What are the requirements for standardized construction of Chinese medicine hospitals?

Construction standards for Chinese medicine hospitals

2008-12-15 10:03

Chapter I General

Article 1 In order to adapt to the development of the cause of traditional Chinese medicine and maintain the need to give full play to the advantages of the characteristics of traditional Chinese medicine, to strengthen and standardize the construction of traditional Chinese medicine hospitals, to improve the level of decision-making and construction of the scientific management of the project, and to give full play to the benefits of the investment, according to the relevant laws, Regulations, specially formulated this construction standards.

Second, this construction standard is for Chinese medicine hospital construction project scientific decision-making and rationally determine the level of project construction to provide a unified national standard; is the approval of the approval of Chinese medicine hospital construction projects; is also related to the preparation, review of the preliminary design of Chinese medicine hospital construction projects, supervision and inspection of the entire construction process is an important basis.

Article 3 This construction standard applies to the construction scale of 60 to 500 beds in a comprehensive Chinese medicine hospital new construction, renovation, expansion projects; combined traditional Chinese and Western medicine hospital, ethnomedicine hospitals, Chinese medicine hospitals, hospitals, new construction, renovation, expansion projects can be based on the size of the construction scale with reference to the implementation.

Article IV of the construction of Chinese medicine hospitals must follow the relevant laws and regulations of the national economic construction, implementation and implementation of the scientific concept of development, adhering to the people-oriented, convenient for patients, according to local conditions, the principle of seeking truth from facts, to achieve a reasonable layout, functionality, and clear zoning, to create a safe, convenient, comfortable and warm medical environment for patients.

Article 5 The reconstruction and expansion of Chinese medicine hospitals shall make full use of the original infrastructure, conscientiously implement the basic national policy of resource conservation, starting from China's national conditions, combined with the economic conditions of different regions, taking into account the principles of practicality, economy and aesthetics, highlighting the characteristics of traditional Chinese medicine, and promoting the culture of traditional Chinese medicine.

Article VI of the construction of Chinese medicine hospitals, should conscientiously implement the "Chinese People's Republic of China *** and the State of Chinese medicine regulations" provisions, adhere to the health work of the Chinese and Western medicine and health work policy, in line with the national and local health planning and development of the cause of the national and local Chinese medicine development plan.

Article 7 The construction of Chinese medicine hospitals should be included in the local national economy and social development plan, project investment should be coordinated, Chinese medicine hospital construction land should be included in land use planning and urban planning.

Article VIII of the Chinese medicine hospital construction projects should be unified planning once completed, and leave room for transformation and development. Investment difficulties can be unified planning, phased implementation. Construction projects approved by the relevant departments shall not be arbitrarily altered.

Article IX of the construction of Chinese medicine hospitals in addition to the implementation of the construction standards, should also be consistent with the current national standards, norms.

Chapter II Construction Scale and Project Composition

Article 10 The construction scale of the Chinese medicine hospital shall be determined by the regional population of the area where the proposed Chinese medicine hospital is located, taking into account the level of economic development of the area, the health resources, the demand for Chinese medicine medical services and other factors. The number of Chinese medicine beds per 1,000 population should be measured at 0.22 to 0.27 beds.

Construction of Chinese medicine hospitals should be based on renovation and expansion of the main, in principle, should not increase the number of beds in the existing beds can meet the normal business needs.

Article XI of the construction of Chinese medicine hospital scale, according to the number of beds, divided into 60 beds, 100 beds, 200 beds, 300 beds, 400 beds, 500 beds six.

Article XII of Chinese medicine hospitals should be appropriate to match the daily outpatient (emergency) clinic volume and the number of beds set up 3.5 times. Specialized characteristics of Chinese medicine hospitals with Chinese medicine daily outpatient (emergency) clinic volume can be adjusted according to the specialties of the actual daily outpatient (emergency) clinic volume.

Article XIII of the Chinese medicine hospital rooms by the emergency department, outpatient department, inpatient department, medical and technical departments and pharmacy departments and other basic rooms and security systems, administration and hospital life services and other auxiliary rooms (see Appendix I).

Article XIV Chinese medicine hospital Chinese medicine preparation room, traditional Chinese medicine therapy center, large-scale medical equipment and other items of the room should be reasonably set up according to the needs of the floor area of a separate column.

