On November 16, the National Health Commission issued the "Notice on Printing and Distributing the Nine Guidelines for the Clean Practice of Staff in Medical Institutions", requiring all localities to include the implementation of the "Nine Guidelines" by medical institutions as important for review and evaluation and hospital inspections. content.
The implementation of the "Nine Guidelines" by medical and health personnel should be included in the important content of the annual assessment of medical and health personnel, medical ethics assessment, and periodic assessment of physicians, and be linked to their personal treatment.
Accountability should be strictly implemented. For serious problems caused by the incomplete implementation of the "Nine Guidelines," in addition to prosecuting the parties concerned, the health, medical insurance departments and medical institutions should also be held accountable according to the severity of the circumstances.
In December 2013, the former National Health and Family Planning Commission and the State Administration of Traditional Chinese Medicine jointly issued the "Notice on Printing and Distributing the "Nine Prohibitions" in Strengthening the Construction of Medical and Health Practices". The medical and health aspects have played an active guiding role in behaviors that harm the interests of the masses.
In order to further enhance the sense of responsibility, mission, and honor of medical institution staff, standardize practice behaviors, promote the professional spirit of medical and health personnel in the new era, guide the formation of a clean and upright industry environment, and ensure the high-quality development of medical and health services, and national health and health The Committee, together with the National Medical Security Administration and the State Administration of Traditional Chinese Medicine, has jointly formulated and issued the "Nine Guidelines for the Clean Practice of Staff in Medical Institutions" on the basis of the "nine non-acceptances" in response to the prominent problems that the people in the current medical and health field have strongly reflected.
The National Health Commission stated that the "Nine Guidelines" is a basic normative document for the integrity of all staff in medical institutions. It is a concrete manifestation of industry ethics, practice norms, and appeals of the masses. It embodies "who is in charge and who is in charge". The industry management requirements of “industry must be in charge of behavior” have clarified the basic behavioral bottom line for the majority of medical staff.
After the "Nine Standards" were promulgated and implemented, the "Nine Prohibitions" were abolished at the same time.
The National Health Commission requires health administrative departments at all levels to effectively play the role of the joint mechanism for correcting malpractices in the field of medicine purchase and sale and medical services, strengthen coordination and cooperation with medical insurance and other relevant departments, and severely investigate and deal with violations of the "Nine Guidelines." behavior.
Medical and health personnel who violate the "Nine Guidelines" shall be subject to administrative sanctions by the relevant departments according to the circumstances and the severity of the penalties. Those who violate administrative regulations shall be given administrative sanctions; those who violate party discipline shall be transferred to the disciplinary inspection and supervision organs for disciplinary treatment; suspected of crimes If it is, it shall be transferred to the judicial organ for handling in accordance with the law.
For typical cases, regular notifications are required.
Nine Guidelines for the Clean Practice of Staff in Medical Institutions
1. Remuneration is legally based on work, and commercial commissions are not accepted.
Remuneration based on labor in accordance with laws and regulations.
It is strictly forbidden to use the convenience of practice to issue a commission; it is strictly forbidden to unify the prescription for commercial purposes; except for other medical institutions in the medical consortium where the hospital is located, and designated retail pharmacies that are included in the "dual channel" management of medical insurance, it is strictly forbidden to arrange patients to other designated Places to purchase medical supplies and other products; it is strictly forbidden to sell goods or services to patients for personal gain; it is strictly forbidden to accept fees related to the prescription and dispensing of Internet companies.
2. Strictly abide by the principle of good faith and do not participate in fraud insurance.
Use medical security funds reasonably in accordance with laws and regulations, comply with medical insurance agreement management, and inform medical insurance patients whether the medical services provided are within the payment scope stipulated by medical insurance.
It is strictly forbidden to induce or assist others to seek medical treatment, purchase drugs, provide false certification materials, collude with others to falsely issue expense documents and other means to defraud or arbitrage medical security funds.
3. Practicing medicine in accordance with norms and not implementing excessive diagnosis and treatment.
Strictly implement various rules and regulations, and explain the condition and medical measures to patients during diagnosis and treatment activities.
It is strictly forbidden to over-treatment and over-examination for the purpose of simply increasing the income of medical institutions or seeking personal gain, which will increase unnecessary risks and expense burdens on patients.
