Great news! The long-awaited new version of the basic standards for clinics has finally been released, the threshold for clinic physicians has increased, and those who do not meet the requirements will be rectified within a time limit... The clinic industry has ushered in major changes.

On the afternoon of November 8, the National Health and Medical Commission issued the "Notice on Printing and Distributing the Basic Standards for Clinics in Pilot Areas of Clinic Reform (2019 Revised Edition)" (hereinafter referred to as the "Notice"), and issued the "Basic Standards for Clinics in Pilot Areas of Clinic Reform (2019"). Revised Edition)" (hereinafter referred to as the "Standard").

Nine years have passed since the 2010 version of the "Basic Standards for Clinics" was issued. Today, the new version of the "Basic Standards for Clinics" in the pilot areas has finally been released, which will have a huge and far-reaching impact on the clinic industry and even the entire medical circle.

Scope of implementation: 10 clinic pilot cities, timely nationwide promotion

The 10 cities that implement the "Standard" are: Beijing, Shanghai, Shenyang, Nanjing, Hangzhou, Wuhan, Guangzhou, Shenzhen, Chengdu, and Xi'an.

The "Standard" requires that it be used only in these 10 pilot cities for clinic reform. Based on the operation experience of the pilot cities and improvement, it will be promoted nationwide in due course.

In May this year, the National Health and Medical Commission issued the "Notice on Printing and Distributing the Opinions on Promoting the Development of Clinics" (hereinafter referred to as the "Opinions"), and decided to carry out pilot work to promote the development of clinics in 10 cities from 2019 to 2020. Based on the pilot experience, the clinic construction and management policy will be improved and promoted nationwide.

In addition, the "Opinions" proposed to adjust the basic standards of clinics, and clearly required the National Health Commission to revise and issue the "Basic Standards of Clinics". Six months later, this revised version of the "Basic Standards for Clinics" has finally been released.

Clinic clinicians must have the title of attending doctor or above

The question that everyone is most concerned about is whether the threshold for clinic physicians has been raised, and the new version of the "Standard" gives the answer.

The "Standard" clearly stipulates that clinicians must obtain the qualifications of practicing physicians, have practiced in medical institutions for 5 years after registration, and have the title of attending physician or above.

In addition, the threshold for physicians in dental clinics has also increased. The "Standard" requires that physicians in dental clinics have obtained the qualifications of practicing dentists in the category of oral cavity, have been engaged in oral diagnosis and treatment in medical and health care institutions for 5 years after registration, and have the title of attending physician or above.

If there are more than 5 comprehensive oral treatment benches, there shall be at least one licensed physician with the title of deputy chief physician or above.

Therefore, in the future, in the 10 pilot cities, there will be an additional qualification requirement for physicians in clinics: attending and above professional titles, and the threshold for practice in clinics will be raised.

Increased clinic space requirements

The "Standard" requires that the usable area and building layout of the clinic meet the medical needs of medical subjects.

In the 2010 edition of the "Basic Standards for Clinics", the requirements for the area of ​​the clinic were not mentioned, but the new edition of the "Standards" clearly mentioned that the area and layout of the clinic must match the medical subjects.

Clinics must establish an information system

Different from the old version of the "Standard", the new version of the "Standard" also increases the requirements for information construction.

The "Standard" requires that an information system be established and interconnected with the medical service supervision information system in accordance with the regulations and standard requirements of the health administrative department.

In this way, the clinic will participate in the information system of the entire medical system, cooperate with each other, participate in a win-win situation, and accept all-round information supervision.

Review clinics applying for filing in accordance with the new "Standards"

The "Notice" requires that during the implementation of the clinic reform pilot work, the health and health administrative departments of each pilot city shall review the clinics applying for filing in accordance with the "Basic Standards for Clinics in Pilot Areas", and issue a "Medical Institution Practicing License" to those who meet the conditions. .

Therefore, in the 10 pilot cities, all clinics applying for filing must meet the requirements of the new version of the "Standards" before they can be issued a "Medical Institution Practicing License".

Clinics that do not meet the new version of the "Standards" shall rectify and cancel the "License" within a time limit

So, do clinics that have already opened in pilot cities meet the requirements of the new version of the "Standards"? The answer is yes.

The "Notice" requires that the health and health administrative departments of all pilot cities should strengthen the supervision and management of clinics, and if they find that they do not meet the "Basic Standards for Clinics in Pilot Areas", they must rectify within a time limit. ".

