Notice on the Issuance of Measures for the Management of Multi-Site Practice of Physicians in Xinjiang Uygur Autonomous Region (for Trial Implementation)
The Health and Wellness Commission of Xinjiang Uygur Autonomous Region
October 27, 2015, 04:22 am
New Health and Medical Development [新卫医发[]. 2015] No. 79
Ili Kazakh Autonomous Prefecture Health Bureau, health bureaus of various regions, states and cities, medical institutions directly under the commission (under its management), and hospitals attached to Xinjiang Medical University:
In order to further deepen the reform of the medical and healthcare system, and in accordance with the overall requirements of the autonomous region's public hospital reform, to guide the transfer of high-quality healthcare human resources from the top to the bottom, from the city to the community, to the rural areas, from centralized to balanced and effective flow, and gradually establish a mechanism for medical professionals **** enjoyment, to facilitate the grassroots people to seek medical treatment, according to the "Chinese People's **** and the State Law on Practicing Physicians", "Interim Measures for Registration of Physicians Practicing Medicine", "Implementing Rules for the Regulations on the Administration of Healthcare Institutions", and the "Notice on the Issuance of a Number of Opinions on the Advancement and Standardization of Multi-Point Practice of Physicians" (State Healthcare and Medical Development 〔2014〕 No. 86), the spirit of the Combined with the actual situation of the autonomous region, the regional health commission organized experts to study and formulate the "Xinjiang Uygur Autonomous Region Physicians Multi-point Practice Management Measures (for Trial Implementation)", and on October 26, 2015 by the autonomous region of the party group of the health commission of the special meeting of the research agreed to, and is hereby issued to you, please study seriously, follow the implementation.
Any problems in the implementation process can be directly to the regional health and family planning commission feedback.
Regional Health and Family Planning Commission
October 27, 2015
(Form of information disclosure: active disclosure)
Attachment
Methods for the Management of Physicians' Multi-Site Practice in the Xinjiang Uygur Autonomous Region
(for Trial Implementation)
Chapter I: General Provisions
Article 1: In order to standardize the practice of physicians' multi-point practice, and to safeguard physicians' and medical practitioners' health care, the Xinjiang Uygur Autonomous Region has adopted the following measures. Practice behavior, safeguard the legitimate rights and interests of physicians and medical institutions, to protect the quality and safety of medical care, to promote the healthy and orderly promotion of physician multi-practice work, and better provide medical and health services for the people, according to the "Chinese People's *** and the State of the Practicing Physicians Law", "Interim Measures for Registration of Physicians", "Rules for Implementing the Regulations for the Administration of Medical Institutions", "Opinions on Deepening the Reform of the Medical and Health Care System" and the "Opinions on Promoting and Regulating Physician Multi-practice Work". Several Opinions on Promoting and Regulating Multi-point Practice of Physicians" (State Health Medical Development [2014] No. 86) of the spirit, combined with the actual situation of the autonomous region, hereby formulate these measures.
Article 2 of the measures referred to in the physician multi-practice refers to the eligible clinical, dental, Chinese medicine (including Chinese medicine, Chinese and Western medicine, ethnic medicine) category of licensed physicians (excluding physician assistants), by the consent of the unit, the administrative department of health for the record, in the autonomous region of the administrative region of two to three medical institutions (including social health care institutions) engaged in the practice of the behavior. The behavior.
Article 3 of the proposed multi-practice in medical institutions, physicians shall apply for registration to the administrative department of health to approve the medical institution. Doctors who have not registered for multi-practice shall not engage in multi-practice activities.
Physicians have been registered as the first place of practice, increase the registration of the practice of the second and third place of practice in turn, up to a maximum of three registered places of practice.
The physician's place of practice is the first name of the medical institution registered in the "People's Republic of China *** and the State Medical Institution Practice License".
Article 4 The administrative departments of health and medical institutions at all levels are responsible for the registration and supervision and management of physicians' multi-location practice in accordance with their respective duties.
Multipoint practice of physicians should be agreed by the first place of practice and handle the procedures for new places of practice.
Multipoint practice of physicians for the autonomous region at all levels of medical and health institutions.
