Seven ministries issued a message, this section to usher in great development!

Medicine Network October 28 - Provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps Health and Health Commission, Development and Reform Commission, Education Department (Bureau), Finance (Bureau), Human Resources and Social Security Department (Bureau), Chinese Medicine Administration, Medical Insurance Bureau: In order to implement the decision-making and deployment of the CPC Central Committee and the State Council, in accordance with the General Office of the State Council on the issuance of the national health service system planning outline (2015-2020) Notice (State Office issued (2015) No. 14) spirit, to further strengthen the construction of the psychiatric service system, improve the capacity of psychiatric services, promote the development of high-quality medical services, the National Health and Health Commission, the National Development and Reform Commission, the Ministry of Education, the Ministry of Finance, the Ministry of Human Resources and Social Security, the State Administration of Traditional Chinese Medicine and the State Health Insurance Administration formulated the "Opinion on strengthening and improving psychiatric medical services" (available from the official website of the National Health and Health Commission).
is now issued to you, please all over the serious implementation.
National Health and Health Commission National Development and Reform Commission Ministry of Education, Ministry of Finance, Ministry of Human Resources and Social Security, State Administration of Traditional Chinese Medicine, National Medical Insurance Bureau, September 28, 2020 annex on strengthening and improving mental health care services for mental health is an important part of human health.
strengthening and perfecting psychiatric medical services is an important part of the construction of healthy China and the development of health care, and it is of great significance to build a high-quality and efficient medical and health service system to meet the people's growing needs for a better life.
In order to carry out the important decision-making and deployment of the CPC Central Committee and the State Council, alleviate the shortage of psychiatrist doctors in China, promote the sustained and healthy development of the psychiatric medical service system, and enhance the ability to deal with major public health emergencies, psychological guidance and rehabilitation, the following opinions are put forward on strengthening and improving psychiatric medical services.
, the overall requirements and the main objectives (i) the overall requirements.
In-depth implementation of the 19th National Congress of the Communist Party of China mental and health China strategy, adhere to the problem and demand-oriented, deepen the structural reform of the supply side, strengthen the construction of the psychiatric medical service system, enhance the capacity of psychiatric medical services, increase the number of psychiatrist, optimize the structure of psychiatric professional and technical personnel.
expand the field of psychiatric medical services, innovate the mode of medical services, improve the relevant policies of psychiatric medical services, and mobilize the enthusiasm of medical personnel.
(ii) the main objectives.
Aim to increase the number of psychiatrist physicians to 45,000 to 3.3 per 100,000 by 2022 and to 56,000 to 4.0 per 100,000 by 2025.
the structure of professional and technical personnel in the psychiatric sector has been optimized, the capacity of specialist services has been steadily improved, and the field of psychiatric medical services has been continuously expanded to enable patients to enjoy higher quality medical services.
, strengthen the construction of the psychiatric medical service system (iii) strengthen the construction of psychiatric hospitals and general hospitals.
combined with local realities, the supply of mental health resources will be integrated into the construction of the health service system during the 14th Five-Year Plan period, with emphasis on supporting the construction of psychiatric departments in municipal psychiatric hospitals and county-level general hospitals.
to coordinate the planning and layout of psychiatric medical resources and improve the national, provincial, municipal and county levels of psychiatric medical and health services system.
In principle, each provincial capital city, the resident population of more than 3 million city set up a psychiatric hospital or rely on the general hospital to set up psychiatric specialties and wards;
At least one county-level public hospital in a county with a resident population of more than 300,000 has a psychiatric department with wards to reasonably determine the number of beds in the wards, and at least one county-level public hospital has a psychiatric clinic in a county with a resident population of less than 300,000.
to strengthen the construction of Chinese medicine department in psychiatric hospitals, and encourage Chinese medicine medical institutions to strengthen the construction of psychiatric clinical departments such as the Department of Psychopathy, the Department of Psychology of Chinese Medicine and the Department of Psychopathic medicine.
(iv) to build a spiritual highland.
In accordance with the Implementation Plan of the National Medical Center and the National Regional Medical Center and the Five-Year Development Plan of the National Clinical Medical Research Center, we will make full use of the existing high-quality medical resources and accelerate the construction of the National Center for Mental Medicine, the National Psychiatric Regional Medical Center and the National Clinical Medical Research Center in the field of mental illness.
Give full play to the technical leadership and radiation-driven role of the centers, enhance the comprehensive capacity of medical treatment, teaching and scientific research in the field of psychiatric specialties, provide psychiatric major diseases, difficult and complex diseases and critical illness diagnosis and treatment services, train psychiatric teachers and backbone personnel, carry out clinical research and effective transformation, introduce new technology projects in the field of mental illness diagnosis and treatment, promote appropriate technical projects, strengthen clinical collaboration between Chinese and Western medicine, and gradually narrow the differences between regional psychiatric medical services.
