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On "medical institutions planning principles".
The provinces, autonomous regions, municipalities directly under the central government, plan sheet lists city health department (bureau), traditional Chinese medicine (drug) administration, concerned ministries and commissions (Office), Health Bureau of Xinjiang production and Construction Corps Health Bureau, the relevant units directly under the Ministry of:
In order to implement the "Regulations on medical institution", I developed a "plan for the establishment of medical institutions
The guiding principle ", send you now, ask comply with to carry out.
[chapter name] attachment: "medical institution planning principles"
According to the "Regulations on medical institution" provisions, formulate "medical institutions planning principles "(hereinafter referred to as the" guiding principles "), the local health administrative departments to formulate local" medical machine Configuration planning "according to the" guiding principles ", the rational allocation of the various medical institutions at all levels, filling Use of the limited medical resources, and better for the citizens to provide cost-effective medical, pre Prevention, care, rehabilitation services.
"Plan for the establishment of medical institutions" (hereinafter referred to as "planning") is a regional health planning importantPart of the administrative department of public health, is the approval of the establishment of medical institutions basis, therefore, the "planning" Formulate, regional health planning should follow the basic principles and methods.
A plan for the establishment of medical institutions, the meaning of
"Planning" to residents of the region, the actual health medical service demand as the basis, to reasonable configuration Use of medical resources and fair to all citizens to provide high quality service for the purpose of basic medical Will, various, different subordinating relation, different forms of ownership medical institutions, unified planning set And layout. Based on the "planning" is set within the region at all levels of medical institutions, medical and health information guide Source of reasonable configuration, with the area of certain people's actual demand for medical service, avoid medical health Resource allocation of overlapping or omissions, is conducive to the full and reasonable utilization of the limited medical resources in China, to establish suitable for our national conditions and with Chinese characteristics of the medical service system, not only for our citizens.
The ground to provide basic medical services, also can effectively control medical cost.
Two, the principle of the establishment of medical institutions and medical service system framework
Medical institutions to thousands of population number of beds (1000 population medical beds), a thousand population doctor Number (1000 population Chinese number) and other key indicators as the basis for macroscopical adjusting control, specific target value by the Province, autonomous region, municipality directly under the central government based on local conditions to determine the.
Medical institutions shall follow the main principles:
(a) the principle of fairness. From local medical supply and demand in reality, facing the crowd, charging To play the role of the existing medical resources. The present stage of development to rural, basic level as the focus, strict control City medical institutions development scale, ensure that all residents, especially farmers fair share matrix The medical service;
(two) the overall benefit principle. Medical institutions should be in accordance with local health development planning The requirements, should give full play to the whole function of medical system, the rational allocation of medical resources, improve medical Preventive health care network whole benefit, the local to global;
(three) accessibility principle. Medical service radius suitable, convenient transportation, rational layout, easy to care for the masses;
(four) principles for a classification. For the rational and effective use of health resources, ensure medical institutions Service quality, according to the medical institutions function, task, the scale will be divided into different levels, the implementation of standard There is not, and require different management, establish and perfect medical classification system;
(five) the public ownership dominant principle. Medical institutions shall adhere to the state and collectives, a People and other social groups to do is additional principle;
(six) the principles of both traditional Chinese and Western medicine. According to the basic principles of the work of health, both traditional Chinese and Western medicine, Combination of traditional Chinese and Western medicine, Chinese medicine, ensure national medical institutions reasonable layout and the allocation of resources.Medical service system framework:
(a) according to the three tier health care and medical classification concept, one or two, three. Hospital settings should be clear, reasonable structure, function reachs the designated position, build suit our country national condition grading medicine Therapy and two-way referral system framework, in order to develop integral function;
(two) to develop in the middle of medical services and facilities (including hospital department of rehabilitation medicine, Community rehabilitation, family bed, nurses' station, nursing home, elderly and chronic diseases in medical institutions), Give full play to the role of grassroots medical institutions, to promote rational triage of patients, acute hospital (or hospital Acute disease development department);
(three) to establish and perfect the emergency medical service system. Emergency medical service system should be in first aid Heart, a first aid station and hospital emergency department (room), a rational layout, shorten the service radius, to form urgently Save service network;
(four) the other medical institutions into level three and level three medical network or network cooperate closely, harmonious.
(five) establishment of TCM, combination of TCM and Western medicine, the national medical service system.
Three, "" content plan for the establishment of medical institutions Analysis of the current situation (one). Analysis of the residents' medical service demand, utilization and influence for Analysis of grain, health care resources and environment. Actively create conditions for health service survey, Specific methods according to national health service survey scheme. The condition does not have place may underlie the area Social economic status of population, may refer to national health service survey results, the determination of regional medical service Service demand and utilization.
