Policy Interpretation of ＂Shenzhen Clinic Setting Standard＂
According to the Medical Regulations of Shenzhen Special Economic Zone (hereinafter referred to as the Medical Regulations) and other relevant regulations, our commission issued the Standards for the Establishment of Clinics in Shenzhen (for Trial Implementation) in 2017. After more than three years of implementation, combined with the actual situation of our city, our commission further revised the standards and formed the Standards for the Establishment of Clinics in Shenzhen (hereinafter referred to as the Standards) to adapt to the introduction and adjustment of relevant laws and regulations in China and Guangdong Province. The relevant situation is now explained as follows:
I. The necessity of revising the Standards
(a) to meet the requirements of the new regulations formulated by the state and relevant departments of the Guangdong Provincial Government.
The Medical Regulations, which came into effect in 2017, modified the relevant provisions of the Regulations on the Administration of Medical Institutions and the Detailed Rules for the Implementation of the Regulations on the Administration of Medical Institutions on the registration and licensing conditions of medical institutions. Therefore, our Committee formulated the Standards for the Establishment of Clinics in Shenzhen (Trial) accordingly. The standard has been implemented for more than three years, and it has become an important operational guideline and a practical supplement to laws and regulations for Shenzhen health administrative department to implement the daily examination and approval of clinic practice license.
The standard is also basically in line with the Notice on Printing and Distributing the Pilot Opinions on Promoting the Development of Clinics issued by the National Health and Wellness Commission, the National Development and Reform Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, and the State Medical Insurance Bureau (Guo Wei Yi Fa [2019] No.39), and the Interim Measures for the Record Management of Chinese Medicine Clinics issued by the National Health and Wellness Commission (Order No.14 of the Director of the State Health Planning Commission). Guangdong Provincial Health and Wellness Commission, Guangdong Provincial Development and Reform Commission, Guangdong Provincial Department of Finance, guangdong provincial department of human resources and social security, Guangdong Provincial Medical Security Bureau, Guangdong Provincial Bureau of Traditional Chinese Medicine and other six departments issued the "Implementation Plan for Promoting the Development of Clinics in Guangdong Province" (Yue Wei Yi Han [2019] No.24), The requirements of new regulations such as the Notice on Optimizing the Cross-departmental Examination and Approval of Social-run Medical Institutions issued by Guangdong Development and Reform Commission, Civil Affairs Department, Natural Resources Department, Department of Ecology and Environment, Department of Housing and Urban-Rural Development, Health and Wellness Commission, Market Supervision Administration and Bureau of Traditional Chinese Medicine (Guangdong Development and Reform Society Letter [2019] No.2042). Therefore, after the expiration of the "Standard", it is necessary to further revise it to better guide the staff and applicants of the health administrative department and meet the actual work needs.
(2) The need to implement the Opinions of the Central Committee of the Communist Party of China and the State Council on Supporting Shenzhen to Build a Pilot Demonstration Zone in Socialism with Chinese characteristics.
In order to implement "accelerating the construction of a world-class integrated quality medical service system and
Promote innovative health insurance system oriented by health. Expand the supply of high-quality medical and health resources
Give, encourage social forces to develop high-level medical institutions, and send them to Hong Kong-funded and Australian-funded medical institutions
Exhibition provides convenience. According to the exploration, establish the training of medical talents and hospital evaluation in line with international standards.
Review the certification standard system, relax the restrictions on overseas doctors practicing in the mainland, and try internationally first.
Frontier medical technology "requirements, in order to better regulate social forces to hold high-quality medical machines.
Structure, it is necessary to revise the "standard", the health administrative departments to build medical service supervision.
One of the requirements for setting up a clinic is to manage the platform, build an information system for medical institutions and upload information on diagnosis and treatment services.
Second, the revision process
Our Commission organized professionals to revise the Standard, and in March 2020, we sought the opinions of relevant government departments, district health administrative departments, medical institutions and other units in writing, and publicly solicited opinions and suggestions from all walks of life through our Commission official website. In May, after collecting and summarizing the opinions and suggestions of relevant units and people in society, relevant professionals were organized to seriously study and discuss, and after repeated argumentation and investigation, the Standard was further revised and improved, forming a draft.
Third, the main contents of the revision
(1) increase the requirements for health technicians in clinics to master first aid skills.
In view of the fact that the Standard stipulates that clinics can offer no more than four diagnosis and treatment subjects, in order to ensure that the relevant diagnosis and treatment subjects are actually carried out according to law, and to ensure medical quality and medical safety, the Standard stipulates that clinics must be equipped with medical practitioners with relevant qualifications who take the clinic as the main practice institution, and should be equipped with a corresponding number of health technicians as required. All medical and health personnel should be proficient in cardiopulmonary resuscitation first aid skills.
(two) to increase the requirements of information system construction and access to the supervision platform.
The Standard stipulates that clinics should build information systems and access the medical service supervision platform as required. The purpose is to further promote the development of "internet+medical care" and innovate the supervision mode in our city, and give full play to the exemplary role of Shenzhen.The second isFurther strengthen the need for post-event supervision in the medical market, severely investigate and punish illegal acts according to law, strengthen the awareness of medical institutions to practice according to law, ensure medical quality and safety, and safeguard medical order and people’s health rights and interests.The third isRealize real-time information sharing system with relevant government departments, and establish work linkage mechanism and joint punishment mechanism.
(3) Delete the requirement that there should be at least one registered nurse in the clinic.
The "Standard" deletes the provision of "at least one registered nurse" in the original "personnel". Since the implementation of the Standard for more than three years, the health administrative departments in various districts and some clinic organizers have reported that the clinics are generally small in scale and area, and the requirement that all clinics are equipped with registered nurses is too harsh, and considering that some clinics do not need to be equipped with nurses in actual work to meet the daily medical needs of the people, the general requirement is deleted, and some necessary professions are reserved to provide the number of registered nurses to meet the daily medical service needs.
Please review the Standards and the above descriptions.