Chapter II Registration
Article 5 of the following conditions of the licensed physician can apply for multi-practice:
(a) obtain a physician's license, and has the qualification of intermediate or higher medical professional and technical positions, and has been engaged in the same professional work for five years;
(b) able to complete the work of the registered health care institutions, and to obtain the written consent of registered medical institutions;
(c) able to complete the work of the medical institutions, and to obtain the written consent of the registered medical institutions. written consent of the registered medical institution;
(c) the type and scope of practice to be engaged in by the applicant for multi-location practice shall be the same as the type and scope of practice registered by the practitioner in the first place of practice;
(d) the type and scope of practice to be engaged in by the applicant for multi-location practice shall be within the scope of the diagnostic and therapeutic subjects of the medical institution proposed to be added as the second and the third place of practice. The level of the medical and health institutions in the second and third places of practice shall not be higher than that of the first place of practice;
(e) they are in good health and capable of multi-site practice;
(f) they have passed the periodic examination of physicians for two consecutive cycles;
(g) they abide by the law and are of good character, and there is no verified record of complaints about their medical ethics and conduct;
(h) they do not hold the positions of Medical institutions at the hospital level leadership positions, the legal representative of social medical institutions (individual clinics, outpatient clinics) and the main person in charge;
(ix) county-level medical institutions, obtaining a certificate of physician practice for five years of residents can apply for multi-practice in township-level health centers, village health stations, community health service centers;
Article VI of the following cases do not need to go through the procedures for multi-practice:
(a) (i) the first case is not a medical institution, but the second case is a medical institution, but the third case is a medical institution, but the third case is a medical institution. /p>
(a) the implementation of on-site first aid to patients;
(b) approved by the medical institutions of consultation, further training, academic exchanges, undertake the tasks assigned by the government;
(c) approved by the health administrative department of charitable or public welfare medical tour, charity, emergencies, or disaster medical rescue work;
(d) the physician in the participation of urban and rural hospitals, peer support, support grass-roots level, or in the signing of the contract. (d) Physicians in participating in the urban and rural hospitals to support, support the grassroots, or in the medical institutions signed to help or hosting agreement, the establishment of medical groups or medical consortiums between the medical institutions of multi-practice.
Article VII more than one hospital (community health centers) to integrate medical resources, to facilitate patient care and improve the level of medical technology for the purpose of signing an agreement and other forms, to carry out horizontal or vertical medical cooperation, the relevant hospitals (community health centers) should be respectively to the two sides (more than one party), "Medical Practice Permit" registered with the administrative department of health for the record. After the record, the physician can carry out medical cooperation in other hospitals (community health centers) practice. The record includes the name of the physician, the type of practice, title, working hours and place of practice.
Article 8 If a physician is employed to practice in more than two medical institutions, he or she shall submit the following materials to the health administrative department that approves the second and third places of practice:
(1) the examination form for application for multiple practice of physicians in the Xinjiang Uygur Autonomous Region;
(2) the original and original copies of the applicant's "Certificate of Physician's Qualification", "Certificate of Physician's Practice", resident's identity card and "Certificate of Qualification for Professional and Technical Positions"; and (3) the original and original copies of the "Certificate of Qualification for Professional and Technical Positions". Qualification Certificate" original and copies;
(c) a certificate issued by the medical institution of the registered place of practice agreeing to the applicant to practice in other medical institutions;
(d) a copy of the "Medical Institution Practice License" (copy) of the medical institution applying to be added as the second or third place of practice;
(e) a certificate of employment from the medical institution that intends to employ the applicant;
(f) a certificate of employment from the medical institution that intends to employ the applicant;
(g) the applicant's certificate of employment; and employment certificate;
(vi) valid certificate of the applicant's physician's periodic examination;
(vii) certificate of the applicant's passing the physical examination within the last six months issued by a general hospital of the second level or above.
Article 9 The health administrative department of the location of the second and third places of practice shall make a decision on whether or not to give consent within 20 working days from the date of receipt of all the materials conforming to the regulations. Agree to increase the place of practice of physicians, should be timely networking registration, in its "physician's license" "change of registration record" column signed and stamped with the registration management seal.
Article X of the physician to change the type of practice, scope of practice, as well as change the first place of practice, should be in accordance with the "Interim Measures for the Registration of Physicians" for the provisions of the change of the original registration of multi-practice at the same time invalid, the need for multi-practice, must be in accordance with the provisions of these measures to re-apply for processing.
Article XI of the physician to change the first place of practice other than the place of practice, should be canceled first, and then refer to the relevant provisions of these measures, apply for a new place of practice.
