State Council will abolish social restrictions on class B large-scale equipment

Pharmaceutical Network January 19 News January 17, the State Council held a State Council executive meeting, decided to further Shanghai Pudong New Area on medical and other areas of 47 examination and approval of 47 pilot reform projects to promote 'according to the reduction of evidence'. Including 'Cancel the social medical institutions B large medical equipment distribution license approval and other social social profit-making medical institutions to gradually implement the decision of the number of beds'.

A cancellation of examination and approval, an independent decision, these two reform initiatives for the community to do what kind of medical treatment role?

Over the years, a series of regulations have been promulgated one after another by the state in advancing the liberalization of social policies for medical treatment.

In November 2010, the General Office of the State Council transmitted the "Notice on Further Encouraging and Guiding Social Capital to Hold Opinions of Medical Institutions" by the NDRC, the Ministry of Health and other departments.

On the one hand, it will greatly relax the scope of access granted by social capital for holding medical institutions, clarify that social capital may independently apply for profit-making or not-for-profit medical institutions according to business purposes, and encourage qualified personnel to start individual clinics according to law. Can apply for profit for medical institutions restrictions.

On the other hand, non-public medical institutions should be supported to rationally equip large-scale medical equipment according to the approved scope of practice, the level of hospitals, the number of service people, etc. However, non-public medical institutions equipped with large-scale medical equipment still must be unifiedly planned by the corresponding health departments, Unified access, unified supervision.

In September 2013, the State Council issued "Several Opinions on Promoting the Development of Health Services" (Guo Fa [2013] No. 404). It is clear that "all laws Regulations Areas that are not prohibited by law must be open to social capital and continue to expand their fields. All areas open to local capital must be open to foreign capital. '

December 2013, National Health Planning Commission, in the country medicine The Board issued "Several Opinions on Accelerating the Development of the Society for Health Care Services" (National Health Reform [2013] No.54), stipulating that the allocation of large-scale medical equipment should be relaxed, the allocation of public medical institutions should be strictly controlled, and the development of non-public medical institutions should be taken full account Need, and in accordance with the non-public medical equipment configuration of not less than 20% of the ratio, reserve planning space.

In July 2015, the State Health Planning Commission issued the Guiding Principles for the Establishment of Medical Institutions (2016-2020), requiring that social administration should be included in the relevant planning and that resources should be allocated for resources such as bedspaces and large-sized equipment in accordance with a certain percentage In line with the planned total amount of the premise, to cancel the number of medical institutions and places of social restrictions.

Thus, although many policies have been making efforts toward "running their own tubes and tubes" in social work, the purchase of large-scale equipment for social work and the setting of beds in medical institutions still must be "planned" and require approval.

Nineteen reports in the 'implementation health China Strategy ", the main deployment of 10 work, of which 9 is' to support the community to do medical work, the development of health industry. 'On the community to do medical treatment, and the 18th National Congress of the CPC' hospital "Support" rather than "encouragement" is used in comparison with the formulation of "reform, encouragement and social support." Obviously, 'support' is more and more 'concrete' than 'encouragement.'

The so-called Class B medical equipment by the Health Commission, the National Development and Reform Commission, the Ministry of Finance delineated equipment.Currently includes X-ray computed tomography (CT), medical MRI equipment, digital subtraction angiography X-ray machine (DSA), medical linear accelerator (LA), single photon emission computed tomography (SPECT).

According to the Regulation on the Management and Configuration of Large-scale Medical Equipment, these large-scale medical equipment must be adapted to China's national conditions and comply with the principles of regional health planning so as to take full account of the advanced nature, suitability and accessibility of technologies.

Large-scale medical equipment management configuration planning and configuration permit system. A large medical equipment configuration permit issued by the State Council department of health administration; B large-scale medical equipment configuration permit issued by the provincial health administrative department.

Provincial health administrative departments in conjunction with relevant provincial departments in accordance with the State Council Department of Health Administration B large medical equipment configuration planning guidance, combined with the allocation of health resources in the region standard Formulate a plan for the configuration of large-scale medical equipment of Class B and report the plan to the health administrative department under the State Council for approval before implementation.

B large medical equipment configuration by the medical institutions according to the principle of geography to the local health administrative department to apply, level by level to the provincial health administrative department for approval; medical institutions access to "large-scale medical equipment configuration permit" before the purchase Large medical equipment.

For the medical institutions that violate the regulations and purchase large-scale medical equipment without authorization, the health administrative department shall order it to stop using and sequestering equipment, and the local competent department of price shall have the right to confiscate the corresponding examination and treatment income it has obtained, and impose a fine of less than 5 times of the corresponding income .

The health administrative departments and the health administrative departments under the State Council shall, in violation of the provisions, super-planning and ultra vires, approve the disposition of large-scale medical equipment, notify their principals and managers of criticisms and have the right to withdraw their approval decision. Therefore, large-scale equipment has never been wanted Buy can buy, want to be safe.

At present, the State Council has decided to further expand the exploration of pilot projects on the reform of 'separation of licenses and permits', explicitly require the examination and approval of canceling the allocation of large-sized Category B medical equipment licenses by social medical institutions, and gradually make independent decisions on the number of beds for social-profit-making medical institutions. With a year to form a copy of the experience to the city of Shanghai and the wider promotion of the country.

It is clear that this policy has taken a firmer step in the policy liberalization over the years and is a concrete manifestation of 'supporting' social work. Private hospitals are also freer and more relaxed in the deployment of large-scale equipment so that private hospitals can be more effectively driven development of.