The “shared medical” exploration model was officially recognized by the National Health and Nutritio

On June 19, the National Health and Sanitation Committee issued the Notice on Further Reforming and Perfecting the Medical Institutions and Physician's Examination and Approval Work (hereinafter referred to as the "Notice").The "Notice" is oriented to the needs of the industry and the masses, and has faced the core issues of the reform of "distribution and management" in the medical field, and has put forward many specific measures.

  Among them, the second article of the notice is "Improve the registration of medical institutions' subjects for diagnosis and treatment", specifying that "medical institutions can entrust inspections, pathology, imaging, and disinfection to independent third-party medical institutions or qualified medical institutions."This also means that the “shared medical” exploration model has been officially recognized by the national health authority.

  From the content of the “Notice” released this time, it can be seen that the focus of this reform is on the following aspects, which will help accelerate the sharing of information on medical resources, help the people to reduce the cost of doing business, master the progress of management, and simplify the processing of materials.

  1. Simplification of various processes and procedures

  Use information technology to promote the service of examination and approval services. The e-registration approval breaks the time and space constraints of the traditional approval method, and provides the “not to fight, not meet” approval service, and realizes online acceptance, online processing, and online feedback.In addition, the materials and links needed have been further streamlined so that information will run more and people will run less.

  2. speed up the sharing of information on medical resources

  Level registration information of medical institutions and medical personnel through the electronic registration system background and associated integration, the formation of a map of medical resources allocation, health and health administrative departments can at any time call, analyze the use of medical resources, flow and operation, and further enhance the situation In the post-regulatory capacity.It is convenient for people to inquire about the basic information of medical institutions and medical personnel. Many hospitals now have online services for online booking and mobile payment, but there are still situations where information cannot be exchanged between different hospitals.

  3.To enrich the supply of medical resources

 There are 10 new types of medical institutions that are independently set up. They precisely match the needs of the masses and diversified health services on the one hand and supplement and strengthen the supply of medical resources. On the other hand, a platform-based service model was established to achieve the intensive use of medical resources.

  Attachment: "Notice on Further Reforming and Perfecting Medical Institutions and Physician's Examination and Approval Work"

  The provinces, autonomous regions, and municipalities, the Health and Family Planning Commission, the Administration of Traditional Chinese Medicine, and the Xinjiang Production and Construction Corps Health and Family Planning Commission: In order to thoroughly implement the spirit of the Party's Nineteenth National Congress and the State Council’s Clean Government Work Conference, it is important to deepen the implementation of the reform of the “distribution service” reform.Continue to optimize the approval process in the medical field, improve the efficiency of examination and approval, and give better play to the role of the competent department of the health and hygiene industry. According to the "Notice on Further Promoting the Approval of Approving Services Convenient to Localization" issued by the General Office of the State Council General Office of the CPC Central Committee, The notice on the further reform and improvement of medical institutions and physicians' approval is as follows:

  1. Fully promote the reform of electronic registration management

  The local health administrative departments at various levels (including the competent department of Chinese medicine, the same below) shall take the promotion of the reform of the electronic registration management of medical institutions, doctors and nurses as an important starting point for the reform of the “distribution service” in the medical field, and accelerate the establishment of approval information. The sharing mechanism further simplifies the approval process, shortens the time limit for approval, and increases the efficiency of approval.Before the end of June 2018, the nationwide implementation of electronic registration management. The provincial health administrative departments organize the printing and distribution of medical institution practice licenses and copies according to the electronic registration management situation and the production styles and technical requirements formulated by the National Health and Sanitation Committee.

  2.Optimize the registration of medical institutions

  Under the premise of ensuring the quality and safety of medical care, medical institutions may entrust medical examination laboratories, pathological diagnosis centers, medical imaging diagnostic centers, medical disinfection and supply centers, or other medical institutions with conditions to provide medical tests, pathological diagnosis, and medical imaging. , medical sterilization and other services.The health and health administrative department may use the entrustment agreement as the basis for the registration of the relevant medical treatment subject of the medical institution, and remark the "agreement" after the diagnosis and treatment subject.The leading medical hospitals of the City Medical Group and the county medical community should meet the basic standards of the corresponding medical institutions and have the service capabilities of medical examination, pathological diagnosis, medical imaging, and disinfection supplies.

  3.Regulate the name of profit-making medical institutions

  The name of a for-profit medical institution shall comply with the relevant provisions of the registration of the name of the enterprise, individual industrial and commercial households, and the nomenclature of the medical institution.The health and health administrative department shall strengthen the communication with the market supervision department, and promptly provide the market supervision department with information on the name of the for-profit medical institution according to the needs of the work.The health and health administrative department shall, on the basis of the application of the for-profit medical institution, issue the certification materials of its medical institution name information to facilitate the normal practice and operation of the for-profit medical institution.

  4.Simplify the application for approval of medical institutions

  Local health administrative departments at all levels shall fully organize and clear the application materials for examination and approval of medical institutions. All those who lack laws and regulations shall be abolished;Where information can be obtained through sharing information with other departments, the applicant must not be required to provide supporting materials. If an applicant applies for medical institution registration, it will no longer provide a capital verification certificate. The applicant shall be responsible for the authenticity of the registered capital.

  5.Level 2 and below medical institution setting approval and practice registration "two certificates together"

  In addition to tertiary hospitals, tertiary maternity and child care hospitals, emergency centers, first aid stations, clinical testing centers, Sino-foreign joint ventures and cooperative medical institutions, and wholly-owned medical institutions of Hong Kong, Macao, and Taiwan.If other medical institutions are to be held, the health and health administrative department will not issue the "Approval for the Establishment of Medical Institutions" and will only issue the "Practice License for Medical Institutions" when registering for practice.Before applying for registration, the organizer shall conduct an in-depth study of the feasibility of setting up a medical institution and its influence on the surrounding areas, and rationally design the site layout, function positioning, service mode, diagnosis and treatment subject, staffing, number of beds, and equipment for the medical institution. Facilities and other matters.When applying for practicing registration, the applicant shall submit the materials (excluding the capital verification certificate) specified in Items 2 to 7 of the first paragraph of Article 25 of the Regulations for the Implementation of the Regulations for the Management of Medical Institutions.After the health administrative department accepts applications for registration of medical institutions, it shall publicize the basic conditions of the medical institutions applying for registration, and conduct an audit in accordance with Article 26 of the Implementation Rules of the Regulations for the Administration of Medical Institutions;Those who pass the examination shall be issued a “Practice License for Medical Institutions”; if the examination fails, the result of the review and the reasons for the non-approval shall be notified in writing to the applicant.

  6.Merger of obstetrics and gynecologists practice certificate and maternal and child health care technical assessment certificate

  According to the "Maternal and Child Health Care Law" and its implementation methods and other related regulations, after obstetrics and gynecologists pass the maternal and child health care technical training and pass the assessment, relevant contents of the maternal and infant health care technical service will be added to the doctor's practice certificate and maternal and child health technical examination certificate. will not be issued separately.The local health administrative departments at all levels must attach great importance to the examination and approval of medical institutions and physicians. In accordance with the requirements of this Circular, the detailed introduction of supporting implementation rules shall be implemented.Do a good job in policy publicity and interpretation, update and improve service guides and procedures for related matters in a timely manner, and strive to allow related agencies and personnel to work only one door and run once.

National Health Committee

State Administration of Traditional Chinese Medicine

June 15, 2018