Shenzhen revised the "Medical Regulations": take the lead in giving specialist nurses "prescription rights"

Shenzhen's medical reform has a new breakthrough. Recently, the Standing Committee of the Shenzhen Municipal People's Congress voted and approved the revised draft of the "Shenzhen Special Economic Zone Medical Regulations" (hereinafter referred to as the "Medical Regulations (Revised)"), and revised and improved the first local local character in the country implemented on January 1, 2017. Medical "Basic Law".

The reporter was informed that this revision mainly focused on the construction and supply -side reform of the medical service system, based on the optimization of medical resources, strengthening the management of the entire medical industry, improving medical services, and ensuring medical quality and safety. The rights and interests of the two parties, the specialty nurse system, the practice and ability evaluation of medical and health personnel, and the standardized medical service specifications have made institutional innovation. Many content belongs to the country's first.

Medical institutions must respect the patient's "lifetime aspiration"

Is it necessary to take traumatic rescue measures such as intubation and use of life support systems such as intubation at the end of injuries or at the end of dying? In order to reduce unnecessary pain and avoid medical disputes, the "Medical Regulations (Amendment)" has innovated institutional innovation in respect for patients' medical autonomy. Respect the requirements of the patient's life aspiration, and after receiving the patient or his close relatives provided the prescribed life -free aspiration, at the end of the patient's irreparable injury or at the end of the life, the medical institution shall respect the medical treatment measures. mean.

Directory medication needs to obtain a clear consent of the patient

During the treatment, if the medication is not public and transparent, the medicine or self -funded drugs outside the directory without obtaining the patient's consent can easily cause disputes. To this end, the "Medical Regulations (Amendment)" increased the situation that the patient should be clearly obtained, and supplemented the use of drugs that the drug instructions did not clearly use drugs, prescribed medical institutions for medicines, or self -funded drugs for medical insurance patients. Get the patient's clear consent.

Discussion of sexual documents can not be made public to the affected party

In the discussion of the patient's condition, medical and health personnel should be encouraged to dare to express their opinions. "Bold assumptions, careful verification", and then discussing, analyzing, and research, and finally drawing the most suitable diagnosis and treatment plan for patients. If the discussion process will be discussed to the affected side, it may cause medical and health personnel to dare not express their opinions, which is not conducive to the treatment of patients.

The "Medical Regulations (Amendment)" fully guarantee the patient's right to know, and clarify that the medical institution should change the relevant provisions of the "Basic Specifications for Medical Revices" in accordance with the overall requirements of the medical records in accordance with regulations. Conclusion opinions such as discussion and death case discussion should be recorded in the course of the disease. Discussion records and other discussion medical documents should be preserved as attachments for medical record data. Medical institutions may not be disclosed to the affected side.

Private hospitals must not increase service items at will

Many private medical institutions have been complained repeatedly: the service items, unclear content, and freely created medical service charges. To this end, the "Medical Regulations (Amendment)" has regulated medical service projects. By changing the country's regulations on "profit -making non -public medical institutions can establish medical service projects by themselves", it is clearly required that profit -seeking medical institutions in the city's medical services in this city Those who set up medical service projects outside the project shall comply with the technical specifications of medical services and report it to the municipal health and health authority for the record.

Eliminate illegal agencies and personnel to "change vests"

The medical institution that has just been suspended, change the "vest" to re -apply for registration? In order to prevent this kind of thing, the "Medical Regulations (Amendment)" increased the provisions of the restrictions of the person in charge and investors of the illegal operation of medical institutions, and clarified that the medical institution was revoked by the medical institution. The person in charge and the investor and the organizer shall not be funded within 5 years, hold a medical institution or the actual controller of the medical institution.

Open the "barriers" of Chinese and Western medicine at the same time

There are a group of clinical doctors in Shenzhen. Although they have passed the qualification examination of Chinese medicine doctors, in view of the fact that the state does not allow clinical categories to register the Chinese medicine category at the same time, if they want to engage in Chinese medicine practice activities, they must abandon the original practice registration category and register the category of Chinese medicine medicine. Physician practice certificate.

Through the relevant provisions of the "Physician Law" and "Administrative Measures for Medical Practice Registration", the "Medical Regulations (Amendment)" properly expanded the scope of practice of physicians' registration, and allows clinicians who are allowed to obtain a Chinese medicine physician qualification certificate. Scope; TCM doctors who allow the obtaining clinical physician qualification certificate to apply to increase the scope of the registered clinical category. At the same time, the content of the “Physician Law” specified in the content of the doctors' increase in practice, and clearly participating in professional training, and qualified by the assessment of the health and health department at or above the municipal level, may apply to add corresponding majors to the same kind as the scope of practice.

Strengthen the management of "certificate" of medical staff

At present, in addition to physicians and nurse, medical and health personnel engaged in pharmacy, examination, examination, rehabilitation treatment, etc. do not need to clarify medical institutions that practice their practice. It is not conducive to medical supervision and management that has not been practiced in the medical institution.

How to strengthen the management of medical and health personnel? The "Medical Regulations (Amendment)" stipulates that medical and health personnel who are engaged in pharmacy, inspection, examination, rehabilitation treatment, etc. When practicing the medical institutions of this city, they should obtain corresponding practice qualifications or professional title certificates in accordance with the law, and and also, and the title certificates of title, and also, and the title certificate, and also, and the title certificate, and also, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate, and the title certificate. Through the municipal health information platform to handle practice filing to clarify its main practice institutions. The "prescription right" is given the first to be given to the specialty nurse

The state encourages medical institutions to open special care clinics to provide the public with more convenient and more effective nursing services. However, because only doctors can prescribe prescriptions at present, the nurse can provide corresponding nursing services after the doctors need to be prescribed by the physician, which cannot actually play the role of specialized nursing clinics.

Drawing on the practice of giving nurses such as a certain prescription permissions such as the major developed countries such as Europe and the United States. Check the application form, the treatment application form, and external drug prescription to improve the professional ability of the nurse and provide patients with better nursing services.

Hong Kong and Macao physicians can practice in Shenzhen

Cross -border medical care is conducive to promoting the high -quality development of Shenzhen's medical and health undertakings. At present, both medical and health personnel and foreign doctors can practice more, but the "Interim Provisions on the Management of Medical and Technical Personnel in the Administrative Region of Hong Kong and Macau Special Economic Zone in the Mainland" stipulates that Hong Kong and Macao medical professional and technical personnel shall not be employed by more than two medical institutions at the same time. Essence

In order to encourage and guide high -level overseas doctors to practice in Shenzhen, the "Medical Regulations (Amendment)" has changed this, allowing Hong Kong and Macao medical professional and technical personnel to practice more after the record; if it is a short -term practice, it shall obtain the consent of their main practice institution. Essence

Overseas doctors have to assess in Shenzhen for 3 years

At present, some overseas physicians who come to Shenzhen are not high, and the disputes are frequent, and management must be strengthened. The "Medical Regulations (Amendment)" draws on the relevant provisions of Hong Kong, Macao and Taiwan doctors who must take regular assessment, and clarify that if all foreign doctors have practiced in this city for more than three years, they should participate in regular assessment of physicians.

Shenzhen Evening News reporter Zhou Qian Correspondent deep Guardian Xinxin

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