The ministry of health, the doctor go out consultation management interim provisions"

Author: Zhou Tingyu source: xinhua

        The ministry of health released 16 "physician out consultation management interim provisions", regulate the behavior of physician consultation between medical institutions, convenient to the masses, protecting the legitimate rights and interests of patients, doctors and medical institutions. Provisions shall come into force as of July 1, 2005.

        Regulations, out for consultation refers to professionals, approved by the medical institutions where, for other medical institutions to specific patients in clinical activities within the scope of practice.

        Stipulated explicitly the invitation physician consultation and sending physician consultation process. Medical institutions in the process of diagnosis and treatment, according to the needs of the patient or the patient demand, the need to invite other physician consultation of medical institutions, the department consultation should be given to the patients, fees, etc., obtained the consent of patients, reported to the unit the medical administration department for approval; When patients do not have full capacity for civil ACTS, to its near relative or guardian consent. Invite consultation of medical institutions will invite other physician consultation of medical institutions, medical institutions need to consultation issued written consultation invitation letter.

        Provisions emphasized that when consultation invited beyond this unit or the unit does not have corresponding diagnosis and treatment subject qualification, technical force, equipment, facilities of the unit can't provide necessary medical security for consultation, consultation invitation within the invited doctors practicing scope as well as other circumstances as prescribed by the provincial administrative department of health and medical institutions must not consultation invitation is put forward.

        Regulation also stressed at the same time, in any of the following circumstances, medical institutions must not send out doctor consultation: consultation invited beyond this unit or the unit does not have corresponding diagnosis and treatment subject qualification; Consultation invitation within the invited doctors practicing scope; Invite medical institutions do not have the corresponding medical treatment condition; Other circumstances stipulated by the health administrative department at the provincial level.

Attachment: the ministry of health "physician out consultation management interim provisions"

The health ministry make of the People's Republic of China

No. 42

        The doctor out consultation management interim provisions on December 16, 2004, the ministry of health by ministerial meetings to discuss, and the national development and reform commission, agreed to, now be released, effective as of July 1, 2005.

Minister of high strength

April 30, 2005

The doctor out consultation management interim provisions

        Article 1 with a view to regulating the behavior of physician consultation between medical institutions and promote the communication of medicine and the development, improve the level of medical treatment, ensure medical quality and medical safety, convenient to the masses, protecting the legitimate rights and interests of patients, physicians, medical institutions, according to the practice YiShiFa, the provisions of the "regulations on the administration of medical institutions", these provisions are formulated.

        Article 2 out visits as mentioned in these provisions refers to doctor approved by the medical institutions where, for other medical institutions to specific patients in clinical activities within the scope of practice.

        Without the approval of the medical institutions where doctors shall not, without consultation.

        Article 3 the health administrative departments at all levels shall strengthen the supervision and management on physician out for consultation.

        Article 4 the medical institutions in the process of diagnosis and treatment, according to the needs of the patient or the patient demand, the need to invite other physician consultation of medical institutions, the department consultation should be given to the patients, fees, etc., after the consent of the patients, at the unit the medical administration department for approval; When patients do not have full capacity for civil ACTS, to its near relative or guardian consent.

        Article 5 invite consultation of medical institutions (hereinafter referred to as the "inviting medical institutions) is proposed to invite other medical institutions (hereinafter referred to as the" consultation of medical institutions) physician consultation, consultation to the consultation of medical institutions issued a written invitation letter. Content should be included to consultation with medical record summary, will invite or invite professionals, professional and technical position qualifications, the purpose of consultation, reason, time and cost, etc., and build official seal of invitation of medical institutions.

        Consultation by phone or email, etc way put forward the invitation, shall timely written formalities fill do.

        Article 6 in any of the following circumstances, medical institutions must not consultation invitation:

        (a) consultation invited beyond this unit or the unit does not have corresponding diagnosis and treatment subject qualification;

        (2) the unit's technical strength, equipment and facilities to provide necessary medical consultation of security;

        (3) consultation invitation within the invited doctors practicing scope;

        (4) other circumstances stipulated by the health administrative departments at the provincial level.

