General office of the national health and family planning commission on further improve medical order to crack down on illegal medical special operation performance 
 
 

The 2014-12-29 national health and population and family planning commission of the People's Republic of China 
 
 
Countries who do supervision letter [2014] no. 1187 

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission, the xinjiang production and construction corps health, population and family planning commission.
 
To address the masses feel strongly about the outstanding problems of illegal medical practice, to safeguard the health rights and interests of the people, combined with the party's mass line education practice, since October 2013, according to by six departments such as deployment, all solid conducted for a period of 1 years to further improve the medical order to crack down on illegal practice special operation (hereinafter referred to as the special operation), has achieved obvious results. Will now about the working conditions are as follows:
 
One, the results
 
(a) marked achievements were scored in the special operation.
 
One is formed to crack down on illegal practice of high pressure situation. Special operation period, the national altogether investigated 44000 cases of unlicensed medical practice, medical institutions, family planning technical service institution with 41000 cases of illegal, with 6833 cases of "two", cure to fraud case 966, FaMeiKuan RMB 220 million, revocation of practice license 165 households, 2833 cases of transferred to public security organs, criminal case 1256, criminal detention, 1373, 32 aborted crime gangs, effectively deter criminals, effectively improve the medical market order. 2 it is to consolidate the sector linkage work pattern. Publishes leading group around the relevant departments at all levels shall, in accordance with the unified deployment, a clear division of responsibilities, cooperate closely, cohesive mechanism to further improve, administrative law enforcement and criminal justice departments strengthen the coordinated. Three is to strengthen the safe medical treatment and the practice in accordance with the law consciousness. Timely release the progress of the special operation, exposure typical cases, carry out the franco-prussian and safe medical popular science propaganda, strengthen the education of the industry, the ego to protect consciousness distinct enhancement, the initiative to report illegal medical significantly promoted, medical institutions and medical personnel in accordance with law, practice consciousness to be enhanced. Four is to improve the accessibility of the masses to see. By conducting special operation, and promote perfecting relevant policies and measures to optimize the layout of medical resources, standardize management of medical institutions, medical service ability to ascend, convenient people's hospital is more secure.
 
(2) highlight place to work.
 
One is to strengthen leadership, vigorously promotes the work carries out. Shanghai, zhejiang will crack down on illegal medical practice as one of the indicators of the assessment of grassroots government, formed the basic-level government led, actively cooperate with various departments and the whole society should work mode; Shandong province will crack down on illegal medical practice the party's mass line included in the standing committee of the provincial party committee leadership education practice improvement scheme, to establish "first-class package level, layer upon layer grasp the implementation of the" model; Guangdong provinces, such as reinforced investigations, notice, listed supervisory, supervise and urge the rectification. 2 it is department linkage, regulation force. Perfecting the system of joint conference for department, actively carry out joint law enforcement, strengthen the cohesion of execution, stepping up his efforts. Increase in the provinces such as Beijing special action leadership team member units; Hebei provinces such as health, public security jointly issued by the file specification case is transferred for; Health and family planning commission and the courts of Shanghai authorities agreed to again after being criminal punishment of illegal medical practice of illegal practice medicine, directly transferred to the public security organ; The ningxia hui autonomous region of industrial and commercial, health is investigated for illegal medical practitioners to provide diagnostic workplace behavior. Third, development innovation, the establishment of long-term mechanism. Chongqing issued the "regulations on the administration of medical institutions in chongqing"; Shanxi Province set up a prize report system; Henan province such as set up a blacklist of illegal medical practice system; Suzhou in jiangsu province and health and public security unlicensed medical information exchange channels; Provinces and cities such as tianjin set up a review system, guard against black clinic resurgence; Research in hebei province set to crack down on illegal practice work found suspected of illegal drug cases transferred to guidance; Jilin provinces formulated to crack down on illegal practice guidelines; Guizhou province to strengthen the construction of comprehensive supervision system, improve supervision and law enforcement capabilities. Four is widely publicized, win mass support. Several provinces such as sichuan would propaganda and stressing the special action of "six into"; Heilongjiang provinces subject awareness month, publicity week activities, create a propaganda campaign; Tianjin write to crack down on illegal medical legal system education book, "warning" to prevent the crime of illegal medical practice, the different illegal medical education were analyzed; Coordination in shaanxi telecom operators to mobile phone users to send free public welfare propaganda messages; In hebei province by third parties for special operation satisfaction assessment, cogent accomplish know public opinion.
 
