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The author:(作者)delvpublished in(发表于) 2014/1/10 8:22:56 Health Planning Committee： non-violation of public medical institutions will be blacklisted
Xinhuanet, Beijing, January 10 (reporter Lunaud)-State health and family planning Commission and the State administration of traditional Chinese medicine recently issued the medical opinions on accelerating the development of society.
How it will introduce fast-track socio-medical? An exclusive interview with Xinhua, 9th the State family planning Commission Deputy Director of health, Director of health reform Office of the State Council Sun Zhigang.
National level and above may be set up for Hong Kong, Macao and the city-owned hospital
Question: foreign capital to set up wholly-owned hospitals in the Mainland geographic scope, as well as areas of community medical service requirements, will lower the threshold?
Answer: commented that an open, transparent, equitable, standardized access to socio-medical system, will set up wholly-owned hospitals in the Mainland of Hong Kong and Macao service providers to extend the geographical scope of the national-level above the city; other possesses the conditions for overseas capital in China (Shanghai) to set up wholly-owned hospitals in specific areas such as free trade zone. Set reasonable foreign equity capital ratio requirement for joint ventures, cooperative medical institutions, provincial health and family planning departments responsible for carrying out approval duties wholly-owned hospitals.
Comments, any legal regulations do not expressly forbid into the area, are open to social capital. Encourage social capital directly towards the areas of scarce resources and to meet the diverse needs of service, held, geriatric rehabilitation hospital hospital medical institutions such as hospitals, nursing homes, hospice care, encourage social capital to hold large medical institutions or to the hospital level, scale development of the group. Encourage social capital held specialized hospital of traditional Chinese medicine, encourages drug distributors to hold judgment seat commanded Paul to the medical clinic of traditional Chinese medicine, encourages qualified Chinese medicine professionals, especially the old setting up Chinese medicine clinics of traditional Chinese medicine.
Non-public sector medical devices equipped with no less than 20%
Q: in terms of configurations of large medical equipment in non-public medical institutions, possible relaxation requirement?
Answer: requirements, scientific planning of large medical equipment allocation in this area, in accordance with the non-public medical institutions device equipped with a ratio of not less than 20%, set aside programming space. Configure application for non-public medical institutions, focusing on personnel qualifications, technical capacity and other related indicators for the rating, the page size, volume evaluation of outpatient visits and other business requirements. For new construction of non-public medical institutions in accordance with the programming Department, personnel and other conditions to be configured for review.
At the same time, guidance and support of medical institutions in accordance with the relevant provisions of the joint establishment of regional large medical equipment checking Center, formed to build, share, sharing and co-management mechanism advancing to secondary health institution open to all medical institutions.
Non-public medical institutions into the construction of key specialty clinical programming
Question: How do I upgrade service ability and level of non-public medical institutions?
Answer: views requires, strengthened on non-public medical institutions clinical specialist capacity construction of guide, unified into clinical focus specialist construction planning; will non-public medical institutions by needed professional talent into local talent introduced overall planning, enjoyed local government provides of introduced various talent of equal offers policy; allows physician more points practice industry; support will has high level of non-profit sexual hospital priority into medical college teaching hospital range. Support personnel involved in the medical industry association of non-public medical institutions, academic organizations and medical institutions to review and expand its share of the Committee; support for non-public medical institutions to speed up the achievement of interoperability, such as health care, public sector information systems.
Illegal non-public medical institutions will be included in the "black list"
Q: how to tighten up the non-public medical institutions?
Answer: calls for non-public medical institutions into the scope of harmonization of medical quality control and evaluation. Strengthen the supervision of non-public medical institutions and crack down on all kinds of illegal activities, the establishment of "blacklist" System. At the same time, give full play to the relevant industry associations, social organizations, supervisory role; effectively safeguard medical order for non-public medical institutions integrated into prevention, disposal of medical dispute management systems. Non-public medical institutions are encouraged to participate in medical and liability insurance, accident insurance and other forms of medical practice insurance, promoting industry self-regulation and the construction of medical ethics.
Allowing medical personnel held in different medical institutions and orderly flow
What are 18 plenary session made it clear that allows physicians to practise. Advice on how to implement?
Answer: calls, norm-physician practice guidance focused physician practice conditions, registration, practice, shared responsibility, and other related content. Allow medical personnel held in different medical institutions an orderly flow, service, participation in areas such as insurance and personnel employed in public institutions explore the establishment of bridging mechanisms between the public and non-public medical institutions. Creating favourable conditions for older more practice.
For qualified non-public medical institutions to speed up the processing of fast track
Q: in the development of social, health and family planning, how the Chinese medicine sector will carry out their duties?
A: requirements, health and family planning, the Chinese medicine sector at all levels to carry out community medical plan, access, support, guidance, supervision, and other functions. A is according to national about legal regulations and policy provides, in local Government of unified led Xia, strengthened and about sector of coordination and communication, perfect about supporting policy; II is accelerated implementation non-public and public medical institutions in set approval, and run development, aspects equal treats of policy, on has corresponding qualification of non-public medical institutions, should according to provides be approved, accelerated handle approval procedures, simplified approval process, improve approval efficiency; three is strengthened regulatory, innovation regulatory means, increased law enforcement intensity, Guarantee the quality of care and safety.
Socio-medical space scale to rein in public hospitals
Q: how to effectively incorporate social medicine into health resource planning area?
