Issued by the state administration of traditional Chinese medicine on the traditional Chinese medicine "cure not ill" of hospital construction and management guidelines (revised edition)" 

The 2014-02-17 15:04:24 reference: the department the author: 

The traditional Chinese medicine medical ZhengFa [2014] no. 3 

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission (health bureaus), administration of traditional Chinese medicine, the xinjiang production and construction corps health bureau, China academy of traditional Chinese medicine, Beijing university of Chinese medicine:
        To strengthen hospital of traditional Chinese medicine "cure not ill" construction and management, our bureau in December 2012 issued by the "Chinese medicine" cure not ill "of hospital construction and management guidelines (trial)" (hereinafter referred to as the "guidelines for trial version). Trial version of the guide to promote hospital of traditional Chinese medicine "cure not ill" construction has played a positive role, but also found some problems in the process of trial, to this end, our organization hospital of traditional Chinese medicine "cure not ill" services for the cooperative research seriously, and on the basis of summing up experience, formed the "Chinese medicine" cure not ill "of hospital construction and management guidelines (revised edition)" (hereinafter referred to as the "guide to revision"), hereby printed and distributed to you, please refer to the execution.
        The revision guide electronic version can be in the state administration of traditional Chinese medicine the government web site (www.satcm.gov.cn). Work if you have any comment and suggestion, please contact I department in time.
        Touch: the state administration of traditional Chinese medicine department combine traditional Chinese and western medicine and national medicine in the jin wang
        Tel: 010-59957686
        The true: 010-59957694
        E-mail: yzszhc@126.com 

The state administration of traditional Chinese medicine
On January 28, 2014 

Hospital of traditional Chinese medicine "cure not ill" families, construction and management guidelines (revised edition) 

One, the general 

        Article 1 with a view to strengthening the hospital of traditional Chinese medicine "cure not ill" standardization construction and scientific management, improve the service level and capacity of "cure not ill", according to the state administration of traditional Chinese medicine about the positive development of traditional Chinese medicine health care service of the implementation opinions ", the prevention of traditional Chinese medicine health care service delivery platform construction basic specification (try out) "and" Chinese medicine "cure not ill" of hospital construction and management guidelines (try out) "and other relevant documents, the system summary of traditional Chinese medicine" cure not ill "of hospital construction and management experience, on the basis of based on the" cure not ill "section office construction, making this guide.
        Article 2 these guidelines apply to level 2 above hospitals of traditional Chinese medicine "cure not ill" section of the construction and management, at all levels can be used as a management department of traditional Chinese medicine hospital of traditional Chinese medicine "cure not ill" job evaluation index on the basis of.
        Article 3 "cure not ill" is not cure disease concept as the core, in view of the individual person health status, use of traditional Chinese medicine health care technology and methods, combined with modern health management means and methods, the overall function, system maintenance and improve the individual person health risk management of the individual person to achieve "less don't get sick, sick, sick later, no recurrence" fitness goals, reach the purpose of disease prevention, longevity and health department, at this stage to "no disease prevention first, Chai defence" as its main function.
        Article 4 the "cure not ill" of the service features to people's health status identification, assessment and intervention is given priority to, rather than focusing on disease treatment; Highlight the use of non-drug methods, pay attention to the overall adjustment, the overall effect is obtained; On the management of continuous, dynamic, full and give full play to the service object's participation consciousness and ability, intergrowth effect.
        Article 5 of the traditional Chinese medicine management departments at all levels should strengthen the hospital of traditional Chinese medicine "cure not ill" guidance and management. Hospital of traditional Chinese medicine should be strengthened to "cure not ill" the standardization of the construction and management, to provide with the hospital scale, department function adapted to premises, equipment, facilities, technology and capital investment, to ensure the effective work of the "cure not ill" service, improve service quality "cure not ill". 

Second, the name of the department 

        Article 6 the principle with "cure not ill" (" cure not ill center ") as the name of the department. Due to the historical evolution of "preventive care department of traditional Chinese medicine named" can be retained; Because of the integration of health management resources "health management center (cure not ill)" such as naming can be adopted. In "GuoYi hall", "famous doctor studio", "health center", "medical department" and "preventive care division" or the name of the similar meaning words as undergraduate department name.
        Different department name to cover the service content should be different:
        Cure not ill - provides health information acquisition and data management, health status identification assessment of traditional Chinese medicine, health advice, such as TCM nursing cure disease related services.
        Health management center (cure not ill) - integrating medical department (provide health assessment of Chinese and western medicine), besides cure not ill service both health management function, carrying out health education, realize the follow-up management, etc.
        Prevention of traditional Chinese medicine health care - in the cure not ill service connotation at the same time, both immunization, worker health, women and children health care and other general hospital or medical institutions at the grass-roots level preventive care related functions. 

