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    Home > Medical News > Medical World News > Shanghai clinic development pilot program announced! 15 measures to help primary medical care

    Shanghai clinic development pilot program announced! 15 measures to help primary medical care

    • Last Update: 2019-12-13
    • Source: Internet
    • Author: User
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    Here comes the pilot work plan! In the future, Shanghai will build clinics like this On December 11, the Shanghai Health Commission announced the implementation plan for the pilot work of promoting the development of clinics in Shanghai (hereinafter referred to as the plan) Photo source: Official Website of Shanghai Health Committee On May 13, 2019, the national health and Health Commission issued the notice of opinions on promoting the pilot development of clinics (hereinafter referred to as "opinions") The opinions has made the following arrangements for further promoting the development of clinics: in 2019-2020, pilot work for promoting the development of clinics will be carried out in 10 cities including Beijing, Shanghai, Shenyang, Nanjing, Hangzhou, Wuhan, Guangzhou, Shenzhen, Chengdu, Xi'an, mainly in optimizing the licensing policies of clinics and improving the quality of medical services of clinics In the future, Shanghai will pay more and more attention to the development of primary medical institutions and the primary blood of medical treatment In the plan, 15 measures are proposed, including accelerating the construction of the clinic service system, improving the practice environment of the clinic and promoting the healthy development of the clinic, such as encouraging the clinic to be included in the construction of the Medical Association, encouraging doctors to hold clinics, etc., and it is stipulated that the promotion of the development of the clinic will be launched in an all-round way by the end of 2019 1、 Speeding up the construction of clinic service system 1 Define the function of the clinic The clinic is a medical institution organized by qualified doctors or units to maintain the health of the community population and meet the medical service needs of the community residents It provides the residents with general common diseases, frequently occurring diagnosis and treatment services and family doctors' contracted services It is an important supplement to the public medical service system 2 Expand the clinic development space Support social forces to hold high-level medical service clinics and special medical service clinics characterized by advanced technology, quality service and advanced management Guide the social forces to hold high-quality and personalized general practice clinics for the health needs of different functional communities, such as buildings, enterprise parks, schools, government agencies and institutions We should give full play to the important role of social forces in the basic medical service system, and encourage clinics to be held in areas where the allocation of medical resources is relatively weak and in areas where the population needs to be provided with medical institutions Social forces are encouraged to run clinics with insufficient medical services such as geriatric care, rehabilitation, pediatrics and psychiatry Encourage the clinic to strengthen the linkage with community health service centers and professional public health institutions in the region, and establish a division and cooperation mechanism 3 Optimize clinic access We will lift the restrictions on clinics imposed by the planning of medical institutions The establishment and approval of clinics in the city (TCM clinics, medical beauty clinics, Sino foreign joint venture and cooperative clinics, Hong Kong and Macao wholly-owned clinics are still implemented in accordance with the existing regulations) shall be changed to the record system management If a clinic is to be held, it shall file and submit materials to the local administrative department of health and health If the materials are complete and meet the national standards, it shall issue a "medical institution practice license" to carry out practice activities 4 Encourage doctors to hold clinics Doctors who have been in medical institutions for more than 5 years and have obtained the qualification of intermediate or above titles are encouraged to open specialized clinics full-time or part-time It is encouraged that general practitioners who have received standardized training of residents in this city or other doctors who have obtained the registration qualification of general practitioners after post transfer training can open general practice full-time or part-time We will encourage different specialists to set up partnership doctor groups of appropriate scale and run clinics According to the relevant requirements of multi-point practice, the part-time doctors who run clinics shall clarify the responsibilities, rights and obligations of both parties through signing agreements with the main medical institutions, and put forward specific requirements for their working hours, tasks, service quality and salary performance distribution in the main medical institutions, so as to ensure that the part-time doctors who run clinics can complete the main medical institutions Work 5 Support the large-scale group development of clinics Support the same setting unit with more than 3 years of medical management experience to hold chain and group clinics, and form a standardized and standardized management and service mode For the clinics that have obtained the practicing license of medical institutions in this city, if it is planned to set up a new practicing place in the district to carry out chain service, the issuing authority shall register the new practicing address according to the national standards, and the trans district clinics shall be uniformly registered by the Municipal Health administrative department 2、 Improve the practice environment of clinics 6 Encourage the integration of clinics into the construction of medical consortia In the process of setting up medical consortia, the administrative departments of health and public hospitals in each district can incorporate it into the construction of medical consortia according to the wishes of clinics, and establish a two-way referral system between clinics and other medical institutions In the establishment of specialized alliance and telemedicine cooperation network, the clinic will be included in the scope of member units to help them improve the level of medical services We will encourage hospitals at or above the second level in the Medical Association, grass-roots medical and health institutions, independent medical testing centers, medical imaging centers, disinfection supply centers, pathology centers and other institutions to establish cooperative relationships with clinics and share medical resources 7 Encourage clinics to provide contracted services for family doctors Encourage the government to purchase services, including qualified general practice clinics into the scope of medical institutions that can provide family doctor signing services, and further meet the multi-level and diversified health needs of residents by providing personalized signing services Strengthen the assessment of the contracted service quality provided by the clinic, and