mechanism. At the same time,
, strengthen the work of the Work Of the Medical Association, and give full play to the leading role of the Party Committee in its direction, overall management, decision-making, promoting reform and safeguarding implementation.
7. How can the city medical group and the county medical community achieve unified management? The urban medical group and the county medical community shall, in accordance with the principle of streamlining and efficiency, integrate and set up public health, financial, human resources, information and logistics management centers, gradually realize the unified management of medical management, medical operations, public health services, logistics services, information systems, coordinate the internal infrastructure, material procurement and equipment allocation of medical associations, and actively control operating costs.
8. How can the Medical Association implement the requirements for rapid and slow partition? All medical institutions in the medical association shall strictly implement their own functional positioning and implement the requirements of rapid and slow partition.
lead hospitals should gradually reduce the proportion of patients with chronic diseases with common diseases, multiple morbidity and stable conditions, and take the initiative to refer patients with acute disease recovery period, postoperative recovery period and patients with stable period of critical illness to junior medical institutions for continuous treatment and rehabilitation, and provide patients with disease diagnosis and treatment-rehabilitation-long-term nursing continuity services.
9, how to implement the combined requirements of prevention and treatment? Urban medical groups and county medical community should implement the requirements of combining prevention and control, so that prevention and control services are equally important.
the hospital sit u.s in the body and public health institutions to guide primary health care institutions to carry out public health functions, pay attention to play the role of the advantages of treating the undiseased, promote the prevention and continuous management of diseases at the tertiary level, and jointly do a good job in disease prevention, health management and health education.
, how can the medical union play a leading role in the grass-roots level? First, to establish a two-way referral channel and platform between the leading hospital and member units, establish and improve the two-way referral standard, standardize the two-way referral process, provide patients with smooth referral and continuous diagnosis and treatment services. the second
is to form a general department and specialist linkage, contracted doctors and team coordination, medical and preventive organic integration of the service mechanism, by the medical union of primary health care institutions general practitioners and hospital specialists to form a team, for the grid residents to provide team signing services. The third
is to strengthen the guidance of member units, through the professional construction, education and training cooperation, scientific research projects and other ways, focus on helping to improve the medical service capacity and management level of member units.
11, how to build a specialty alliance? According to the patient's cross-regional treatment of diseases and technical needs, targeted co-ordination of the construction of specialized alliances.
to strengthen the construction of major diseases and key disciplines aimed at the health hazards of the masses and the need for medical treatment, and focus on promoting the construction of specialized alliances in the fields of oncology, cardiovascular disease, cerebrovascular, and other fields such as pediatrics, obstetrics and gynecology, anesthesiology, pathology, and psychiatry, which are in short supply of medical resources.
actively promote the construction of specialized alliances in respiratory, critical medicine and infectious diseases, and focus on enhancing the capacity for prevention, control and treatment of major outbreaks.
focus on the special advantages of the commission's (management) hospitals, university-affiliated hospitals, provincial hospitals and maternal and child health care hospitals, and increase the capacity of medical services in the region.
XII, how does the Specialty Union work? The specialty union shall formulate the constitution of the union and clarify the form of organization management and cooperation of the specialized union.
the lead unit and the member units shall sign a cooperation agreement, which stipulates the responsibilities, rights and obligations of each unit.
focus on several tasks: First, we should take the specialty collaboration as the link, give full play to the leading hospital's technical radiation-driven role, through the professional co-construction, education and training cooperation, scientific research and project collaboration and other ways to enhance the medical service capacity and management level of member units. The second
is to strengthen the sharing and security management of data information under the premise of ensuring data security. The third
is to strengthen medical quality management, refine medical quality management standards and requirements, guide member units to strengthen medical quality management, improve the level of homogenization of medical services.
13, how to build a telemedicine collaboration network? In the light of the construction of the regional national health information platform, the main lead units should be entrusted with (management) hospitals, university-affiliated hospitals, provincial hospitals and maternal and child health hospitals, focusing on the development of telemedicine collaboration networks for remote and poor areas, and improving the five-level telemedicine service network for provincial-to-city-county-township-village. how does
14 and telemedicine collaboration network work? The lead unit and the member unit shall sign a cooperation agreement on telemedicine services, clarify the rights and obligations of both parties, and safeguard the legitimate rights and interests of both doctors and patients.
lead units should give full play to the leading role of technical radiation, through telemedicine, remote consultation, remote room inspection, distance learning, remote electrocardiogram, remote monitoring and other forms, gradually promote Internet diagnosis and treatment, the use of information-based means, sinking high-quality medical resources, improve the capacity of primary medical services, improve access to high-quality medical resources.
XV, how to carry out the evaluation of the medical union? The administrative departments of health and health, the competent departments of Chinese medicine and the leading units of the medical association shall strengthen the comprehensive performance appraisal of medical associations in accordance with the requirements of the Work Programme for Comprehensive Performance Evaluation of Medical Unions (Trial) and the performance appraisal of public hospitals. At the same time, the
, the establishment of the comprehensive performance appraisal and dynamic adjustment mechanism of the medical union, the annual performance appraisal of the construction of the medical union in the jurisdiction, and published in an appropriate form. what is the focus of the performance appraisal of the
16th and medical associations? Taking the urban medical group and county medical community as the focus of the assessment, the main assessment of the operation mechanism of the medical union, the division of labor and cooperation in the medical union, the situation of regional resource sharing and sinking, the play of the role of technical radiation, the sustainable development of the medical union, as well as the improvement of public health and residents' health. At the same time, the
, the professional alliance and telemedicine collaboration network focused on the assessment of the lead unit technical radiation play and residents health improvement.
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