4. Comply with the work rules and accept donations in compliance with the regulations.
Accept donations in accordance with laws and regulations.
It is strictly forbidden for staff of medical institutions to accept donations from stakeholders in the name of individuals or under the guise of units, and treat patients differently based on this.
5. Abide by the confidentiality guidelines and not divulge the privacy of patients.
Ensure the safety of patient information in the hospital.
It is strictly prohibited to illegally collect, use, process, transmit, disclose, and trade the personal data provided by patients in medical institutions and the medical information generated.
6. Obey the needs of diagnosis and treatment, and refrain from referral to patients for profit.
Provide medical information and use medical resources based on the needs of patients in an objective, fair and reasonable manner.
Except for regular referrals in the medical association, it is strictly forbidden to introduce and guide patients to designated medical institutions through online or offline channels for the purpose of seeking personal benefit.
7. Maintain the order of diagnosis and treatment, and not undermine the fairness of medical treatment.
Adhere to the principle of equality and jointly build a fair medical environment.
It is strictly forbidden to use medical resources such as number source, bed source, shortage of medicines and consumables, or diagnosis and treatment arrangements such as examinations and operations to receive benefits and harm the public.
8. Build a harmonious relationship together, and don't accept "red envelopes" from the affected party.
Abide by medical ethics and strict self-discipline.
It is strictly forbidden to solicit or accept gifts, gift money, consumer cards, securities, equity, and other financial products from patients and their relatives and friends; it is strictly forbidden to participate in banquets arranged, organized, or paid for, or arrangements for travel, fitness, entertainment and other activities.
9. Abide by the bottom line of communication and do not accept corporate rebates.
Observe discipline and law, and practice honestly.
It is strictly forbidden to accept rebates in any name or form by companies or distributors that produce and operate medical products such as medicines, medical equipment, medical equipment, and medical sanitary materials; it is strictly forbidden to participate in banquets or travel, fitness, entertainment, etc. arranged, organized or paid by them Activity planning.
Staff in medical institutions, including but not limited to health professionals, management personnel, logistics personnel, and other social practitioners who provide services in medical institutions and accept medical institution management, shall comply with the relevant requirements of the "Nine Guidelines" and obey management , Strictly enforce.
The staff who violate the above requirements shall be dealt with in accordance with the management authority in accordance with laws and regulations.
Violation of laws and regulations and other relevant provisions and compliance with statutory penalties can be based on the Basic Medical Hygiene and Health Promotion Law of the People’s Republic of China, the Law of the People’s Republic of China on the Prevention and Control of Infectious Diseases, the Social Insurance Law of the People’s Republic of China, and the Public Welfare of the People’s Republic of China Donation Law, Physician Law of the People’s Republic of China, Drug Administration Law of the People’s Republic of China, Regulations on Nurses, Regulations on the Prevention and Treatment of Medical Disputes, Regulations on the Supervision and Administration of the Use of Medical Security Funds, and Interim Measures for the Management of Medical Security in Medical Institutions Measures such as ordering corrections, giving warnings, giving relevant personnel or departments to suspend or terminate medical insurance settlement, recovering medical security funds, confiscation of illegal income, imposing fines, suspension of prescription rights, or practice until the revocation of the practice certificate, etc. , To hold relevant institutions and personnel accountable in accordance with the law; in accordance with the "Labor Contract Law of the People's Republic of China" and "Interim Provisions on the Punishment of Institutional Staff" and other measures, such as dissolution of labor contracts, warnings, demerits, downgrading of posts, dismissal, and expulsion are given, Relevant personnel shall be dealt with in accordance with the law; according to the "Code of Conduct for Practitioners in Medical Institutions" and other provisions, the work unit shall give criticism and education, cancel the qualifications for evaluation and evaluation of the year, or underemploy, postpone employment, dismissal pending, dismissal and other measures. Deal with it in accordance with the law.
Relevant personnel who violate party and political disciplines shall be transferred to the discipline inspection and supervision organs for party discipline and government sanctions; if they are suspected of crimes, they shall be transferred to judicial organs for investigation of criminal responsibility.
The person in charge of a medical institution that frequently violates the "Nine Standards" or causes other serious consequences such as bad social impact shall be held accountable in accordance with relevant regulations.