Second, the main problems
 
(a) insufficient recognition of individual regions, the work is not balanced.
 
Only pay attention to blow society in some regions the unlicensed, practicing medicine for medical institutions including the public medical institutions of violation behavior and does not reach the designated position. Some local authorities cooperate remains to be further strengthened, the execution cohesive mechanism need further perfect. Individual provinces job not enough meticulous, summarize some important data is not accurate.
 
(2) the existence of illegal medical practice of the soil has not been eliminated, blow is difficult.
 
Due to the medical security system is not perfect and medical resource allocation imbalance, especially some urban and rural integration of floating population community medical resources, health care reimbursement difficult new farming and other cities, migrant workers is less than the regular medical institutions for medical treatment. At the same time, along with increasing effectiveness, the form of illegal medical practice gradually diversified, more and more concealed, fight harder.
 
(3) the part of the legal consciousness of medical institutions, the violation behavior.
 
Part of the business and management of medical institutions, hospital administrators and medical personnel lack of legal knowledge, not enough self-discipline, violation behavior. Some private medical institutions to seek improper economic interests and intentional violation situation often was exposed, strengthen the regulatory task is very urgent.
 
(4) at the grass-roots level supervision and law enforcement strength is weak, difficult to meet the needs of the practical work.
 
A serious shortage of comprehensive supervision of law enforcement personnel at the grass-roots level, each individual provinces population of less than 0.3 supervisors, law enforcement equipment and the lack of law enforcement, law enforcement ability and level is not high, insufficient standard work, difficult to meet the needs of the work.
 
Third, the next step of work requirements
 
(a) always maintain high pressure situation.
 
Around carefully to find the gap and the insufficiency, in the work of the initiative to learn from other parts of the work experience, will crack down on unlicensed practice, strengthen the supervision of medical and health industry as health or for one of the key work, strengthen the regulation of things after the event, to focus on the case of rigorous investigation dynamics, cogent accomplish is investigated in place, responsibility, corrective actions in place. The regulatory departments and personnel malpractice existing in the work of dereliction of duty, in accordance with the provisions, shall be investigated for responsibility seriously.
 
(2) strengthening capacity building.
 
Family planning laws, regulations and standards system to improve health, strengthen medical institutions and medical personnel related laws and regulations, head of the training, strengthen the publicity education and science popularization. Give full play to the industry society, association and the role of social organizations, encourage industry practicing, honesty and commitment in accordance with the law, strengthen the self-discipline. To establish a "blacklist" system, increasing illegal unlicensed practitioners, and if the circumstances are serious medical institutions of exposure, disciplinary breach behavior, promote the credit system of construction industry. Local institutional reform should actively promote health family planning comprehensive law enforcement, strengthening the construction of supervision system, perfect the security conditions, improve the ability of supervision.
 
(3) improve the comprehensive governance mechanisms.
 
Further implement of regulatory responsibilities, we will continue to improve the system of joint conference for departments, intensify joint case work, between departments, between flexibly, administrative law enforcement and judicial case is transferred for and supervisory work. Perfect the system of encourages the masses to report complaints mechanism, giving play to the role of the news media, strengthen the publicity notification and typical cases, create a good atmosphere of social supervision.
 
(4) to implement long-term fundamental multi-pronged.
 
Adhere to the principle of snookering, administer thoroughly, from the source to root out the survival soil of illegal medical practice. Advance to deepen reform policies and measures to strengthen basic medical and health service system and capacity building, the rational allocation of medical resources, let people get to the nearest high quality, low price of basic medical services. Actively promote and regulate social do medical, to supervise the private medical institutions in accordance with the law, establish the effective mechanism that things afterwards supervision, and promote its healthy development.
 
 
 
Attachment: 1. All cases investigation summary form. Doc
 
2. Revoked practice license of medical institution around the table. Doc
 
3. The typical cases. Doc 

General office of national health and family planning commission
 
On December 17, 2014