include the health status and satisfaction of the clients into the assessment to ensure the contracted service quality 8 Encourage clinics to provide basic medical and health services Encourage the government to purchase services and guide clinics to provide basic medical and health services For clinics providing basic medical and health services, the same subsidy policy shall be implemented in terms of personnel training and other aspects as that of grass-roots medical and health institutions run by the government, and the development and construction expenditures such as capital construction and equipment purchase for basic medical and health services provided by the districts with conditions may be given appropriate support 9 Strengthen the integration and management of clinic resources by community health service center platform Give full play to the role of community health service center as a resource integration platform at the grass-roots level, integrate all kinds of clinic resources, participate in community health service supply and improve service supply level through signing contracts and other forms We will encourage medical institutions such as community health service centers to establish cooperative relationships with clinics and share medical resources The residents' health information generated in the process of various clinic services should be included in the residents' electronic health files, and the community health service center should be supported to carry out the whole life cycle health management of residents 10 Optimize the employment environment of the clinic Doctors are encouraged to practice in clinics at multiple points Doctors in public medical institutions that meet the regulations shall not be restricted to practice in clinics The original unit shall not reduce the relevant treatment stipulated in its policies The income earned by doctors at multiple points shall be subject to individual income tax in accordance with the regulations Relevant departments shall include qualified clinical medical personnel in the scope of industry training and make them enjoy relevant subsidy policies When applying for senior professional titles, full-time doctors practicing in clinics shall, in accordance with the relevant policies and regulations on the evaluation of professional titles of primary health professionals in this Municipality, make no rigid regulations on papers, scientific research, etc., and focus on the evaluation of clinical work ability and service quality 11 Improve the medical insurance and fiscal policies conducive to the development of clinics Non profit clinics shall enjoy preferential tax policies in accordance with state regulations The government guided price is applied to the medical services provided by public clinics, and the market adjusted price is applied to the medical services provided by social clinics For clinics that actively implement the medical service price policy of public medical institutions, provide basic medical and health services and meet the conditions, support to be included in the designated scope of medical insurance according to the regulations, and the basic medical service fees provided can be paid according to the regulations 3、 Promote the healthy development of clinics 12 Guide clinics to standardize their practice according to law The clinic carries out the main responsibility and bears the legal responsibility independently In the practice process of the clinic, it is necessary to strictly implement the relevant national laws, regulations, rules, technical specifications and relevant standards, improve various internal management systems, implement the post responsibility system of personnel, establish the rules and regulations of standardized medical services, and accept social evaluation through the establishment of complaint box and the development of satisfaction evaluation 13 Strengthen the medical quality and safety of clinics The clinic shall strictly practice in accordance with the law, the medical staff shall have corresponding qualifications and qualifications, strictly implement rules and regulations such as measures for medical quality management, key points of medical quality and safety system, strengthen the management of medical technology and hospital infection, strictly implement the diagnosis and treatment and nursing norms and guidelines, reasonably use drugs, and ensure the medical quality and safety We should strengthen communication between doctors and patients, respect patients' right to know and protect patients' privacy We should establish an electronic medical record system, standardize the writing and management of medical documents, do a good job in patient registration, implement the infectious disease epidemic reporting system, and upload diagnosis and treatment information in a timely, accurate and complete manner Encourage clinics or medical staff to purchase medical liability insurance 14 Strictly implement daily supervision and management Health and health departments and medical insurance departments shall strengthen the daily supervision and management of the quality and safety of clinics and medical insurance funds, establish and improve the supervision and assessment system, regularly disclose the service conditions, daily supervision and punishment information of clinics, and accept social supervision It is necessary to organize regular training for clinics, improve their awareness of medical quality and safety management, and form a normal operation mechanism to ensure medical quality and safety We should strengthen the supervision and management of clinics in accordance with laws and regulations such as the law of medical practitioners, the regulations on the management of medical institutions, and the regulations on the handling of medical accidents If we find problems, we should rectify them within a time limit If we fail to implement the rectification, we should cancel the medical institution license We will seriously investigate and deal with illegal practices such as practicing medicine without a license and providing services beyond the scope The clinic will be included in the scope of supervision, such as social conduct evaluation, score management system for bad practice of medical institutions, etc 15 Innovate industry supervision means The clinic shall establish an information system to record the diagnosis and treatment information, and upload the diagnosis and treatment information to the medical service supervision information system according to the regulations and standard requirements of the municipal health and health administrative department The administrative department of health and health should bring the clinic into the medical quality control system, rely on the information supervision platform, strengthen the supervision of clinic operation and medical service, realize the real-time supervision, and ensure the medical quality and safety Take the opening status of the clinic as the personal integrity record of the main person in charge of the clinic into the personal integrity system, establish a long-term mechanism of joint punishment, and explore specific methods of effective supervision As a part of hierarchical diagnosis and treatment, grass-roots medical institutions ushered in the spring of development.
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