中国医院管理体制和医疗对外开放政策ManagementofChineseHospitals.ppt
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1、中国医院管理体制和医疗对外开放政策Management of Chinese Hospitals and the Opening up policy of Medical Care in China,医政司 张宗久副司长 Vice director of Department of Medical Administration Mr. Zhang Zongjiu,提 要 Outline,一、医院管理体制 Management of hospitals 医院管理 Hospital management 医护人员管理 Medical staff management 医疗技术临床应用管理 Mana
2、gement of Clinical application of medical techniques 建立和完善国家医疗质量保障和持续改进体系 Establish and develop national medical quality and continuous improvement system 二、医疗对外开放政策 Opening up policy of medical care 中外合资、合作医疗机构管理 Management of Sino-foreign equity joint and cooperative joint medical institutions 外籍医
3、师在华行医管理 Management of foreign doctors working in China,一、中国医院管理体制 Management of Chinese Hospitals,(一)医院管理 Hospital management,医院管理法规和制度 Rules and regulations of hospital management 医院准入 Hospital certification 医院类别 Hospital classification 医院基本标准 Hospital basic standards 医院功能和任务 Hospital functions and
4、 tasks 医院执业规则 Hospital Professional Rules for doctors 目前中国医院数量、分布和构成概况 Number, distribution and structure of Chinas hospitals.,(一)医院管理 Hospital management,1、 医院管理法规和制度 Rules and regulations of hospital management 医疗机构管理条例及其实施细则 Regulation on management of medical institutions and Detailed rules for
5、implementation 中外合资合作医疗机构管理暂行办法 Interim measures for management of Sino-foreign equity joint and cooperative joint medical institutions 医院工作制度 Rules and regulations for hospitals 医院工作人员职责 Responsibilities for medical staff in hospital 实验室管理办法 laboratory management 放射诊疗管理规定 Management of Radiotherapy
6、,(一)医院管理 Hospital management,2、 医院准入制度-规划设置审批制度 Hospital Certification-Examination and approval system 县级以上地方人民政府卫生行政部门根据本行政区域内的人口、医疗资源、医疗需求和现有医疗机构的分布状况,制定本行政区域医疗机构设置规划 Health administration department above county levels shall make the plans for establishing medical institutions according to the po
7、pulation, medical resources, needs and the distribution of existing medical institutions in the region 设置医院应当符合医疗机构设置规划和医疗机构基本标准,经县级以上地方人民政府卫生行政部门审查批准,并取得设置医疗机构批准书 The establishment of hospitals shall meet the criteria of medical institution standards, shall be approved by the Health administration
8、department above county levels and shall obtain the Approval Certificate for the Establishment of Medical institutions,(一)医院管理 Hospital management,2、医院准入制度-执业登记制度 Hospital Certification-Practice registration 医院执业,应申请执业登记,领取医疗机构执业许可证 Practice registration is required and the practice shall be obtaine
9、d. 申请执业登记,必须具备相应条件 For practice registration, the following is necessary 设置批准书 Approval certificate 符合医院的基本标准 Meeting the basic standards of hospitals 名称、组织机构、场所 Name, organizer and location 经费、设施、设备、人员 Fund, facilities, equipment and staff 规章制度 Rules and regulations 独立承担民事责任 Ability to independentl
10、y bear civil liability 医院改变名称、场所、负责人、诊疗科目、床位的,办理变更登记手续 If the following items, such as name, location, legal person, business scope is changed, such changes shall also be made in the business license.,(一)医院管理 Hospital management,3、医院类别-根据医院功能和任务、服务范围等医院分为 Hospital classification-according to functio
11、ns, tasks and scopes of services 综合医院 Comprehensive hospitals 专科医院 Specialized Hospitals 口腔医院、肿瘤医院、 儿童医院、精神病医院、传染病医院、皮肤病医院、整形外科 医院、美容医院、康复医院等 Dental Hospital, Tumor hospital , Childrens hospital, mental hospital, Infectious diseases hospital, dermatosis hospital, plastic surgery hospital, Cosmetic s
12、urgery hospital, Rehabilitation hospital 中医医院、民族医院医院等 Hospitals of Chinese Medicine, Minority Hospital,(一)医院管理 Hospital management,4、医院基本标准-不同级别、类别的医院有不同基本标准,包括事项 Hospital standards-different standards for hospital of different levels, including 床位 bed 科室设置(临床、医技) departments(clinical ,technical) 人员
