The State Health and Care Commission and the State Administration of Traditional Chinese Medicine jointly issued a paper to promote the construction of the medical union.

On July 17, the National Health and Care Commission and the International Administration of Traditional Chinese Medicine issued the Notice on the Issue of The Management Measures of Medical Unions (Trial) to accelerate the construction of the medical union and gradually realize the management of the grid layout of the medical union.
Attached: Management Measures for Medical Unions (Trial) Chapter 1 General Provisions Article 1 In order to accelerate the construction of medical complexes (hereinafter referred to as medical unions), standardize the construction and management of medical associations, improve the operation and management mechanism of medical associations, help build a hierarchical diagnosis and treatment system, and promote the development of medical and health institutions from treatment-centered to Health-centered transformation, in accordance with the "State Council General Office on the promotion of the construction of a hierarchical medical and treatment system guidance" (State Office issued (2015) No. 70), "State Council Office on the promotion of the construction and development of medical unions" (State Office issued (2017) No. 32) and other documents, the formulation of these measures.
Article 2 The term "Medical Unions" as mentioned in these Measures includes, but is 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.
Article 3 The construction of urban medical groups and county medical communities shall 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.
specialized alliances and telemedicine collaboration networks to rely on the academic (association) and other industries or medical and health institutions to form their own main, local health and health administrative departments and Chinese medicine authorities to guide. the construction of
medical union should fully mobilize the enthusiasm of the participation of the society in medical management.
Article 4 The construction of the medical union shall insist that the responsibility of the main body of government-run medical care shall remain unchanged, arrange the financial investment funds of the medical and health institutions of the medical associations in full accordance with the original channels, effectively safeguard and safeguard the public welfare of basic medical and health services, effectively enhance the capacity of medical services, public health services and emergency response to public health emergencies, and reflect the social responsibility of public hospitals.
Article 5 The construction of the medical union shall adhere to the reform of medical, medical insurance and medical association, gradually break down the barriers and obstacles in administrative division, financial input, medical insurance payment and personnel management, and guide the medical union to establish a perfect mechanism of division of labor, cooperation and benefit-sharing, and promote the sustained and healthy development of the medical union.
Article 6 The construction of the medical union shall be guided by the people's health as the center, optimize the distribution of resources structure, guide the sinking of high-quality medical resources, promote the combination of disease prevention, treatment and management, and gradually realize the homogenization of medical quality. article 7
Article 7 The National Health And Health Commission shall be responsible for the formulation and supervision of relevant policies for the construction of the National Medical Union, and the local health and health administrative departments at or above the county level shall be responsible for planning, implementing, managing and supervising the construction of the medical union in their jurisdictions. chapter of the
Chapter II Urban Medical Group and County Medical Community Article 8 Health administration departments at all levels (the competent departments of Chinese medicine) shall, in accordance with the principle of "planning and development, zoning package, prevention and control, industry supervision", strengthen the coordination of Chinese and Western medicine, scientifically plan, form urban medical groups and county medical communities, mainly play the leading role of municipal and county hospitals (both including Chinese medicine hospitals, the same below) and on behalf of regional medical level hospitals.
principle, the commission of (management) hospitals, university-affiliated hospitals, provincial hospitals should form high-level cooperative relations with the urban medical group, not lead the management of the urban medical group grid.
encourage Chinese medicine hospitals to take the lead in forming various forms of medical associations.
in the construction of urban medical groups and county medical community, we should strengthen the construction of Chinese medicine hospitals, implement their functional orientation, and retain their independent legal personality. article 9
The municipal and county health administrative departments of the district shall formulate plans for the construction of the regional medical union, divide the service area into several grids according to such factors as geographical relationship, population distribution, public health needs and distribution of medical and health resources, integrate medical and health resources within the grid, form a number of other hospitals, primary health care institutions, public health institutions and other medical associations as members.
encourage infectious diseases and psychiatric hospitals to be integrated into the health-care grid management, give full play to the overall advantages of medical resources, and promote the promotion of the region's ability to treat infectious diseases and mental illness.
encourage disorganized health care institutions to participate in medical associations in accordance with the voluntary principle. article 10 of the
, in principle, each grid is the responsibility of a medical group or the Medical Community to provide integrated and continuous medical and health services for the population of the grid, such as disease prevention, diagnosis, treatment, nutrition, rehabilitation, nursing, health management, etc.
tertiary hospitals, maternal and child health institutions, public health institutions and rehabilitation, nursing and other chronic medical and health institutions can provide services across the grid.
encourage the establishment of mechanisms of mutual cooperation, orderly competition and scientific development among different medical groups or medical community seisi-e-physicians in the same city or county area to guarantee the right of patients to choose their own medical treatment.