Answer: calls, national improving health resources planning guidance document, in the planning of regional health planning and the establishment of medical institutions leaves sufficient space for non-public medical institutions, giving priority to meet the needs nonprofit medical bodies. Strictly control the scale of public hospital development, allow social Office of medical development space. Resource-rich areas of public hospitals, in case of meet the basic medical needs of the masses to support and give preference to good social reputation, social capital with strong management capacity through various forms of participation in some public hospitals (including hospitals run by State-owned enterprises) restructuring.
新华网北京1月10日电（记者吕诺）国家卫生计生委和国家中医药管理局近日联合印发了《关于加快发展社会办医的若干意见》。
意见将如何把社会办医引入快车道？新华社记者9日专访了国家卫生计生委副主任、国务院医改办主任孙志刚。
全国地级以上城市均可设立港澳台独资医院
问：境外资本在内地设立独资医院的地域范围，以及社会办医服务领域要求，是否会降低门槛？
答：意见提出，建立公开、透明、平等、规范的社会办医准入制度，将港澳台服务提供者在内地设立独资医院的地域范围扩大到全国地级以上城市；其他具备条件的境外资本可在中国（上海）自由贸易试验区等特定区域设立独资医疗机构。合理设定中外合资、合作医疗机构境外资本股权比例要求，省级卫生计生部门负责履行独资医院审批职责。
意见提出，凡是法律法规没有明令禁入的领域，都要向社会资本开放。鼓励社会资本直接投向资源稀缺及满足多元需求的服务领域，举办康复医院、老年病医院、护理院、临终关怀医院等医疗机构，鼓励社会资本举办高水平、规模化的大型医疗机构或向医院集团化发展。鼓励社会资本举办中医专科医院，鼓励药品经营企业举办中医坐堂医诊所，鼓励有资质的中医专业技术人员特别是名老中医开办中医诊所。
非公立医疗机构大型医用设备配备不低于20％
问：在非公立医疗机构配置大型医疗设备方面，会否放宽要求？
答：意见要求，各地要科学制订本地区大型医用设备配置规划，按照非公立医疗机构设备配备不低于20％的比例，预留规划空间。对非公立医疗机构的配置申请，重点考核人员资质、技术能力等相关指标，对床位规模、门急诊人次等业务量评价指标方面的要求。对新建非公立医疗机构可按照建设方案拟定的科室、人员等条件予以配置评审。
同时，引导和支持医疗机构按照有关规定联合建立区域性大型医用设备检查中心，形成共建、共用、共享和共管机制，推进二级以上医疗机构检验对所有医疗机构开放。
非公立医疗机构纳入临床重点专科建设规划
问：如何提升非公立医疗机构的服务能力和水平？
答：意见要求，加强对非公立医疗机构临床专科能力建设的指导，统一纳入临床重点专科建设规划；将非公立医疗机构所需专业人才纳入当地人才引进总体规划，享有当地政府规定的引进各类人才的同等优惠政策；允许医师多点执业；支持将具备较高水平的非营利性医院优先纳入医学高校教学医院范围。支持非公立医疗机构人员参与医学类行业协会、学术组织和医疗机构评审委员会并扩大其所占比例；支持非公立医疗机构加快实现与医保、公立医疗机构等信息系统的互联互通。
非公立医疗机构违法违规将列入“黑名单”
问：如何对非公立医疗机构加强监管？
答：意见要求，将非公立医疗机构纳入统一的医疗质控与评价范围。加强对非公立医疗机构的监管，严厉打击各类违法违规行为，建立“黑名单”制度。同时，充分发挥有关行业协会、社会组织的监管作用；切实维护医疗秩序，将非公立医疗机构统一纳入医疗纠纷预防、处置管理体系。鼓励非公立医疗机构参加医疗责任保险、医疗意外保险等多种形式的执业保险；推动行业自律和医德医风建设。
允许医务人员在不同举办主体医疗机构间有序流动
问：十八届三中全会明确提出，允许医师多点执业。意见对此将如何贯彻落实？
答：意见要求，制定规范的医师多点执业指导意见，重点明确医师多点执业的条件、注册、执业、责任分担等有关内容。允许医务人员在不同举办主体医疗机构之间有序流动，在工龄计算、参加事业单位保险以及人事聘用等方面探索建立公立和非公立医疗机构间的衔接机制。为名老中医多点执业创造有利条件。
对具备资质的非公立医疗机构加快审批简化流程
问：在发展社会办医中，卫生计生、中医药管理部门将如何履行职责？
答：意见要求，各级卫生计生、中医药管理部门要履行对社会办医的规划、准入、扶持、指导、监管等职能。一是按照国家有关法律法规和政策规定，在当地政府的统一领导下，加强与有关部门的协调和沟通，完善有关配套政策；二是加快落实非公立与公立医疗机构在设置审批、运行发展等方面同等对待的政策，对具备相应资质的非公立医疗机构，应按照规定予以批准，加快办理审批手续，简化审批流程，提高审批效率；三是加强监管，创新监管手段，加大执法力度，保证医疗质量和医疗安全。
严控公立医院规模留出社会办医空间
问：如何切实将社会办医纳入卫生资源规划范围？
答：意见要求，国家完善卫生资源规划指导性文件，在区域卫生规划和医疗机构设置规划中为非公立医疗机构留出足够空间，优先满足非营利性医疗机构需求。严格控制公立医院发展规模，留出社会办医的发展空间。公立医院资源丰富的地区，在满足群众基本医疗需求的情况下，支持并优先选择社会信誉好、具有较强管理服务能力的社会资本，通过多种形式参与部分公立医院（包括国有企业所办医院）的改制重组。
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