Measures for the administration of clinic filing 2023

From 2065438 to May 2009, the clinic filing system was piloted in ten cities across the country. In July, 20021,the clinic filing system was rolled out nationwide. June, 5438+October, 2022 10, the draft of "Administrative Measures for Clinic Filing System" was released. At this point, the clinic filing system has been standardized, and the basic standards of clinics have been adjusted accordingly.

0 1 management measures for clinic filing system There are two conditions for opening a clinic. Recently, National Health Commission issued the Interim Measures for the Registration Management of Clinics (Draft for Comment) and the Basic Standards of Clinics (Revised Edition in 2022, Draft for Comment). Note: The clinics referred to in these Measures do not include Chinese medicine clinics filed in accordance with the relevant provisions of the Interim Measures for the Administration of the Filing of Chinese Medicine Clinics.

The opinion draft of the clinic filing system points out that holding a clinic should meet the following conditions:

1. To open a clinic, an individual must obtain the qualification of a medical practitioner and have been engaged in clinical work in the same profession in a medical and health institution for 5 years after registration. 2. If two or more people run a clinic in partnership, all partners shall meet the above requirements; If a legal person or any other organization holds a clinic, the main person in charge of the clinic shall meet the above requirements.

In addition, the document also clarifies the materials and other management requirements that should be submitted for outpatient filing, and finally obtains the "Outpatient Filing Certificate" before practicing activities can be carried out.

Clinical practitioners no longer require attending doctors or above. According to the opinion draft, at least 1 physicians in each clinical discipline need to obtain the qualification of practicing doctors, and have been engaged in clinical work in the same profession in medical and health institutions for 5 years after registration.

In terms of the qualification of clinic doctors, it can be said that the threshold has been lowered or retained.

The decrease means that the pilot area of 20 19 filing system requires medical practitioners to have the title of attending physician or above, but this requirement was cancelled in the management opinion draft of filing system.

The appointment means: the access of this clinic is lower than that of the pilot version, but just like the current standard, the practicing doctor has 5 years of clinical work experience.

Xu Yucai, an expert in medical reform research, analyzed that this should be the result of comprehensive consideration, and it is also in line with the original intention of the state to encourage doctors to set up full-time or part-time specialist clinics.

03? The filing system is actually: lenient entry and strict exit? The filing system is intended to further reduce administrative examination and approval items and simplify administrative examination and approval procedures. Clinic is a special industry and key field, which is directly related to people's life and health.

Therefore, the intensity of its supervision has not decreased. On the contrary, due to the gradual emergence of various risks, the voice of strengthening supervision is getting higher and higher. This puts higher demands on the post-event supervision level and supervision ability.

Incorporate clinics into the local medical quality management control system, improve the medical service supervision information system, make full use of information technology, big data and other technical means, and strengthen the medical quality and safety supervision of clinics.

In addition, there is a new supervision method of "double random and one open"-randomly selecting inspection objects, randomly selecting law enforcement inspectors, and making spot check results public in time.

For those who abide by the law, it has little impact, but for those who violate the law and lose faith, the optimal allocation of government supervision resources is "waiting at all times", which can be described as a sword hanging high.

04? In 2022, three types of clinics will be added to the basic standards of clinics. The basic standards of clinics (revised in 2022) are quite different from the old standards. Although it is only an opinion draft, it has basically taken shape, which means that the official version will be released soon.

The most intuitive changes are clinics and dental clinics, which are divided into five categories: general clinics, dental clinics, medical beauty clinics, traditional Chinese medicine (comprehensive) clinics and integrated Chinese and Western medicine clinics.

In this regard, Xu Yucai told the grass-roots doctors' commune that the three additional clinics were not new, but subdivided from the original clinics, which were unique in themselves. Moreover, with the foolish deployment of the filing system, the number of clinics may blow out, and the subdivision is to facilitate the promotion and supervision of the filing system.

The "Opinion Draft" also basically finalized the opening standards of the above five types of clinics, and clarified the diagnosis and treatment subjects, staffing, equipment configuration, use area, and post responsibilities of clinic personnel.

The following is the basic standard chart of five types of clinics (revised draft in 2022):