Article 11 The urban medical groups and county medical associations shall set up specialized medical management agencies to coordinate the planning and construction of medical associations, input guarantee, project implementation, personnel arrangements, remuneration distribution and assessment and supervision.
Article 12 Urban medical groups and county medical associations shall formulate a constitution of the medical association, stipulate the responsibilities, rights and obligations of the leading hospital and other member units, clarify the functional orientation of the member units, and establish a benefit-sharing mechanism.
strengthen the Party building work of the Medical Association, give full play to the leading role of the Party organization in its direction, overall management, decision-making, promoting reform and safeguarding its implementation.
Article 13 Urban medical groups and county medical associations shall, in accordance with the principles of streamlining and efficiency, integrate and set up management centers for public health, finance, human resources, information and logistics, and gradually realize the unified management of medical administration, medical operations, public health services, logistics services and information systems, coordinate the internal infrastructure, material procurement and equipment allocation of medical associations, and actively control operating costs.
Article 14 Urban medical groups and county medical communities shall strengthen the sharing of resources in the body of medical associations and provide homogenization services to medical and health institutions in the medical associations through the establishment of medical imaging, examination and examination, pathological diagnosis and disinfection supply centers.
, 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.
Article 15 Urban medical groups and county medical community shall implement personnel post management and gradually realize the unified recruitment, training, deployment and management of personnel within the medical association.
professional and technical personnel in the urban medical group and county medical community multi-point practice does not need to go through the practice place change and practice institutions for the record procedures. article 16
The urban medical groups and county medical associations shall set up specialized departments to undertake the financial management, cost management, budget management, accounting, price management, asset management, accounting supervision and internal control of the medical union, and gradually realize the unified financial management, centralized accounting and overall operation of the medical association.
strengthen the internal audit work of the medical union and give full play to the role of audit supervision.
Article 17 Urban medical groups and county medical communities shall strengthen the standardization and standardization of information platforms, gradually rely on the regional national health information platform to promote the interconnection of information systems of all types of medical and health institutions at all levels in the medical union, build a network of remote medical services within the medical union grid, and provide remote imaging, telecardiogram, remote consultation and other services to the grass-roots level. article 18
The medical and health institutions in the medical association shall strictly implement their functional orientation and implement the requirements for 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 in the stable period of critical illness to lower-level medical and health institutions for continuous treatment and rehabilitation, and provide patients with disease diagnosis and treatment-rehabilitation-long-term nursing continuity services. article 19
The urban medical groups and county medical community shall 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. article 20
The leading hospital of the Medical Association shall strengthen the construction of emergency rescue teams, establish and improve the system of emergency materials in the medical union, organize emergency drills, and strive to enhance the emergency response capacity of public health emergencies.
Article 21 Within the urban medical groups and county medical community, two-way referral channels and platforms shall be established between the leading hospitals and member units, establish and improve two-way referral standards, standardize the two-way referral process, and provide patients with smooth referral and continuous consultation services.
Article 22 The urban medical groups and county medical associations shall implement the requirements for the signing of the team, and shall form a team of general practitioners and hospital specialists from primary health care institutions in the medical union body to provide team signing services for the residents of the grid, forming a service mechanism for the integration of general practice and specialist linkage, contracted doctors and teams, and organic integration of medical and preventive medicine. article 23
The lead hospital shall be responsible for the quality management of medical care in the medical union, strengthen the quality management of medical care in accordance with the relevant provisions and standards of the administrative departments of health and health and the competent departments of Chinese medicine, and improve the level of homogenization of medical quality in the region. article 24
The lead hospital shall give full play to the leading role of technical radiation, strengthen the guidance of member units, and focus on helping to improve the medical service capacity and management level of member units through various means such as specialized co-construction, cooperative cooperation in education and training, and cooperation in scientific research projects. article 25
strengthen the supply guarantee of drugs and supplies in the medical association, promote long-term prescriptions and extend prescriptions in the medical union, and gradually unify the drug supplies management platform, realize the convergence of drug catalog, purchase data sharing, free flow of prescriptions, integrated distribution payment, homogenization pharmacology services.
