The health ministry about print and distribute "" twelve five year plan" period of medical rehabilitation work instruction opinion "inform the

Health ministry of China www.moh.gov.cn the 2012-03-05 09:09:48

Health medical ZhengFa [2012] no. 13

        All provinces, autonomous regions, municipalities directly under the central government health TingJu, xinjiang production and construction corps health bureau:

        To carry out the CPC central committee of the state council on deepening the reform of medical care system in opinion "puts forward" pay attention to prevention, treatment and recovery, the combination of all three "principle, and satisfy the people's growing rehabilitation medical service needs, to strengthen overall recovery medical service ability construction, our according to the current medical rehabilitation practical work and" 1025 "health development planning, research has formulated the" 1025 "period of medical rehabilitation work instruction opinion". Hereby printed and distributed to you, please comply with.

Two ○ 12 to 29 February

"twelve five year plan" period of medical work rehabilitation guidance

        Medical treatment service recovery as an important part of the disease, injury to lead to body function and structure barrier, the individual activities and ability to participate in patients with limited provide services, in order to improve the injury, illness, and the people's living quality and to return to the society for the professional characteristics. The disease early rehabilitation can avoid disability occurred or reduce the degree of disability, improve the quality of life of the patients, reduce the family and social economic burden. Give full play to the role of rehabilitation medical institutions, and to improve the overall medical resources use efficiency and benefits.

        "1025" period is to achieve the comprehensive construction well-off society goal connecting link between the preceding and the key period, is also deepen the reform of medical care system in an important stage. To meet people's increasing health needs, and economic and social development for rehabilitation medicine of the development of new requirements, and gradually build a perfect medical service system, and promote the rehabilitation medicine cause the comprehensive, coordinated and sustainable development, according to the CPC central committee of the state council on deepening the reform of medical care system in opinion "and" 1025 "health development planning, these guiding opinions are formulated.

        A guiding ideology,

        Implementation of the CPC central committee of the state council on deepening the reform of medical care system in opinion "to" pay attention to prevention, treatment and recovery, the combination of all three "as a guide, to meet the people's growing rehabilitation medical service needs as the goal, in" 1025 "period to strengthen overall rehabilitation medicine ability construction, rehabilitation medicine development and rehabilitation service system construction into medical reform of public hospitals overall goals, and medical service system construction synchronized advancement, overall consideration, constructing the stratification level, phases of medical service system recovery, and gradually perfect function, and satisfy the people's basic rehabilitation medical service demand, reduce the family and social burden of disease, promote social harmony.

        Two, work target

        (1) improve rehabilitation medical institutions building and management. General hospital all-around-doctors rehabilitation should achieve "general hospital rehabilitation all-around-doctors basic standards" and "general hospital rehabilitation all-around-doctors construction and management guide" (hereinafter referred to as the "standards" and "guide", similarly hereinafter) requirements, rehabilitation hospital should achieve the rehabilitation hospital "basic standards requirements. Community health service center and be able to develop the new basic medical services and rehabilitation disability prevention, rehabilitation related to health education.

        (2) strengthen the health professionals team construction. Gradually establish rehabilitation therapists standardization management system, doing on-the-job rehabilitation physicians, therapists and nurse training work.

        (3) improve rehabilitation medical service ability. General hospital in rehabilitation all-around-doctors early and standardization of the rehabilitation therapy. Gradually establish national and provincial rehabilitation center in medical quality control and quality control work.

        (4) initially established a level, phases of layered rehabilitation medical service system, gradually realize the comprehensive hospital patients with rehabilitation hospital, the medical and health institutions of medical treatment, two-way between classification referral.

        (5) the overall planning, rational use of various kinds of rehabilitation medical resources. Traditional Chinese medical treatment institutions at various levels, maternity and child care centers and recommended system rehabilitation facility with disabilities around related disease undertake corresponding medical and rehabilitation work task.

        Three, the main task

        (1) promote rehabilitation construction and management of the medical institution.

        1. General hospital rehabilitation to accord with the standard "all-around-doctors and" guide "requirement, based in the acute phase of disease early rehabilitation, and related to fully mix clinical departments, promote the patient recover, prevent disability occurs, improve the prognosis of patients with, improve the quality of life. Level 3 general hospital rehabilitation all-around-doctors shall be liable for area rehabilitation medicine professional training mission, give full play to the regional radiation leading role.

        2. To promote the standardization of the rehabilitation hospital construction and management, improve rehabilitation hospital building standards, to provide the patients with stable disease professional, comprehensive rehabilitation, and has the related disease diagnosis and treatment and disposal of the general ability and emergency first aid ability. Strengthening of regional old hospitals, nursing homes and chronic hospital and medical agencies to cooperate continuity. Level 3 rehabilitation hospital shall be liable for regional health professionals of the training mission.

        3. Strengthen community health service center, the new rehabilitation medicine ability construction, for monitoring patients disease provide basic rehabilitation services, strengthen the health education, conditions allow, can provide home rehabilitation nursing services. Will people with existing medical service information recover the health of people file combined.

        (2) strengthen the health professionals team construction.

        1. Increase rehabilitation medicine professionals quantity, improving the quality of the team. Encourage other practice range of physicians, through the standardized training for all-around-doctors physicians to recover. Implementation of rehabilitation medicine professional specialist system, exploring the standardized management system established rehabilitation therapists.