From this point of view, all clinics in the pilot cities must meet the requirements of the new version of the "Standards", and the first and foremost is the threshold for the professional title of clinicians, which will be a big test for many clinics and clinic physicians.

Although the new version of the "Basic Standards for Clinics" is temporarily running in 10 pilot cities, it will be rolled out to the whole country sooner or later. At that time, with the improvement of the threshold for practicing in the clinic industry, the overall qualification requirements of medical staff will also increase to a new level. Steps, everyone must step up their studies and enrich themselves, in order to remain invincible in the fierce competition.

Without further ado, here is the full text of "Basic Standards for Clinics in Pilot Areas of Clinic Reform (Revised 2019)":

Basic Standards for Clinics in Pilot Areas of Clinic Reform

(Revised 2019)

Clinic

A clinic is a medical institution that provides outpatient diagnosis and treatment for patients. It does not have inpatient beds (delivery beds), and mainly provides diagnosis and treatment services for common and frequently-occurring diseases.

1. Personnel

(1) Clinic practitioners need to be healthy and competent for relevant work.

(2) Clinicians need to obtain the qualifications of practicing physicians, have been practicing in medical institutions for 5 years after registration, and have the title of attending physician or above.

(3) At least one registered nurse shall be provided, and the number of nurses shall meet the needs of diagnosis and treatment services.

(4) If a medical technology department is established, each medical technology department shall have at least 1 corresponding professional health technician.

2. Equipment

(1) Basic equipment. Clinic table, clinic chair, clinic bed/stool, square plate, gauze can, stethoscope, sphygmomanometer, thermometer, tongue depressor, medicine cabinet, ultraviolet disinfection lamp, dirt bucket, autoclave equipment, disposal table, etc.

(2) First aid equipment. Oxygen cylinders (bags), mouthpieces, dental pads, oral airways, artificial respirator, etc.

(3) There are other equipments corresponding to the subjects of diagnosis and treatment carried out. Among them, clinical testing, medical imaging, ECG, pathology, disinfection supply, etc. have signed relevant service agreements with other medical institutions, and the services provided by other institutions may not be equipped with relevant equipment.

3. The usable area and building layout of the clinic meet the medical needs of medical subjects.

4. Have various rules and regulations and technical operation specifications uniformly stipulated by the state, and formulate the job responsibilities of clinic personnel.

5. Establish an information system, and interconnect with the medical service supervision information system in accordance with the regulations and standard requirements of the health administrative department.

Dental clinic

1. Comprehensive oral treatment table

There should be at least one comprehensive dental treatment table.

2. Personnel

(1) Physician.

1. Stomatologists need to be healthy and able to perform related work. Obtained the qualification of a licensed physician in the dental category, and have been engaged in dental diagnosis and treatment in medical and health care institutions for 5 years after registration, and have the title of attending physician or above.

2. If there are more than 5 dental comprehensive treatment benches, there should be at least one licensed physician with the title of deputy chief physician or above.

(2) Nurse.

1. Nurses need to be healthy and able to perform relevant work.

2. There is at least 1 registered nurse, and for every 3 additional oral comprehensive treatment centers, at least 1 additional registered nurse.

3. Housing

(1) The use area and building layout of the clinic shall meet the needs of daily diagnosis and treatment work and meet the management requirements for hospital infection prevention and control.

(2) The net usable area of ​​each oral comprehensive treatment table in the consultation room shall not be less than 6 square meters.

4. Equipment

(1) Basic equipment.

Curing lamps, ultrasonic scalers, air purification equipment, autoclave sterilization equipment, etc.

(2) First aid equipment.

Oxygen cylinders (bags), mouthpieces, dental pads, oral airways, artificial respirator, etc.

(3) Equipment per unit of dental comprehensive treatment table.

Oral comprehensive treatment table (with 1 operating lamp, 1 spittoon, 1 instrument tray) 1 set, 2 sets of high-speed and low-speed dental cutting devices, 2 sets of saliva suction devices, 2 three-purpose spray guns, etc. Use a sanitized configuration.

Among them, clinical testing, medical imaging and other medical institutions sign related service agreements, and other institutions provide services, and they may not be equipped with relevant equipment.

5. Have various rules and regulations and technical operation specifications uniformly stipulated by the state, and formulate the job responsibilities of clinic personnel.

6. Establish an information system, and interconnect with the medical service supervision information system in accordance with the regulations and standard requirements of the health administrative department.