        Article 7 of the consultation of medical institutions received invitation after consultation, in does not affect the normal operations within the department and medical safety under the premise of medical affairs management department shall timely arrange doctor out for consultation. Consultation to affect the unit normal operation but the presence of specific needs, shall be subject to approval of the consultation, head of the medical institution.

        Article 8 in any of the following circumstances, medical institutions must not send out visits:

        (a) consultation invited beyond this unit or the unit does not have corresponding diagnosis and treatment subject qualification;

        (2) consultation invitation within the invited doctors practicing scope;

        (3) inviting medical institutions do not have the corresponding medical treatment condition;

        (4) other circumstances stipulated by the health administrative departments at the provincial level.

        Article 9 consultation consultation physicians, medical institutions can not sent medical institution shall inform the invitation.

        Article 10 doctors accept after consultation tasks, should be detailed understanding of the patient, personally examined patients, complete corresponding consultation work, and according to the rules written medical documents.

        Article 11 of physicians in the consultation process shall strictly implement relevant health management laws, regulations and rules, regular and diagnosis and treatment norms.

        Article 12 in the consultation process found unqualified for consultation of doctors, should be timely and truthfully inform invite medical institutions, and an end to the consultation.

        Doctors found that in the process of consultation invited medical institutions of technical force, equipment, facilities conditions not suitable for the patients treated, consultation of quality and safety, security or be transferred to the other shall be proposed to the patients with treated condition of diagnosis and treatment of medical institutions.

        Article 13 after the consultation, the consultation of a medical institution shall will be invited to the consultation of medical institutions. Doctors should in return this unit out within 2 working days from the consultation report about situation of department personnel and medical management department.

        Article 14 of the physician in medical accident dispute out consultation process, by invitation of medical institutions in accordance with the provisions of the regulations on handling medical accidents. When necessary, the consultation of medical institution shall assist the process.

        Article 15 consultation fees involved in the consultation, in accordance with the invitation to the provisions of the medical institution is located. Travel expenses according to the actual amount settlement, no duplicate charges. Belongs to the medical institutions according to the diagnosis and treatment need to invite, traveling expenses shall be borne by the medical institution; Of patients ask for invitation, the traveling expenses shall be borne by the patient, the fees shall be provided to patients with a formal charge bill. Involved in the consultation fee standards such as treatment, operation can be in local regulations as appropriate, on the basis of the charge rate by provincial authorities under the state council in conjunction with the administrative department of public health at the same level to determine price.

        Invite medical institutions consultation fee shall be paid to consultation of medical institutions, unified shall not be paid to consultant to himself. Consultation of medical institutions the income generated in the consultation, the unified accounting should be included in the financial affairs divisions in respective units.

        Article 16 the consultation of medical institutions shall, in accordance with the relevant provisions of the pay reasonable compensation consultant. Physicians in the national legal holidays do consultation, consultation of medical institutions shall, in accordance with the relevant provisions of the state, improve the consultant to pay standards.

        Article 17 physicians when go out consultation shall not violate the regulations to accept the invitation of medical institutions, the remuneration shall not take money or ask for patients and their families, or seek other illegitimate interests.

        Article 18 in case the medical institution shall strengthen the management, this unit out visits, build out visits, archives management, and will go out visits, with combined annual appraisal.

        Article 19 medical institutions in violation of the provisions of this article 6, article 8, article 15, by the health administrative department at or above the county level shall be ordered to correct and given a warning; Clinical activities within the registered scope, according to the "regulations on the administration of medical institutions" article 47 processing.

        Article 20 doctors without authorization in violation of the provisions of article 2, article 7, out for consultation or in violation of the provisions of article 17, in the consultation by the medical institutions in medical inspection files; The education is still not correct, be given administrative sanctions or disciplinary action in accordance with the law.

        Physician consultation go against to the relevant provisions of the "practice YiShiFa", in accordance with article 37 of the practicing YiShiFa processing.

        Article 21 neglect this unit out visits, management of medical institutions, health administrative departments at or above the county level shall be responsible for the medical institutions and their principal heads and managers informed criticism.

        Article 22 the doctors by the health administrative department to other medical institutions to carry out diagnosis and treatment activities, these provisions are not applicable.

        Article 23 these regulations shall take effect on July 1, 2005.