Third, the service object 

        Article 7 the "cure not ill" of the service object has the following five categories:
        One is the traditional Chinese medicine physique biased crowd: according to the institute of Chinese medicine in 2009 promulgated the "standard of Chinese medicine constitution classification decision", healthy check-up crowd physical identification results accord with qi deficiency, Yang deficiency quality, Yin quality, phlegm wet, wet and heat transfer, mass qi depression, blood stasis quality or special talents and quality such as biased constitution.
        Second, sub-health crowd: in sub-health ZhuangTaiZhe, characterized by a certain time, the function and decreased ability to adapt the symptoms, but do not conform to the modern medicine clinical and subclinical diagnosis standard for disease. The scope of sub-health state basically has the following two aspects: one is the body or spirit, psychological discomfort or performance, such as fatigue, weakness, mood changes, or easy to catch a cold, gastrointestinal dysfunction, decreased sleep quality, etc.; Second, and age is not consistent with the organizational structure or the performance of the physiological functions, such as memory loss, sexual life quality, etc. 
        Before three is disease state before a crowd: disease state refers to the risk factors associated with specific diseases, or abnormal physical and chemical indicators, but do not meet the related disease diagnosis standard, easy to disease status before the outcome of a disease state. Common diseases before the state has a high uric acid hematic disease, sugar dysregulation, dyslipidemia, critical hypertension, obesity, neck, shoulder, waist, metabolic syndrome, menopause, premenstrual syndrome, etc.
        Four people is chronic disease to implement health management: refers to has reached the diagnostic criteria of related diseases, diseases in plateau, willing to accept TCM health management, through lifestyle changes and self care, can improve the quality of life, promote disease to the people.
        Five is other special focus on healthy crowd: if women of childbearing age (pregnancy), male () before the health care), such as the elderly (longevity). 

Four, department structure and management mode 

        Article 8 "cure not ill" section should be the level of TCM hospital with both management and clinical function departments, led directly by the college of management, the establishment of full-time, head of the department, can cover or set up a medical (provide Chinese and western medicine health assessment, health guidance, aftercare and follow-up management of traditional Chinese medicine and health propaganda and education departments and so on.
        May not be the acupuncture, physiotherapy, massage, rehabilitation of traditional Chinese medicine (TCM) clinical departments and GuoYi hall, studio, etc into "cure not ill" category.
        Article 9 "cure not ill" families can have the following management functions:
        It is as a whole and integrate resources, to build "cure not ill" service chain. Make full use of existing resources in the hospital, the realization of health assessment, intervention, tracking management, and other one-stop service. Relevant departments exist independently, but can be incorporated into the "cure not ill" service chain, or to provide technical support to "cure not ill" service.
        2 it is to coordinate the related specialized involvement in disease management before. Support all the advantage of specialized subject choosing appropriate disease, promoting disease management, and moved forward to the front of the disease state management.
        Three is the radiation. Through for community health service centers and other grassroots medical institutions and supports "cure not ill" talent cultivation "cure not ill" related business, extension development of traditional Chinese medicine "cure not ill" service, enhance the service level "cure not ill". 

Five, the department division 

        Article 10 shall set up health information collection and identification assessment areas, health advice and guidance regional, health intervention, health education and other auxiliary area, the regional layout is reasonable, the working process is convenient, privacy protection service object. Locale simply reflect related functions can, do not ask for the corresponding areas on a name.
        Health information collection and identification assessment areas (such as a medical or physical identification area) is mainly used for information collection and input of the service object state of health, health status information and state identification and risk assessment. Health check/medical area shall meet the requirements of equipment and the function, can also integrate related resources of the unit. Health information acquisition and condition assessment should cover in the index, exploration, from physical to psychological, reflect local and overall combination, as well as the combination of subjective and objective, as well as the combination of macro and micro, combined with the characteristics of the function and structure, so as to realize the multidimensional, integrated, continuity, personalized assessment.
        Health advice and guidance area (such as health rehabilitation counseling clinic) is mainly used for according to the health status of the service object identification and risk assessment results, establishing health intervention program, guide service object health intervention, to accept the service object of health advice, as the service object to tailor a set of individualized rehabilitation plan, including dietary supplements, living aftercare, modern regulation, health care technology and achievement method, etc. Health advice and guidance area shall be relatively independent, if due to the limitation conditions, also can share, and health status identification and risk assessment area but area should meet the needs of the business work.
        Area health interventions (such as characteristic therapy intervention areas) is mainly used for according to the intervention of health scheme for the service object offers a variety of characteristics of traditional Chinese medicine health intervention services, such as acupuncture, moxibustion, per cutem, massage, medicated bath, scrapping, paste, sticking, bleeding, etc. Regional health intervention should be relatively independent, area should meet the need of the business. Intervention methods of service area should be separated from each other, can effectively protect the privacy of the service object.
        Auxiliary area is mainly used for services such as health education object of waiting for the rest, such as carrying out health education, including video, brochures and other publicity column, make the service object a deeper understanding of the cure disease related knowledge, service management, etc. Area should meet the need of the business.
        Article 11 the conditional unit can increase health administrative zone, improve health tracking and management functions. Grassroots units such as community health service agencies, to meet the above requirements on the service function and business work under the premise of need, related service area can be integrated, but at least should be divided into health status information acquisition and management, advisory guidance and intervention in two areas. 