Chinese medicine hospitals undertaking scientific research, teaching and internship tasks, according to the amount of tasks they undertake, increase the floor area of the corresponding scientific research and teaching and other facilities rooms.

Article 15 of the construction of supporting facilities for Chinese medicine hospitals should adhere to the principle of socialized services, and try to make use of the conditions of social collaboration to solve the problem.

Article XVI of traditional Chinese medicine hospitals set up business departments and bed distribution ratio shall be determined in accordance with the size of the hospital, workload and the actual situation of technical personnel. In general, should highlight the key departments of traditional Chinese medicine.

Chapter III Building Area Indicators and Construction Standards

Article 17 The average floor area of the beds in the emergency department, outpatient department, inpatient department, medical and technical departments and pharmacy departments of Chinese medicine hospitals and auxiliary rooms for the safeguard system, administration and in-house living services shall be in accordance with the indicators in Table I.

Table I Chinese medicine hospital building area indicators (m2 / bed)

Construction scale Bed 60 100 200 300 400 500

Daily outpatient (emergency) consultations 210 350 700 1050 1400 1750

Building area 69 ~ 72 72 ~ 75 75 ~ 78 78 ~ 80 80 ~ 84 84 ~ 87

Building area of 69 ~ 72 72 ~ 75 75 ~ 78 78 ~ 80 ~ 80 ~ 84 ~ 87 ~ 80 ~ 80 ~ 80 ~ 80 ~ 80 ~ 80 ~ 80 ~ 80 ~ 80 ~ 80 ~ 80 ~ 80 ~ 80 ~ 80 87

Note: 1. Select the upper or lower limit according to the scale of construction of Chinese medicine hospitals, the region, the type of structure, design requirements and so on.

2. For the construction of Chinese medicine hospitals with more than 500 beds, refer to the construction standard of 500 beds (the same below).

Article 18 The proportion of basic rooms and auxiliary rooms in the total floor area of Chinese medicine hospitals, see Table II.

Table II Traditional Chinese Medicine Hospital various functional rooms in the total floor area of the proportion (%)

Beds 60 100 200 300 400 500

Emergency Department 3.1 3.2 3.2 3.2 3.2 3.3

Outpatient Department 16.7 17.5 18.2 18.5 18.5 19.0

Inpatient Department 29.2 30.5 33.0 34.5 35.5 35.7

Medical Technology 19.7 17.5 17.0 16.6 16.0 16.0

Pharmacy 13.5 12.1 9.4 8.5 8.3 8.0

Safeguards 10.4 10.4 10.4 10.0 9.8 9.0

Administration 3.7 3.8 3.8 3.7 3.7 3.8

Hospital life service 3.7 5.0 5.0 5.0 5.0 5.0 5.0 5.2

Note: 1. In the use of the various functional rooms in the proportion of the total floor area can be adjusted according to the actual needs of different regions and Chinese medicine hospitals.

2. The pharmacy department does not include the Chinese medicine preparation room.

Article 19 When the daily outpatient (emergency) visits and the number of beds ratio and the construction standards take a large difference in value, according to each day outpatient (emergency) visits average 2m2, adjust the daily outpatient (emergency) clinic and other functional building area of the proportion of the building area of the relationship.

Article 20 The Chinese medicine preparation room, traditional Chinese medicine traditional therapy center separate project room floor area indicators can refer to Table III.

Table III Indicators of Floor Area for Single-Listed Project Rooms of Traditional Chinese Medicine Hospitals (m2)

Construction Scale

Project Name Beds 100 200 300 400 500

Chinese Medicine Preparation Room Small-sized 500-600 Medium-sized 800-1200 Large-sized 2,000-2,500

Traditional Chinese Medicine Therapy Center (Acupuncture and Moxibustion) treatment room, fumigation treatment room, moxibustion therapy room, foot therapy area, massage room, waiting room, medical office and other traditional Chinese medicine treatment rooms and other auxiliary rooms) 350 500 650

Article 21 Chinese medicine hospitals undertaking scientific research, teaching and internship shall take 70% of the total number of professionals and technicians with senior titles or above as the base, and increase the floor area of scientific research rooms according to the standard of 30m2 per person. The floor area of the room.

The configuration of teaching rooms in hospitals affiliated to Chinese medicine colleges and universities, teaching hospitals and internship hospitals shall be in accordance with the provisions of Table IV.

