Notice on strengthening the tumor diagnostic management work

The national health and family planning commission of the People's Republic of China

The 2016-03-22

Countries who do medical hair [2016] no. 7

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission, the administration of traditional Chinese medicine, the xinjiang production and construction corps health bureau:

For the implementation of deepening the reform of medical health system requirements and the national health and family planning commission, the national development and reform commission and other 16 departments jointly issued by the China cancer prevention action plan for three years (2015-2017) \", further improve the level of tumor diagnosis and treatment standardization, guarantee quality and safety of tumor diagnosis and treatment, safeguard people's health rights, now on strengthening standardization tumor diagnosis and treatment management work put forward the following requirements:

A, improve the ability of tumor diagnosis and treatment

(a) to strengthen the construction of tumor and related disciplines. To strengthen medical institutions around the oncology department, internal medicine, surgery, gynecology and other relevant departments of ability construction, make the layout department, personnel, technology level, quality management, rules and regulations and carry out suitable to the tumor diagnosis and treatment work. To implement the relevant laws and regulations, rules and regulations, the radiotherapy branch, pathological science, clinical laboratory, department of pharmacy, radiology, imaging and nuclear medicine and other related disciplines to strengthen management, to provide technical support to ensure the quality of diagnosis and treatment.

(2) strengthen the tumor diagnosis and treatment of talent training. Should attach great importance to the training of tumor diagnosis and treatment related personnel, organization to carry out the screening, diagnosis, surgery, chemotherapy, radiation therapy, interventional diagnosis and treatment technology such as personnel training, make its master indications and diagnostic standard of various kinds of diagnosis and treatment technology. Incorporate the tumor diagnosis and treatment and resident standardization training medical personnel to continue education, raise the diagnostic ability. Strengthening personnel training of Chinese medicine, improve the level of tumor diagnosis and treatment of traditional Chinese medicine.

(3) to strengthen the construction of tumor scarce talent team. By formulating and implementing the talent training plan, to set up the allocation of incentive mechanism, improving relevant talent shortage. To cultivate pathologist, pathology and training technicians, improve pathological diagnosis ability and quality. Enhance tumor specialized subject of clinical pharmacist training and enhance the antitumor drugs and auxiliary drug prescriptions, review and adjust ability, guide the clinical medication; Strengthen the oncology nursing personnel training, provide quality nursing care for patients; Physicians in radiotherapy, radiation therapy, physical training technicians and medicine, ensure the quality of radiotherapy.

(4) encourage scientific research in cancer prevention and control. Will encourage qualified medical institutions to carry out the cancer prevention and control of scientific research, application and promote the use of safe and effective prevention and control technology. Countries will further strengthen important drugs for cancer prevention and control technology and support, planning and construction important tumor prevention and treatment of scientific research base.

Second, regulate the behavior of tumor diagnosis and treatment

(5) norms and clinical pathway to carry out the tumor diagnosis and treatment. Medical institutions to strictly implement the diagnosis and treatment norms related to the tumor and clinical path, the implementation of standardized diagnosis and treatment. According to patients' basic situation, tumor pathological type, stage, molecular biology, and prior treatment, etc., choose the surgery, chemotherapy, radiotherapy and biological target therapy, Chinese medicine treatment. National health and family planning commission, the state administration of traditional Chinese medicine will continue to organize the study and common cancers and revising diagnosis standard and clinical pathway, provide guidance to implement.

(6) control of antineoplastic drugs and auxiliary drug varieties product number. Medical institutions to strictly control the agency antineoplastic drugs and adjuvant, the number of varieties of the same general name of drug varieties, the product gauge number to make a qualified. First choose the catalog of national essential drugs and the national basic medical insurance, inductrial injury insurance and maternity insurance drug catalogue and new farming drugs directory included and negotiation of national drugs. Need to have a clear principle of antineoplastic drugs and the classification of the auxiliary medication use, use ratio, decrease the use of adjuvant.

(7) on a regular basis to carry out monitoring and evaluation. Medical institutions to collect, sort out the agency and clinical the department regularly antineoplastic drugs and auxiliary drug use situation, evaluation of drug use is reasonable. Level 2 above hospitals must organize to formulate and adjuvant drugs to clinical application of special evaluation scheme, the evaluation index. Once every half a year to carry out special evaluation. Advocates adopting information technology means, strengthen the antitumor drugs and auxiliary medicine clinical application of monitoring and evaluation.