After obtaining the approval of the drug supervision and administration department under the State Council or the drug supervision and administration department of the provincial (district or city) people's government, the preparations in the hospital of the member units of the medical union may be used in the medical union. Chapter III
Specialty Union Article 26 Health administration departments and chinese medicine authorities at all levels shall, in accordance with the situation of patients' cross-regional medical treatment and technical needs, guide the construction of the specialized alliance in a targeted manner.
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.
encourage the formation of provincial and municipal maternal and child health care institutions to take the lead, with regional coalitions of maternal and child health care institutions as members at the district level. Article 27
The construction of specialized alliances shall strengthen the construction of major diseases and key disciplines with great health hazards and great eras, and focus on promoting the fields of oncology, cardiovascular disease, cerebrovascular, and specialized alliances in shortage of medical resources, such as pediatrics, obstetrics and gynecology, anesthesiology, pathology and psychiatry.
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. Article 28
The lead unit of the specialized alliance shall report the management of the medical union organization to the administrative department of health at the same level and the competent department of Chinese medicine. Article 29
The Specialty Union shall formulate the constitution of the Union and clarify the form of organization management and cooperation of the specialty alliance.
the lead unit and the member units shall sign a cooperation agreement, which stipulates the responsibilities, rights and obligations of each unit. Article 30 of the
, the specialty alliance shall, with the link of specialized cooperation, give full play to the leading hospital's technical radiation-driven role, and enhance the medical service capacity and management level of member units through various means such as specialized co-construction, cooperative cooperation in education and training, scientific research and project collaboration.
Article 31 The specialty alliance shall strengthen the sharing and security management of data information under the premise of ensuring the security of data.
, 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.
Article 32 The lead unit of the specialty alliance shall strengthen medical quality management, refine the standards and requirements of medical quality management, guide member units to strengthen medical quality management, and raise the level of homogenization of medical services. Chapter IV of the
The Telemedicine Collaboration Network Article 33 Health administration departments and the competent departments of Chinese medicine at all levels shall promote the development of telemedicine services, combine with the construction of a regional health information platform for all, take the leading units such as the commission's hospitals,university hospitals, provincial direct hospitals and maternal and child health hospitals as the main units, focus on the development of the telemedicine collaboration network for remote and poor areas, and improve the five-level tele-medical service network.
Article 34 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.
Article 35 Each lead unit shall give full play to the leading role of technological radiation, gradually promote Internet diagnosis and treatment through telemedicine, remote consultation, remote room inspection, distance learning, tele-induced electrocardiogram, remote monitoring, etc., and make use of information-based means to sink high-quality medical resources, enhance the capacity of primary medical services, and improve the accessibility of high-quality medical resources.
Article 36 When carrying out Internet diagnosis and treatment and telemedicine services, medical and health institutions shall strictly abide by the requirements of the Measures for the Administration of Internet Diagnosis and Treatment (Trial) and the Measures for the Administration of Internet Hospitals (Trial) and the Regulations on the Administration of Telemedicine Medical Services (Trial) to ensure the quality of medical care and medical safety.
Article 37 Medical and health institutions may reasonably charge fees in accordance with relevant provisions for Internet medical treatment and telemedicine services. Chapter V of
Assessment and Evaluation Article 38 The administrative departments of health and health at all levels, the competent departments of Chinese medicine and the lead units of the medical association shall strengthen the comprehensive performance appraisal of medical associations in accordance with the relevant requirements of the Work Programme for Comprehensive Performance Evaluation of Medical Unions (Trial) and the performance appraisal of public hospitals.
Article 39 The administrative departments of health and health at all levels and the competent departments of Chinese medicine shall establish a mechanism for the comprehensive performance appraisal and dynamic adjustment of the medical associations, conduct annual performance appraisals on the construction of medical associations in their respective jurisdictions, and publish them in an appropriate form.
the results of the examination as the basis for hospital evaluation, medical center and regional medical center setting.
Article 40 The administrative departments of health and health at all levels and the competent departments of Chinese medicine shall take the urban medical groups and county medical communities as the main assessment points, and shall mainly assess the operation mechanism of the medical association, the division of labor and cooperation in the medical association, the sharing and sinking of regional resources, the play of the role of technical radiation, the sustainable development of the medical union, and the improvement of public health and residents' health.
at the same time, strengthen the jurisdiction.