        2. Establish rehabilitation professional training system, improve the service ability. Formulate rehabilitation physicians, rehabilitation therapists and rehabilitation training syllabus and teaching material nurse, and gradually establish and perfect the rehabilitation medical professionals to continue education system. According to the actual provinces area, make full use of the resources, in a planned manner and different levels, different types of rehabilitation professional training, focusing on the therapist to rehabilitation training. Establish provincial rehabilitation therapists training base, to the end of 2015 the rehabilitation therapists full training site.

        (3) improve rehabilitation medical service ability.

        1. Health organization make common disease diagnosis and treatment and rehabilitation technical specification, clinical pathway and rehabilitation treatment quality assessment standards, further improve the service quality and regulating the service behavior. Local health administration departments should strengthen the administration of medical institutions to rehabilitation and guidance, reflect rehabilitation services professional characteristics, pay attention to discipline fusion, outstanding diagnosis and treatment effect.

        2. Establish and improve the medical service in order to recover the standardization of management and continuously improve as the core of quality control system. The establishment of a national and provincial rehabilitation medical quality control center, conditional cities also want to control the center was established. Give full play to the role of control center at all levels, enhance service ability, the rich connotation development of the discipline, and to form the scientific, standard and system of rehabilitation medicine long-term development mechanism.

        3. Health organization make national recovery demonstration base of medical service standard, and carry out the national rehabilitation medical service demonstration base selection work, play a rehabilitation medical service demonstration, and bear the area rehabilitation medicine specialized technical personnel of teachers of the training mission. Provinces (autonomous regions and municipalities) make provincial standard, the selection 1-2 provincial level rehabilitation medical service demonstration base, undertake province demonstration role and rehabilitation service medical professional training work, form different levels, different characteristics, rational layout, the system of professional medical rehabilitation training network.

        4. General hospital gradually establish a recovery with other clinical all-around-doctors all hospitals cooperation mechanism, strengthen the team cooperation mode. Health professionals active further other clinical departments, and carry out early rehabilitation, enhance the overall treatment effect, for patients to professional rehabilitation facility or to return to the community, the family to be ready.

        5. Make full use of traditional Chinese medicine and traditional rehabilitation treatment technology play characteristics and advantages, in basic medical and health institutions to push in practical traditional rehabilitation treatment technology, improve the therapeutic effect.

        6. Give full play to the country (condition) rehabilitation medicine academic groups inside and outside and professional organizations of the resource advantages, and actively engaged in domestic and international academic exchange activities, the tracking world advanced rehabilitation medical technology, and improve the international influence.

        (4) through the pilot exploration level layered and stage set up the healing of the medical service system.

        1. In medical health system reform macro adjustment of medical resources at the same time, set up perfect synchronization carry out medical service system recovery trial work, establish stratification level, points to explore the effective model recovery stage. This area for regional health planning and program of the establishment of medical institutions, reasonably determine the rehabilitation of medical institutions at various levels and quantity, scale and layout, appropriately increase incremental, adjust stock, increase and other medical institutions synergy and adaptability, and satisfy the people's growing rehabilitation medical service needs.

        2. Different levels clear medical institution's recovery function orientation, layered level medical and stage recovery. Level 3 comprehensive rehabilitation hospital in the acute phase patients all-around-doctors disease is given priority to, based on early in rehabilitation treatment, the patient in turn, and bear the talent training (training) task; Rehabilitation hospital patients with disease stable is given priority to, provide the specialized subject, professional rehabilitation services; The medical institutions with disease monitoring patients is given priority to, for patients to provide professional guidance rehabilitation medicine.

        3. Set up different levels, different category of the classification of medical institutions recovery between medical, two-way referral system. Establish the hospital and urban and rural medical institutions division of labor cooperation mechanism. Encourage level 3 general hospital and basic medical institutions or rehabilitation hospital in management, service, technology, as the link, a close or loose relations of cooperation. The public health administrative department to make referral standards, rules and procedures, and actively communicate with related departments, and gradually establish classification security system exploration, and give full play to the policy guidance and control function.

        4. The medical resources in relatively abundant region, encourage conditional level 2 general hospital (including enterprises and do hospital) in a planned way, to the whole transformation by steps in order to recover the medical service mainly of general hospital or rehabilitation hospital. Make full use of health, the Chinese medicine, civil affairs, such as recommended in the field of rehabilitation services system resources advantage, overall planning, complementary advantages.

        5. Encourage, support and guide the social capital into rehabilitation in medical service, perfect policy measures and create fair competition environment, guide the social capital held in medical institutions shall operate the rehabilitation, strengthen management, healthy development, promote the rehabilitation of different ownership medical institution mutual cooperation and orderly competition, and meet the different levels of medical service needs.

        Four, security measures

        Fully realize the rehabilitation of medical services medical and social attribute attributes, and pay attention to the department cooperation. With the development and reform, education, civil affairs, finance, human resources, traditional Chinese medicine and social security departments and units recommended close cooperation, actively rehabilitation medicine education, agency for development, talent cultivation (training), funds, medical security system and policy measures to build each department understanding and support rehabilitation medicine development, the social focus on rehabilitation medicine of the cause of the policy and social environment.