Six, services and technology 

        Article 12 the "cure not ill" services mainly include the following categories:
        Is a healthy state identification and evaluation project: physical identification of traditional Chinese medicine, Chinese medicine meridian, viscera function, blood gas condition assessment, etc.
        Second, health advisory services: former achievement method demonstration guidance, traditional Chinese medicine (TCM) prescribe health and curing aftercare consulting guidance, etc.
        3 it is characteristic of traditional Chinese medicine intervention techniques, including acupuncture, moxibustion, per cutem, massage, acupuncture points were applied, embedded wire, medicated bath, fumigation (steam), scrapping, stone needle, healing, and thermal therapy, electrotherapy, and other physical therapy technology.
        Four is the product categories: such as paste, keeping in good health and nurse tea, etc.
        In addition, health records, chronic diseases, health management and health information management, performance evaluation and management can also be incorporated into such as cure not ill service project.
        "Cure not ill" division of services shall be not less than five.
        Article 13 "cure not ill" section should be in accordance with the relevant requirements, the use of relevant technology of traditional Chinese medicine, to set up relevant work system and service specifications and technical specifications.
        Article 14 "cure not ill" section should be integrated the actual situation of the undergraduate course room for undergraduate course room main direction or common health status of people at high risk prevention of traditional Chinese medicine health care service technical guidance, regular analysis to guide the implementation and effect of evaluation, continuous optimization guidelines, improve the level of Chinese medicine "cure not ill" service.
        Article 15 "cure not ill" section should be according to the specialized development direction and construction planning, pay attention to the introduction of absorbing new health information collection, assessment and intervention techniques, and as the core, the effect of intervention to the technology and methods, interventions, equipment research and development aspects of actively explore, bold innovation. 

Seven, equipment configuration 

        According to article 16 of the prevention of traditional Chinese medicine health care service delivery platform construction basic norms ", "Chinese medicine clinical evaluation equipment selection recommendation item" configuration on equipment:
        One is the health information management equipment. Such as desk, office chair, computer, printer, telephone, filing cabinets, etc.
        Second, the equipment health status identification and risk assessment. Such as TCM constitution identification system, tongue imaging and pulse condition, main and collateral channels testing equipment, weight, height, blood pressure and cardiovascular detector, pulmonary function, bone mineral density detector, electrocardiogram, blood glucose monitor and other routine physical examination, physical and chemical, video equipment.
        Three is health advice and guidance equipment. Such as health education publicity column, image presentation equipment, multimedia teaching equipment and information network system, etc.
        Four is health intervention equipment and instruments. Such as needle and moxibustion, cans, scrapping plate, stone needle, and Chinese medicine electrotherapy, magnetic therapy, such as heat treatment equipment.
        Article 17 the equipment configuration and medical and health institutions of traditional Chinese medicine "cure not ill" service function, the technician of medical level, the development of service project and workload. Conventional physical and chemical, images and other auxiliary examination equipment and resource sharing. 

