In order to further improve the pre-hospital medical emergency service capacity, "Beijing pre-hospital medical emergency regulations (draft for review)" recently by the municipal *** Legal Affairs Office of the public for comment. It is understood that the current pre-hospital medical emergency call fulfillment rate of only 84%, unable to meet the actual demand. As soon as possible to make the emergency call to meet the rate of 95% or more, the draft maliciously call the pre-hospital emergency telephone, refused to avoid the passage of ambulances, hospitals refused to pick up the emergency vehicles to send patients and other emergency services to make clear provisions.
Maliciously dialing pre-hospital emergency calls will be subject to administrative penalties
In the pre-hospital medical emergency services, maliciously dialing harassing phone calls has become one of the main problems plaguing emergency personnel. It is understood that in the Beijing emergency center scheduling command room, every day more than two-thirds of the phone for the harassment of the phone, the system needs to be filtered out every day four or five thousand silent or malicious calls. In this regard, the draft article 9 clearly requires that residents shall not maliciously call the pre-hospital medical emergency services, call the pre-hospital medical emergency services should explain the patient's basic information and location, condition, contact information.
For not belonging to the emergency medical service situation, intentionally dialing, harassment and occupation of pre-hospital medical emergency service telephone numbers and lines, insulting, beating, obstructing the emergency medical service practitioners, or otherwise impede the work of the rescue, the name of the emergency medical service to implement the trickery and other disruption of pre-hospital medical emergency order and other violations of public security management, the behavior. The draft specifies that the public security organs will be in accordance with the provisions of the "Chinese People's Republic of China *** and the State Administration of Public Security Punishment Law", to be administratively punished.
Refusal to take pre-hospital emergency sent to the patient up to a fine of 100,000
"Pre-hospital emergency often fall into such an awkward situation, we turn the circle of sudden acute illness, no family members accompanied by the patient sent to a few hospitals, and get the reply is invariably no emergency beds , refusing to receive." A pre-hospital emergency staff told Beijing Youth Daily reporter. In order to solve such a dilemma, the draft legislation is clear, pre-hospital medical emergency services should be in accordance with the principle of proximity, urgency, to meet the professional needs of the patient transferred to the medical institutions for treatment, and with the receiving medical institutions **** with the establishment of an effective articulation mechanism, open up the emergency green channel, to achieve the information exchange, and to do a good job in the handover.
Draft clear, receiving medical institutions shall not be any reason to refuse and shirk patients, shall not occupy the ambulance facilities, equipment. If the medical institutions do not obey the command and control, refused to rescue the pre-hospital medical emergency services sent to the patient, or violation of pre-hospital medical emergency services and receiving medical institutions handover provisions, resulting in the ambulance can not be normal operation, will be given a warning by the municipal health administrative departments, and impose a fine of more than 30,000 yuan of less than 50,000 yuan; causing serious consequences, the penalty is 50,000 yuan of more than 100,000 yuan of fines.
Low-income people emergency medical expenses will be provided by the civil administration of relief
To further solve the economic difficulties of the group because of the difficulty of paying pre-hospital emergency expenses, and can not get timely rescue, the draft specifies that the enjoyment of urban and rural residents of the city's minimum subsistence allowance and low-income assistance personnel, due to the emergency medical services generated by the emergency medical service The cost of the civil affairs department in accordance with the relevant provisions of the city's medical assistance to give aid.
At the same time, the municipal price authorities should be based on the cost of pre-hospital emergency medical services and residents' income levels and other factors to develop pre-hospital emergency medical service activities and fees, and adjusted in accordance with the level of economic and social development. Carrying out pre-hospital medical emergency services should be in accordance with the city's unified standards for charging service fees. At the same time, the draft proposed that the pre-hospital medical emergency service medical service costs into the employee health insurance, urban residents health insurance and new rural cooperative medical reimbursement. Specific measures by the municipal human resources and social security administrative departments and municipal health planning administrative departments in accordance with the relevant provisions of the state and the city respectively.
Establishment of information **** enjoyment mechanism to protect the ambulance right of way
February 23 this year, Sichuan Yaxi highway car accident, due to the private car occupies the emergency channel, the ambulance transporting the injured was blocked on the road, the ambulance doctor repeatedly shouted, pleaded with the vehicles along the way to let out the emergency channel. For such a situation, the draft clear, refused to avoid or obstruct the passage of ambulances carrying out emergency tasks will be subject to administrative penalties. Ambulance to carry out emergency tasks, under the premise of ensuring safety, not subject to driving routes, driving direction, driving speed and signaling restrictions. Other vehicles pedestrians should give way.
At the same time, the draft also puts forward requirements for the use of ambulances, emergency vehicles shall not engage in pre-hospital medical emergency services other than activities. If the use of ambulance or fake ambulance name to engage in medical service activities other than other operational activities, by the transportation authorities in accordance with relevant laws and regulations to be dealt with.
The draft proposes that the public security organs of the traffic management department will be in accordance with the relevant provisions of the road traffic regulations, to protect the ambulance is carrying out the task of the right of way, and with the municipal health administrative departments, municipal transportation administrative departments *** with the establishment of the ambulance information *** enjoyment of the mechanism, and timely notification of the master of the ambulance engaged in pre-hospital medical emergency services activities of the relevant information. Municipal transportation administrative departments and municipal public security organs of the traffic management department should be engaged in pre-hospital medical emergency services ambulance activities to give protection, strengthen the fake ambulance operation activities to investigate and deal with management.
The city will build a medical ambulance system to address the shortage of first aid manpower
Behind the status quo of the low rate of first aid call fulfillment lies the helplessness brought about by the seriousness of the loss of doctors and the shortage of manpower. To solve this dilemma, the draft proposed, the city will establish a medical ambulance system. Medical ambulancemen in accordance with the relevant provisions of the state can engage in related paramedical rescue work. Specific vocational skills appraisal specifications, will be the city's human resources social security administrative departments in conjunction with the city's health planning administrative departments **** with the development.
At the same time, in order to further expand the manpower, taking into account the scope of practice of the licensed physician is limited by its practice category and the scope of practice of the registered medical institutions, without approval shall not be changed at will. The draft specifically requires, such as clinical categories of emergency medicine practitioners outside the scope of professional physicians, have the will to emergency centers or emergency station practice, can be in the municipal health planning administrative department designated institutions to receive emergency medicine professional system of training for one year or professional training for more than one year, and to obtain the examination of the certificate of conformity.