Table IV Indicators of the floor area of teaching rooms in TCM hospitals (m2/student)

Hospital Classification Affiliated Hospitals Teaching Hospitals Internship Hospitals

Area Indicators 8-10 4 2.5

Note: The number of students shall be determined according to the number of students approved by the competent authorities of the higher level for clinical teaching classes or internships.

Article 22 The floor area of the room for large-scale medical equipment for separate projects in Chinese medicine hospitals shall be determined with reference to the Construction Standards for General Hospitals.

Article 23 of the outpatient building, ward building, medical building and other major buildings, it is appropriate to use frame structure. Chinese medicine hospital buildings should be mainly multi-storey, hospital renovation, expansion of land is particularly tight, high-rise buildings can be used.

The horizontal or vertical transportation in the Chinese medicine hospital building should be convenient and smooth.

Article 24 When the hospital of traditional Chinese medicine as a seismic disaster prevention hospital, the seismic requirements of the main buildings should be set up according to the requirements of Category B building defense.

Article 25 The building energy-saving design of Chinese medicine hospitals must strictly implement the "Energy-saving Design Standards for Public *** Buildings" and the relevant mandatory standards for building energy-saving to meet the requirements of energy-saving, water-saving and material-saving.

Article 26 More than 50% of the wards in Chinese medicine hospitals should have good sunlight. The outpatient department, emergency department and wards shall make full use of natural ventilation and natural lighting.

Article 27 The interior decoration of the emergency department, outpatient department, inpatient department, medical and technical departments, pharmacy departments and laboratories and other medical business rooms shall be selected from safe, hygienic and durable materials and shall comply with the following provisions:

I. The ceiling shall be easy to clean and prevent accumulation of dust; the lighting is suitable for use of ceiling lamps and lanterns;

II. The interior wall walls shall not be used for easy to crack, easy to flammable, easy to humidity, Easy to corrode, not resistant to collision, not easy to hang the material; push the bed (car) through the door and wall, should take anti-collision measures;

three, in addition to the special requirements, the floor of the floor of the patient passage should be paved with non-slip materials;

four, all sanitary ware, washing pool, should be used in corrosion-resistant, difficult to stain, easy to clean the building fittings;

five, should not be used to produce dust, particles, fibers, and other materials that are easy to use. Produce dust, particles, fibrous materials.

Article 28 The Chinese medicine tablets storage and quality testing rooms and facilities, proprietary Chinese medicines, auxiliary materials, semi-finished products and finished products, etc. have corresponding storage areas. The above rooms should be dustproof, anti-mosquito, anti-fly, anti-insect, anti-rodent and other measures. The room for Chinese medicine preparation shall be equipped with necessary ventilation, air-conditioning, dehumidification and other facilities. Air purification facilities should be set up if possible. Outdoor sewers must be smooth and good, indoor sewers should be reliable liquid sealing device.

Article 29 of the acupuncture and moxibustion, massage and other departments of Chinese medicine treatment room, it is appropriate to configure facilities to maintain indoor temperature, and pay attention to the protection of patient privacy.

Article 30 The diagnostic and treatment rooms and wards of traditional Chinese medicine hospitals shall be equipped with facilities to maintain appropriate indoor temperature and humidity. Hospitals of traditional Chinese medicine in different climatic zones shall set up appropriate heating and air-conditioning facilities in accordance with the above principles.

Medical rooms with special requirements for air cleanliness shall be equipped with air purification devices.

Article 31 The medical rooms on the second floor and above shall be equipped with elevators, and the medical rooms on the third floor and above shall be equipped with elevators, and there shall not be less than two of them, one of which shall be a barrier-free elevator. Ward buildings shall be equipped with a single dirt elevator.

Article 32 The steam, hot and cold water and winter heating of the hospital of traditional Chinese medicine are suitable to be supplied by zoned special lines. Pipes in the hospital should be taken to facilitate maintenance, repair and renovation measures. Patients use the bathroom downpipe caliber should be calculated according to the general design specifications to increase the results of a level, and should be taken to prevent clogging, anti-leakage, anti-corrosion measures.

Article 33 of the Chinese medicine hospital must have uninterrupted power supply conditions, the use of double-loop power supply, when the double-loop power supply can not be guaranteed should be set up when the self-supplied power. The hospital area should be used to split the circuit power supply.