(v) to complement the mental college medical service capacity short board.
strengthen the capacity-building of psychiatric medical services at the county (district) level and fill the gaps in psychiatric medical services in some counties (districts).
to promote the county-level hospital comprehensive service capacity improvement project, further strengthen the county-level hospital psychiatric department and other weak disciplines, improve the county psychiatric medical service capacity.
to continuously improve the capacity of mental health services in primary medical institutions, to build community hospitals, and to open psychiatric clinics in qualified primary medical institutions.
to encourage social forces to set up mental and psychological outpatient clinics, for the grass-roots psychological counseling, psychological rehabilitation and other services, to complement the grass-roots psychiatric medical resources short board.
to encourage qualified psychiatrist practitioners to set up psychiatric clinics full-time or part-time, to set up a partnership group of doctors of appropriate size, to organize joint psychiatric clinics and to increase the resources of quality primary care.
(vi) to build a network of psychiatric medical services.
Overall planning and rational distribution of psychiatric medical resources in the region, explore the integration of psychiatric hospitals into the urban medical groups, county medical community grid unified management, the formation of psychiatric hospitals, general hospitals, primary health care institutions and other different levels of medical institutions between the division of labor and collaboration mechanism, to provide continuous diagnosis and treatment services for patients with mental illness.
to implement the functional orientation of medical institutions, psychiatric hospitals and three-level general hospitals focus on the treatment of patients with major, difficult and complex diseases, under the guidance of higher-level hospitals, primary health care institutions to carry out basic medical services for patients with stable periods of mental illness.
to encourage psychiatric hospitals to form or participate in the construction of specialized alliances, through cooperation in co-construction, counterpart support, telemedicology and other forms, to play a high-quality medical resources technology radiation-driven role, to promote the extension of high-quality medical resources to the grass-roots level.
Psychiatric hospitals and general hospitals with specialty psychiatric specialties further strengthen the management services for severe mental disorders, report information in accordance with the Regulations on the Management and Treatment of Severe Mental Disorders (2018 Edition) and other requirements, and participate in or guide primary health care institutions to carry out emergency treatment of patients, follow-up management, mental rehabilitation and other work.
, strengthen the construction of the team of professionals in the psychiatric profession (7) strengthen the training of psychiatrist.
To implement the Opinions of the General Office of the State Council on Deepening the Synergy of Medical Education and Further Promoting the Reform and Development of Medical Education, explore the establishment of a balanced mechanism between supply and demand for talents oriented by the needs of clinical posts, and adhere to the need to make and use the right approach.
to stabilize the enrollment scale of undergraduate majors in psychiatric medicine and strengthen the cultivation of knowledge and ability of medical students in undergraduate education in clinical medicine.
strengthen the standardized training of psychiatric residents, pay attention to the training of clinical diagnosis and treatment capacity.
continue to promote the training of psychiatrist transfer, and tilt toward the central and western regions.
strengthen the training of continuing medical education and improve the clinical technical ability and level of psychiatrist.
(viii) to optimize the structure of psychiatric professional and technical personnel.
strengthen the introduction and training of leaders and key physicians in the department of psychiatric science, strengthen the training and training of medical personnel in the psychiatric department, and form a stable and reasonable team of professionals in the psychiatric department.
to explore the establishment of psychiatric resident standardized training and job title promotion mechanism, optimize the psychiatric professional and technical personnel post structure.
(9) strengthen the construction of psychological rescue teams.
Relying on conditional psychiatric hospitals and general hospital psychiatric specialties, especially the National Psychiatric Center and the National Psychiatric Regional Medical Center, psychological rescue teams have been formed to respond to major disasters, major outbreaks and other public health emergencies, strengthen emergency drills, material reserves, and enhance the capacity of emergency management, psychological rehabilitation and psychological guidance of public health emergencies in the field of psychiatric specialties.
, strengthen the capacity-building of psychiatric medical services (10) to enhance the capacity of psychiatric medical services.
with the improvement of the capacity of psychiatric medical services as the core, we will continue to promote the construction of national clinical key specialties and treatment centers for difficult diseases in the psychiatric profession, improve the hardware and software conditions of psychiatric specialties, and focus on enhancing the diagnosis and treatment capacity of patients with difficult and critical conditions.
Strengthen the construction of spiritual sub-specialties, according to the needs of patients to see a doctor, focus on strengthening the elderly, pregnant women, children and other key groups of people, as well as serious mental disorders, rehabilitation, eating disorders, sleep, material dependence, children's mental behavioral abnormalities and other special areas of sub-specialty construction and development, improve the overall medical services capacity of mental colleges.
(11) to gradually promote the multidisciplinary joint treatment model (MDT).
to encourage psychiatric hospitals to set up multidisciplinary outpatient clinics for difficult and complex diseases, to involve teams in rehabilitation, Chinese medicine and pharmacy, and to establish a multidisciplinary system of joint diagnosis and treatment and housing inspection.