(8) to carry out the prescription reviews, and publicity system. Level 2 above hospitals to organization of multiple disciplines, such as medicine, medicine, medical management of antitumor drugs and auxiliary medicine prescription (orders) to implement selective examination review. The clinical indication, usage, dosage, course of treatment, compatibility taboo or adverse to review and public interaction, and so on and so forth. For problems found during the review to track management and intervention, the review results as a department and medical personnel ChuFangQuan award and the important basis of performance appraisal.

Three, optimize the mode of tumor diagnosis and treatment

(9) for \"single diseases, multidisciplinary\" medical model. Incorporate the individualized medicine, precision medical concept in tumor diagnosis and treatment. In view of the treatment of patients with complex, tertiary hospitals and tumor specialized subject hospital to actively promote \"single diseases, multidisciplinary\" diagnosis and treatment, oncology, internal medicine, surgery, radiotherapy, pathology, pharmacology, image, inspection, nuclear medicine consultation, case discussion or related disciplines such as joint operation, formulate scientific and appropriate diagnosis and treatment plan. Chinese medicine hospital of traditional Chinese medicine combined with modern technology to innovation mode of tumor diagnosis and treatment of traditional Chinese medicine, integrated, organic using a variety of traditional Chinese medicine and modern technology, improve the clinical curative effect.

(10) enriching the connotation of the tumor diagnosis and treatment services. To implement the action plan for further improve the medical service, focus on the patient's rehabilitation guidance, pain management, long-term care and nutrition, psychological support. Construction of standardized treatment demonstration ward pain continue to push forward and improve cancer patients quality of life. Attaches great importance to the management of the late cancer patients, palliative care and hospice care. Strengthen the health education and timely follow-up tumor patients, combined with the follow-up results, improve the service in a timely manner.

(11) on the patient's psychological and social needs. Combined with the medicine pattern transformation, medical institutions and medical staff should be concerned about, care for cancer patients, psychological demand and changes of the patients know, completes the mission, interpretation and communication. Encourage conditional medical institutions to carry out the medical affair social work and volunteer, to help patients with demand link of social resources.

Four, establish a scientific management mode

(12) to promote tumor whole process management. Around to strengthen rehabilitation hospitals, nursing homes, hospice care institution building, and the superior hospital docking, establish a long-term relations of cooperation, oral confession the two-way referral, slow partition. Encourage superior issued by the hospital diagnosis and treatment plan in rehabilitation hospitals, nursing homes, hospice care institutions implementing treatment. Gradually build from treatment and rehabilitation, and from the hospital to the community, the whole process of the tumor management mode.

(13) enhancing tumor registration report and monitoring. Provincial family planning administrative department of public health, will improve the system of cancer registration report, the administrative department of traditional Chinese medicine gradually master the malignant tumor morbidity and mortality within their respective jurisdictions. Medical institutions should establish tumours information monitoring system, collecting clinical diagnosis and treatment of the tumor and prognostic information, scientific guidance standardized diagnosis and treatment. In case tumours information management and technical safety measures, protect the patient's privacy and information security.

Earnestly implement the relevant security system (14). Around to learn to carry out the urban and rural residents a serious illness insurance, such as shift disease medical treatment system, make the eligible poor enjoy corresponding health care cancer patients, easing the burden on patients medical expenses, maximum ease poverty due to illness, Chinese due to illness.

The family planning administrative department of public health at all levels, more attention must be paid to the management department of traditional Chinese medicine tumor diagnosis and treatment management work, play to the role of the tumor quality control center, actively organize related training, strengthen the quality control and supervision inspection, continuously improve the level of tumor diagnosis and treatment of medical institutions. National health and family planning commission, the state administration of traditional Chinese medicine will be timely organization of local family planning administrative department of public health, management and supervision of medical institutions of traditional Chinese medicine examination, and timely selection tumor diagnostic demonstration hospital.

General office of national health and family planning commission The state administration of traditional Chinese medicine office

On March 1, 2016