Eight, personnel team 

        Article 18 "cure not ill" personnel include medical practitioners of traditional Chinese medicine, medical technicians, herbalists, nursing staff, managers, etc. Full-time staff secondary hospital of traditional Chinese medicine shall be not less than 5 people, level 3 shall be not less than 6 people, the Chinese medicine hospital of traditional Chinese medicine class medical personnel not less than 70%. Technician and herbalists can integrate related resources of the unit. 
        Article 19 "cure not ill" senior, intermediate, junior professional technical position qualifications personnel proportion should be reasonable, age and education constitute a fundamental equilibrium, with support for the sustainable development of department talent echelon. Secondary hospital of traditional Chinese medicine "cure not ill" section should have a more than deputy high professional technical position qualifications of medical practitioners of traditional Chinese medicine; Tertiary hospital of traditional Chinese medicine high more than professional technical position qualifications of medical practitioners of traditional Chinese medicine department physician percentage not less than 20%. Secondary hospital of traditional Chinese medicine "cure not ill" section should have a bachelor degree and above in TCM personnel; Tertiary hospital of traditional Chinese medicine "cure not ill" division professional master's degree or above accounted for the department of traditional Chinese medicine doctors not less than 20%.
        Article 20 "cure not ill" practitioner should accept "cure not ill" service of professional training, to master the basic theories of Chinese medicine "cure not ill", basic knowledge and basic skills, master "cure not ill" health assessment, intervention operation is commonly used, commonly used to prevent and nurse or high-risk groups of traditional Chinese medicine for common health preventive care service technical guidelines, accumulated certain experience in health assessment and intervention, such as health nursing experience (including medicine keep nourishment and non-drug therapy and so on) as well as health education experience and so on.
"Cure not ill" division deputy high above professional technical position qualifications of traditional Chinese medicine doctors should also possess higher health assessment, health advice and guidance, and the ability of health interventions and can guide junior doctors "cure not ill" service work.
        Article 21 hospitals of traditional Chinese medicine "cure not ill" head should be engaged in professional work of the category of traditional Chinese medicine of traditional Chinese medicine practitioners, and has certain administrative ability. Secondary hospital of traditional Chinese medicine "cure not ill" director should have engaged in the professional study and work more than 10 years experience of traditional Chinese medicine, at the same time have a professional technical position qualifications at or above the intermediate level; Tertiary hospital of traditional Chinese medicine "cure not ill" director should have engaged in TCM professional more than 10 years work experience, at the same time has high above professional technical position qualifications.
        Article 22 the number of practicing doctors in more than 10 people tertiary hospital of traditional Chinese medicine "cure not ill" and conditional secondary hospital of traditional Chinese medicine "cure not ill", to establish a system of academic leaders.
Academic leaders should engage in work more than 20 years of traditional Chinese medicine, have senior professional technical position qualifications, in "cure not ill" fields have certain academic status. Academic leaders responsible for organizing the research determine the undergraduate academic development direction, guidance of job of undergraduate course room of scientific research innovation, to guide the formulation and implementation of key projects.
        Article 23 the doctor of traditional Chinese medicine "cure not ill" of hospital nursing staff should receive specialized training in the "cure not ill" service, familiar with the basic knowledge of the health management and the prevention of traditional Chinese medicine health care master "cure not ill" commonly used Chinese medicine nursing technique, has the characteristics of Chinese medicine nursing service for patients.
        Article 24 the construction phase in the early cure not ill department, the hospital should give support, ensure staff income; In not cure disease stage of development, the hospital should establish incentive mechanism, promote the further development of hospital staff income is not lower than the average. At the same time as much as possible from the hospital level for "cure not ill" department staff provide predictable career development prospects, to ensure the staff's enthusiasm and stability. 

Nine, cultural propaganda 

        Article 25 the hospital of traditional Chinese medicine should be based on the unit and the actual situation of the family "cure not ill", in construction environment image, pay attention to reflect cultural characteristics of traditional Chinese medicine, in the "cure not ill", and related areas to strengthen hospital square "cure not ill" concept of traditional Chinese medicine and traditional Chinese medicine health care knowledge propaganda, introduce the traditional Chinese medicine health care methods and expert expertise, show the features of traditional Chinese medicine health care service and advantage.
        Article 26 the doctor of traditional Chinese medicine hospital site shall establish the contents of traditional Chinese medicine health care column (special), such as health lecture, disease prevention and health care salon forms strengthening outpatient and inpatient health care health mission. Set up expert group and the traditional Chinese medicine health branch into the community, into the unit, in campus, Chinese medicine health circuit to preach. Practical science of traditional Chinese medicine keeping in good health information, spread the concept of "cure not ill" and health care methods, create a good traditional Chinese medicine "cure not ill" health cultural atmosphere. 

Ten, bylaw 

        Article 27 "cure not ill" combine traditional Chinese and western medicine hospital, general hospital and maternal and child health care institutions to prevent health care for the characteristic of traditional Chinese medicine department in accordance with the guidelines of construction and management.
        Article 28 the specialized subject hospital of traditional Chinese medicine "cure not ill", national medical hospital reference guide for construction and management.
        Article 29 of the enforcement of this guide from the date of release, released in December 2012, the Chinese medicine "cure not ill" of hospital construction and management guidelines (trial) ".