Article 34 The boiler facilities of Chinese medicine hospitals should be set up according to the total capacity of steam and heating equipment multiplied by the peak utilization factor, and should not be less than two.

Article 35 The architectural design of Chinese medicine hospitals shall be designed and constructed in accordance with the requirements of the "Code for Barrier-Free Design of Urban Roads and Buildings", so as to meet the needs of different patients for barrier-free facilities.

Article 36 The classification, collection, storage and disposal of medical waste, sewage and domestic garbage in Chinese medicine hospitals shall comply with the national regulations on environmental protection.

Chapter IV Site Selection, Land Use and General Layout

Article 37 The site of a Chinese medicine hospital shall be located in a place with better geological and hydrological conditions; it shall be chosen in a place where it is convenient for patients to seek medical treatment, with a good hygienic environment, with less noise, and where there is sufficient power supply from the water source; and it shall be far away from nurseries, kindergartens, and primary and secondary schools, and so on. The impact of the Chinese medicine hospital on the surrounding environment should also be considered.

Article 38 The land for the construction of Chinese medicine hospitals shall include: land for building; land for roads, squares and parking; land for greening and development.

Article 39 The general layout of the Chinese medicine hospital shall have clear functional zoning and meet the requirements of medical treatment, hygiene, fire prevention, disaster prevention and isolation. There should be at least two entrances to meet the requirements of safe evacuation and cleanliness and sewage diversion. Infectious disease department should set up independent entrances and exits to avoid cross-infection. Reasonable setup and clear marking of traffic channels in the hospital, and scientific organization of people and goods flow. Indoor lighting and color design should be in line with medical functions and patients' psychological needs.

Article 40 The arrangement of buildings should try to make the consultation rooms, wards and other major medical rooms have good orientation, sunlight and natural ventilation, to provide patients with a good medical environment.

Article 41 The surroundings of the rooms for Chinese medicine tablets, proprietary Chinese medicines and sterilized preparations shall be clean and pollution-free. People, logistics, traffic and medical waste channels should be arranged separately. Facilities for domestic garbage and medical garbage shall be set up separately and shall be far away from the diagnosis and treatment area.

Article 42 The rooms for hospitalization, surgery and functional examination shall have a quieter environment and avoid the interference of environmental noise, especially the interference of traffic noise.

Article 43 of the morgue should be set up in a hidden place, isolated from other functional areas. The morgue should be set up separately to the outside of the hospital, avoiding the main flow of people out of the hospital routes cross.

Article 44 of the nutritional canteen, boiler room, kitchen, decoction room, animal feeding room, generator room, freezer room, etc., and the main medical room, the surrounding housing outside the hospital should be dealt with between the noise, the smell of the impact on the surrounding environment.

Article 45 The new Chinese medicine hospital shall give full consideration to the characteristics of the hospital car, motor vehicles and non-motorized parking lot area, the number of parking, can be implemented in accordance with the provisions of the relevant local authorities.

Article 46 The green space rate of the new Chinese medicine hospital shall be 30% to 35%, and the green space rate of the reconstructed and expanded Chinese medicine hospital shall be 25% to 30%. The building density shall be 25% to 30%, and the plot ratio of the new building shall be controlled between 0.6 and 1.5, and when the land for alteration and expansion is tight, the plot ratio of the building may be increased appropriately, but it should not be more than 2.5. The specific indexes shall be subject to the indexes stipulated by the local planning department.

Chapter V Equipment Configuration

Article 47 The equipment configuration of Chinese medicine hospitals shall follow the following principles:

I. The configuration of general medical equipment shall be carried out in accordance with the standards of medical equipment for general hospitals and the basic standards for medical institutions.

Second, large, precise, valuable instruments and equipment should be based on the actual needs and financial possibilities and in accordance with the "configuration and management of large medical equipment," the provisions of the implementation.

Three, special equipment for Chinese medicine can be configured according to the actual situation.

Four, special diagnostic and therapeutic equipment required for Chinese medicine specialty departments, should ensure that the needs of specialized diseases.

Article 48 The equipment for the processing and preparation of Chinese medicine tablets and the quality inspection equipment shall be in accordance with the relevant provisions of the State Pharmaceutical Administration.

Article 49 Chinese medicine hospitals shall be equipped with computer networks and communication equipment and other information systems in accordance with their needs, and reasonably deployed and reserved for development.