Encourage general hospitals to innovate multidisciplinary diagnosis and treatment model, integrate mental specialties into overall management, take coronary heart disease, diabetes, hypertension and other diseases as a breakthrough, explore the development of coronary heart disease "double heart therapy", diabetes control blood sugar and psychological joint diagnosis and treatment and other service models, to provide patients with physical disease treatment at the same time to provide psychological rehabilitation treatment.
strengthen the training of non-psychiatric medical staff in general hospitals in mental and psychological professional knowledge, and provide mental health services for patients with physical illness.
(12) to enrich the technical means of psychiatric medical services.
promote appropriate medical technology projects in the field of mental illness diagnosis and treatment, and gradually sink to the grass-roots level.
actively introduce advanced treatment techniques in the field of mental illness, enrich treatment methods, improve the level of treatment, improve the prognosios of the disease.
to give full play to the advantages of Chinese medicine to prevent and control mental illness, and popularize the characteristic technical methods of psychological adjustment of Chinese medicine.
to accelerate the "Internet Plus", telemedic services and other information-based service model, the use of information-based means to guide the sinking of high-quality medical resources, convenient access to medical care, improve the overall efficiency of medical services.
(13) to improve the price management of psychiatric medical services.
the prices of psychiatric and psychotherapy medical services should be taken into account in deepening the reform of medical service prices.
the relevant price items according to the integration of service output, labor input, etc.
to improve the bed-day pricing policy.
the implementation of dynamic adjustment of the price of medical services, the focus should be on adjusting the prices of technical services, including mental and psychotherapy.
to do a good job of price adjustment, medical insurance payments and medical control fees and other policies.
, strengthen the quality management of mental health care (14) to improve the quality management and control system of psychiatric professional medical care.
implementation of the Measures for the Administration of Medical Quality, relying on existing resources to strengthen the quality management and control of psychiatric professional medical care, and gradually form a national-provincial-municipal three-level psychiatric professional medical quality control network.
strengthen the quality management and control of mental illness medical treatment, improve the quality control index system of mental illness medical treatment, make full use of information means to collect, analyze and feedback data related to mental illness quality control, and promote the continuous improvement of the quality of mental illness medical treatment.
strengthen the quality management of psychiatric medicine in relevant medical institutions, improve the relevant systems, processes and norms, and improve the homogenization level of mental health care services.
(15th) regulate clinical diagnosis and treatment behavior.
strengthen the awareness of physicians practicing in accordance with the law, strictly implement the core system of medical quality and safety, and ensure the quality and safety of medical care.
implement the Mental Health Law and other laws and regulations, further improve the norms of diagnosis and treatment of mental disorders, clinical pathways and guidelines for mental illness and other technical documents, and standardize the clinical diagnosis and treatment behavior of psychiatrist.
In strict accordance with the relevant provisions of the Notice on the Diagnosis and Treatment of Mental Disorders by Chinese Medicine Class Physicians (No. 9 of the State Administration of Traditional Chinese Medicine, 2015), the practice management of Chinese medicine category physicians engaged in diagnosis and treatment of mental disorders is regulated.
strengthen the management of psychosyscopic antimicrobial drugs, clinical diagnosis and treatment technology, and provide safe and reasonable diagnosis and treatment services for patients with mental illness.
(16) strengthen comprehensive performance appraisal.
To implement the requirements of the Opinions of the General Office of the State Council on Strengthening the Performance Assessment of Public Hospitals at the Three Levels, to integrate public psychiatric hospitals into the overall requirements of the comprehensive performance appraisal system of public hospitals, to strengthen comprehensive performance appraisal, to give full play to the incentive role of performance appraisal, and to guide the sustained and healthy development of psychiatric hospitals.
, mobilize the enthusiasm of psychiatric medical personnel (17) to enhance the professional attractiveness of psychiatric medical personnel.
ensure the remuneration and treatment of psychiatric medical personnel, improve the quality of service, quantity and patient satisfaction as the core of the internal distribution mechanism, so as to achieve more work, excellent performance and remuneration.
in-service title promotion, evaluation and evaluation of the first work, we should give full consideration to the characteristics of psychiatric work and the value of technical services, to the psychiatric medical staff a moderate tilt.
provide good study and working conditions for psychiatric medical personnel, relieve the pressure of medical personnel and fully mobilize their enthusiasm.
, organization and implementation (18) to strengthen organizational leadership.
All relevant departments should attach great importance to strengthening and improving the work of psychiatric medical services, integrate them into the key work of building and deepening medical reform in healthy China, comprehensively promote organizational leadership and policy convergence, establish a mechanism for departmental linkage, improve supporting policies and form policy synergies.
provincial health administrative departments, in cooperation with the competent departments of Chinese medicine, shall, by the end of October 2020, formulate specific implementation plans for strengthening and improving psychiatric medical services in the region.
(19) to clarify the responsibilities of the department.
The local health administrative departments (including the competent departments of Chinese medicine) shall, in accordance with the relevant requirements of the Outline of the National Health Service System (2015-2020), reasonably plan and lay out the medical resources for psychiatric specialties in the region, and strengthen the training and training of psychiatric medical personnel