(two) the main health problems and influence factors. In the basis of analyzing the current situation, find out the local Residents of major health problems (based on incidence, prevalence, mortality, disease order, cause of death Cis position) and its influencing factors, determining the reasonable setting of regional medical institutions.
(three) to identify medical institutions. Based on the above analysis, and the area under this society by Economic development level, geographical conditions, demographics, health service demand, the demand for medical services Prediction, and then determine the needed medical institutions category, level, quantity, scale and distribution, The total number of beds and to determine the necessary and essential total number of physicians.
A total of 1 essential beds.
(1) ordinary beds according to the following formula:
Sigma (A x BCD) 1
X
The utilization of beds beds turnover
Among them: the said sum; A said to age hierarchical region population (population should be Is the household registration population, shack population and floating population average and); B expressed in the age of Admission rate; C said other inflows inpatients number; D represents the area to the field hospital Number of patients; population refers to the plan at the time of the night population; age group in five years for an age Division of inflow, outflow; around the hospitalized patients through patient survey to determine number.
(2) branch bed number calculation: according to the above formula of rate, hospital bed utilization rate Hospitalized patients are treated, the division rate, bed utilization rate, inpatient number replaced.
(3) levels of hospital beds are identified: the first organized experts to demonstrate the different level hospital A branch of disease, and then by the branch disease beds were calculated at all levels of hospital beds.
(4) various hospital settings to determine the number: one or two, according to three hospital beds and clothing Service radius, and determine the.
(5) to determine the number of specialist hospital setting: in total population and its composition, residents of the College Incidence of disease, the service radius, the situation of health resources determine.
A total of 2 essential physician.
According to the local medical needs, health administrative departments at the provincial level research to determine the total number of physicians, branch The number of physicians; according to the country is actual, study to determine the total number of rural doctors; and according to the area of medical needs Ask, study identified no beds medical institutions of the physicians in the area the population proportion, in order to control Do not set bed various types of medical institutions, to further define the configuration and layout.
Medical institutions of the layout, to consider its accessibility, convenience for the residents, referral. Level three Medical institutions to reasonable distribution.
(four) design and production situation of medical institutions and planning chart.
Four, "plan for the establishment of medical institutions" to formulate the authority and procedures
The formulation of "planning" to government leaders at all levels, by the administrative department of Health (including medicine (drug The administrative departments responsible for specific)) organization. Province and county of "planning" to be located in the city district (or Area) formulated by the "planning" for the foundation. The "planning" to formulate the authority and procedures are as follows:
The 1 districts of the city (or area) the health administrative departments in accordance with the regional health planning: Principles and Method of planning "," development and organization of work:
(1) establishment of "planning" organization (including leading group, the guidance of experts and working groups etc.);
(2), "planning" proposed demonstration program;
(3) according to the "planning" project organization job specific;
(4) in the province of the macroscopic adjustment and put forward medical institutions configuration layout, complete "planning"Report, reported Municipal People's Government approved the issuance and implementation;
(5) the organization "planning" the implementation of.
2 county level health administrative departments:
(1) in the districts of the city (or area) the health administrative department organization participated in the "planning".Specific work;
(2) in accordance with the unified plan completed less than one hundred beds in the medical institutions of the specific configuration and cloth Bureau, reported to the municipal public health administrative department into the "planning";
(3) according to the area of unified planning, will be related to the county medical institutions setting part presentation of county government Approved the promulgation and implementation of.
In 3 the provincial health administrative departments:
(1) in the city (the ground) formulation of "planning", health administrative departments at the provincial level shall put forward macro control The guidance system;
(2) in accordance with the Ministry of health policy, this province actual need, medical service radius And the feasibility of developing the province's five hundred beds above hospital, key specialist and hospital, emergency key Heart, Center for clinical laboratory and other medical institutions configuration scheme;
(3) according to the province within five hundred bed hospital, emphasis and focus more specialist hospital, the emergency center, Center for clinical laboratory configuration, to the province of the districted city (or area) system Set "planning" macro-control after complete province "planning";
(4) the province of "planning" reported the provincial government approved the promulgation and implementation of.
Five, the adjustment of medical institutions
In all parts of the implementation of "planning" in the process, the existing medical institutions that do not conform to the "planning" to For, repeat set of medical institutions, if necessary, can be reasonable adjustment.
As the area of the body, beds, doctors and the proportion of the population has reached the "planning" proposed indices. should no longer planning of new, expansion of medical institutions.
Six, "" the revised plan for the establishment of medical institutions
"Planning" every five years revised once, according to the assessment of the situation and the local society, economy, Medical needs, medical resource, development and changes of disease, the index revision. The new "Planning "to the program review, approval, issuance.
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