The teaching mission of Chinese medicine hospitals should have an operating room with closed-circuit teaching system.

Article 50 The equipment standards of Chinese medicine hospitals should be practical, durable principle, to meet the functional requirements.

Chapter VI, the main technical and economic indicators

Article 51 of the new hospital of traditional Chinese medicine investment estimates, should be prepared in accordance with the relevant provisions of the current state. The construction and installation costs in the investment estimate shall be estimated with reference to 1.1 to 1.3 times of the office building where the project is located, and other costs of construction shall be implemented according to the standards of the project location.

Article 52 of the Chinese medicine hospital project construction period quota can be referred to Table V.

Table V Chinese medicine hospital construction period (months)

Construction scale beds 60 100 200 300 400 500

Floor area

(m2) 4140 ~ 4320 7200 ~ 7500 15000 ~ 15600 23400 ~ 24000 32000 ~ 33600 42000~43500

Construction period 8~12 16~24 22~28

Note: 1. The construction period refers to the time from the groundbreaking of the foundation works to the completion of all the works and reaching the national acceptance standard.

2. The construction period can be extended appropriately in the cold areas, but not more than 20% of the stipulated construction period.

3. The construction period for the consideration of a variety of factors. Due to different construction conditions around the world, allowing each place in the range of 15% adjustment. When there is a basement layer when the duration of 1 ~ 2 months.

Article 53 of the staff of Chinese medicine hospitals, in accordance with the relevant provisions of the state, according to the characteristics of Chinese medicine hospitals, the number of beds and staffing ratio, generally should be controlled at 1: 1.3 ~ 1.7, undertake scientific research, teaching and internship Chinese medicine hospitals, the number of clinical staff as a base, can be increased by the appropriate ratio of the other establishment.

The Chinese medicine hospitals may, according to their own medical characteristics, appropriately increase or decrease the ratio of various types of staff to meet the needs of Chinese medicine dispensing, specialty construction and hospital development.

Appendix

Basic and auxiliary rooms of Chinese medicine hospitals

1. Emergency department: internal medicine clinic, surgery clinic, gynecology (obstetrics) clinic, pediatrics clinic, orthopedics clinic, traditional Chinese medicine clinic, observation room, resuscitation room, infusion room, treatment room, medical lounge, office, nurses' station, charging room, registration office, pharmacy, laboratory, radiology, and so on.

2. Outpatient Department: (1) Internal Medicine Clinic, Surgery Clinic, Gynecology (obstetrics) Clinic, Pediatrics Clinic, Skin Clinic, Ophthalmology Clinic, Otorhinolaryngology Clinic, Oral Clinic, Oncology Clinic, Orthopedics and Traumatology Clinic, Anal and Intestinal Clinic, Geriatrics Clinic, Acupuncture and Moxibustion Clinic, Tui-na Clinic, Rehabilitation Clinic, Outpatient Treatment Room, Infusion Center, Traditional Chinese Medicine Room, Physical Examination Center. (2) Infectious Diseases Department (clinic, registration, charging, laboratory, radiology, pharmacy).

3. Inpatient Department: inpatient wards, maternity wards, etc.

4. Medical and Technical Departments: Laboratory, Blood Bank, Radiology, Functional Examination Room, Endoscopy Room, Operating Room, Pathology, Supply Room, Nutrition Department (including Nutritional Cafeteria), Medical Equipment Department, Central Oxygen Station, Nuclear Medicine, Intervention Room, Nuclear Magnetism **** Vibration Room, Office, Lounge and so on.

5. Pharmacy departments: Chinese medicine pharmacy, western medicine pharmacy, Chinese medicine dispensing room, western medicine dispensing room, clinical preparation room, proprietary Chinese medicine pharmacy, proprietary Chinese medicine dispensing room, turnover warehouse, outpatient pharmacy, inpatient pharmacy, Chinese medicine decoction room, office, lounge and so on.

6. Security system: boiler room, distribution room, morgue, laundry, general storehouse, communication room, equipment room, communication room, outdoor toilets, general repairs, sewage treatment room, garbage disposal room, automobile garage, bicycle storage and so on.

7. Administration: office, computer room, Chinese medicine demonstration teaching and training room, library, archives and so on.

8. Hospital life services: staff cafeteria, bathrooms, single dormitory, commissary and so on.