13、 staff 房屋 building 设备 equipments 规章制度、岗位责任、医疗护理技术操作规程 rules and regulations, position responsibilities, procedures for medical care techniques 注册资金 registered capital,(一)医院管理 Hospital management,5、医院功能和任务 Hospital functions and tasks 开展诊疗服务活动,完成一定的预防、保健康复服务 Offer diagnoses and treatments and other h
14、ealth related services 接受转诊,开展疑难危重症诊疗服务;接受基层医疗人员进修,指导、培训基层医务人员,完成卫生支农任务;遇特殊灾害、重大事故、疫情等,派出专家医疗队进行紧急救援;承担临床教学、实习任务,开展临床医学研究,追踪国际先进的临床医学领域 Accept transferred patients, research of difficult diseases, training of medical staff, fulfilling medical care tasks in the country side, sending medical team to a
15、ccident sites, internship, research of clinical techniques, learning international advanced techniques,(一)医院管理 Hospital management,6、医院执业规则 Hospital practice rules 医院必须按照核准登记的诊疗科目开展诊疗活动 Offer treatment according to the registered treatment scope 加强医疗质量管理,确保医疗质量和医疗安全 Strengthen medical quality manage
16、ment for the assurance of medical safety 定期检查、考核各类人员岗位责任制执行和落实情况 Examine, evaluate medical staff regularly 对医务人员进行“三基”、“三严”的培训与考核 Train and evaluate medical staff according to Three fundamentals and three musts 严格执行无菌消毒、隔离制度,预防和减少医院感染 Exercise sterilization and isolation rules, Prevention and contro
17、l of nosocomial infection,(一)医院管理 Hospital management,6、医院执业规则 Hospital practice rules 加强病历书写与管理 Strengthen the management of medical records 加强医务人员职业道德建设 Promote professional ethics 对患者实行保护性医疗措施 Protective measures for patients 尊重患者的权利 Respect the rights of patients 被吊销或注销执业许可证后不得继续开展诊疗活动 Stop offe
18、ring treatment after the license is suspended 医院不得使用非卫生技术人员从事医疗卫生技术工作 Non medical staff are not allowed to be hired in medical care work,(一)医院管理 Hospital management,7、实行医院工作评价制度-医院管理评价指南(试行) Hospital evaluation system- Hospital Management Evaluation Guide (for trial implementation) 2005年3月卫生部发布医院管理评
19、价指南(试行) Hospital Management Evaluation Guide issued by the Ministry of Health in March, 2005 目标:为人民群众提供优质、安全、经济的医疗服务 Goal:provide good, safe and economical medical service 核心内容:持续改进医疗质量和保障医疗安全 Core content:improve medical quality and safety 重点突出 目标明确 Clear goals and key points 突出“质量、安全、服务、费用、绩效”等内容
20、Emphasize quality, safety, service, fee and performance 注重内涵建设 Emphasize implementation,(一)医院管理 Hospital management,7、实行医院工作评价制度-主要内容 Hospital evaluation system-Contents 评价指标 考核内容 Evaluation index evaluation item 医院管理 8 48 Hospital management 医疗质量管理与持续改进 24 127 quality management 医疗安全 3 14 safety 医院
21、服务 4 27 Hospital service 医院绩效 3 15 Hospital performance 共计评价指标42 考核内容231 evaluation index42 evaluation item231 部分统计指标(45项) Part of statistics(45) 三级综合医院指标参考值 Level one comprehension hospital as the reference,(一)医院管理 Hospital management,7、实行医院工作评价制度-评价方式 Hospital evaluation system -method 自我评价 Self e
22、valuation 同行评价(行业自律、自主监控) Colleague evaluation(self discipline and self control) 社会评价:科学地利用社会调查方法评估医疗服务,力求客观、公正、真实地 反映社会和群众的意见,促进为患者提供更加优质的医疗服务 Social evaluation:use social survey, take into consideration the opinions of people to promote the development of medical service 患者的评价(院内、院外) Patients eval
23、uation(in hospital、outside hospital) 各省可以制订细则,也可根据执行情况适时进行修订、完善 The provincial medical departments can make detailed rules or adapt this one,(一)医院管理 Hospital management,8、医院校验制度 Hospital examination regulation 医院应遵守国家医疗机构检验制度 Hospitals shall abide by the national examination regulation 根据医院规模和服务范围,医
24、院校验分为1年和3年校验 Hospital examination period is 1 year or 3 year according to the scale of hospitals 医院应当于检验期满前三个月向登记机关申请办理校验手续 Hospitals shall apply for the examination certificate three months before the end of the examination period,(一)医院管理 Hospital management 2005年中国各省(市)医院分布情况 Hospital Distribution
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