Article XII of the physician intends to cancel the second and third place of practice, the second and third place of practice of medical institutions should be within 20 days to the corresponding administrative department of health for the cancellation of the place of practice, and timely notification of the first place of practice to the administrative department of health.
Chapter III Supervision and Management
Article XIII of the physician multi-practice, should be accepted by the health administrative department of the location of the practice and the supervision and management of the medical institutions practicing.
Article XIV of the health administrative department in accordance with the law on the practitioner shall be punished, shall be recorded in its "medical practitioner's license" "practice record" column, and shall be informed within seven working days of the other health administrative departments and medical institutions for the registration of the physician. The content of the notification should include the physician's illegal, illegal, disciplinary action and handling.
Physician in any place of practice was suspended above the administrative penalty, the physician in all other places of practice shall be suspended.
Article 15 of the multi-location practice of physicians shall be in accordance with the former Ministry of Health, "Physician Regular Examination Management Measures" to accept the regular examination of each place of practice. The first place of practice medical institutions are responsible for integrating the second and third place of practice of the assessment of the physician's regular assessment file.
Article XVI of the physician failed in any one place of practice, should be suspended from all places of practice, and accept the assessment of unqualified places of practice of the health administrative department designated by the medical institutions of training and continuing medical education. Suspension of practice activities expired, and again for the assessment, the assessment of qualified, allowed to continue to practice; the assessment failed, by the examination of the local health administrative department cancellation of registration, recovery of the "certificate of practice of physicians", and inform the physician in writing of all places of practice of the health administrative department.
Article XVII of the multi-spot practice for physicians registered at all levels of health administration departments have the right to revoke the physician's "physician's license". The revocation of the "physician's license", shall be announced, and informed in writing to the other health administrative departments for their registration.
Article 18 of the physician and the first place of practice of medical institutions on the basis of consensus, signed employment (labor) contract, clear personnel (labor) relations and rights and obligations, and in accordance with the relevant provisions of the State to participate in social insurance.
Article 19 of the physician to carry out multi-practice, personnel relations, title promotion, medical insurance, retirement, etc. are still under the management of the first place of practice. The first medical institutions agree to the physician multi-practice, should be timely and reasonable in accordance with the actual provisions of the physician's job duties, improve the assessment, rewards, sanctions, competition and other specific management methods, not because of the physician's multi-practice and affect the promotion of their titles, academic status, to participate in the competition and so on.
Article 20 of the multi-spot practice of physicians should be based on the contract or agreement signed with the practice location of medical institutions to rationally arrange the practice of time in the practice location of medical institutions, to ensure the fulfillment of the contract or agreement, to ensure that the quality of medical care in the practice location of medical quality and medical safety. The legitimate rights and interests of the medical institutions and patients in each place of practice shall not be jeopardized for the purpose of seeking undue benefits.
Article 21 in special circumstances, such as dealing with public **** health emergencies, emergency medical treatment, etc., multi-practitioners should be subject to the first practice location of the medical institutions of the work arrangements.
Article 22 of the physician and the practice of medical institutions in the agreement shall agree on the duration of practice, time schedule, work tasks, medical responsibility, remuneration, related insurance. Multi-site practice physician's salary, according to the actual working hours, workload and work performance and other factors, by the place of practice of medical institutions and physicians to determine the negotiation.
Article 23 of the medical damage or disputes occurring in the process of multi-location practice of physicians, medical damage or disputes should be handled by the medical institutions and physicians in accordance with laws and regulations, other non-parties to the medical institutions do not bear the responsibility for the relevant medical damage or disputes. Medical institutions and physicians should clarify their respective responsibilities and solutions in the event of medical damage or disputes through contracts or agreements. Medical institutions and physicians should purchase medical liability insurance and other medical practice insurance, physician practice insurance purchased by individual physicians is applicable to the physician's multi-practice in any of the practice location.
Article 24 of the physician in the process of multi-practice violation of laws, rules and regulations, etc., by the health administrative departments and relevant departments in accordance with the rules. Physicians in the process of multi-practice, in the second and third medical institutions in violation of rules and regulations, by the medical institutions shall promptly notify the first medical practice place of medical institutions, by the first place of medical practice or the relevant departments and units in accordance with the "Interim Provisions on the Discipline of Institutional Staff" and other sanctions. Physicians in the course of practice of medical institutions within the provisions of the situation, by the medical institution concerned in accordance with the relevant provisions of the medical institution and the contract or agreement to deal with