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Notice on the release of the large-scale medical equipment configuration plan for 2018-2020
Release time: 2018-10-29
Guowei Finance issued [2018] No. 41
The provinces, autonomous regions, municipalities directly under the Central Government and the Xinjiang Municipal Production and Construction Corps Health and Family Planning Commission (Health and Health Commission):
In order to promote the rational allocation of large-scale medical equipment, according to the "Decision of the State Council on Amending the Regulations on the Supervision and Administration of Medical Devices", the Notice of the National Health and Health Commission on the Issuance of a Catalogue for the Management of Large-scale Medical Equipment Configuration Licenses, and the National Health and Health Commission and the National Drug Administration The “Notice on Printing and Distributing the Management Measures for the Configuration and Use of Large Medical Equipment (Trial)”, the Commission has studied and formulated the national large-scale medical equipment allocation plan from 2018 to 2020, which is now released.
I. Guiding Ideology <BR> Deeply implement the spirit of the 19th National Congress of the Communist Party of China, adhere to the policy of health and health in the new era, and focus on promoting the building of a healthy China and deepening the reform of the medical and health system to maintain and enhance the health of the people as the core to improve Medical quality guarantees medical safety as the premise, focusing on optimizing resource allocation and controlling medical costs, planning and planning the number and layout of large-scale medical equipment, scientifically setting and accommodating access standards, improving the efficiency of medical resource supply, and supporting the high-quality development of health and health. Continue to meet the growing demand for medical services from the people.
Second, the overall goal <BR> through scientific planning guidance, standard access management and strengthen post-event supervision, and strive to form a more rational regional layout, more rational equipment structure, more matching configuration and health needs, more standardized use behavior, application quality The more secure large-scale medical equipment configuration planning management system basically meets the needs of clinical diagnosis and treatment, scientific research and innovation, and the multi-level and diversified medical service needs of the people.
Third, the basic principles
(1) Problem-oriented, overall coordination. Focusing on the main health problems of the masses and highlighting the health needs, according to the requirements of establishing a graded diagnosis and treatment system and the reform of public hospitals, comprehensive consideration of medical science and technology progress and discipline development, national economic and social development level, people's medical service demand and affordability, etc. layout.
(2) Fairness and priority, and efficiency. Priority is given to ensuring the accessibility of basic medical and health services, ensuring that the broad masses of the people can share the fruits of reform, development, and scientific and technological innovation, and explore the establishment of institutional mechanisms that are conducive to promoting the sinking of resources to the grassroots and central and western regions. Promote the coordinated integration of medical resources in the region and improve the integrity and synergy of the medical and health service system.
(3) Responsible for unified planning and grading. Regardless of the ownership, investment subject, affiliation and business nature of the medical institutions, the allocation of large-scale medical equipment by the health and health administrative departments to implement unified planning, unified access, unified supervision. The central and local division of labor is responsible for and connecting with each other.
(4) Ladder configuration and resource sharing. Guide medical institutions according to functional positioning, medical technology level and other factors in a step-by-step, step-by-step correspondence, rational allocation of functionally applicable, technically appropriate, energy-saving and environmentally friendly equipment. Strictly control the extraordinary equipment of public hospitals. Support the development of new formats and new models in the health and health fields such as regional medical imaging centers, and promote resource sharing.
(5) Safe and effective, and guarantee quality. Scientifically formulate and configure access standards, strengthen the use of post-event supervision, strictly grasp the use of indications, and standardize clinical applications. Prevention and control of technical risks, focusing on radiation protection management. Strengthen the training and assessment of professional and technical personnel, improve the business level, and protect the legitimate rights and interests of patients.
IV. Planned quantity and layout <BR> With the provincial level or cross-province as the planning unit, comprehensively consider the factors such as economic and social development level, regional functional orientation, medical service capacity, configuration demand, social medical development, etc., and rationally plan the number of configurations. .
By the end of 2020, 22,548 large-scale medical equipments will be planned and deployed nationwide, including 10,097 new ones, which will be implemented in three years. Class A large-scale medical equipment will be implemented on an annual basis according to work needs, and large-scale medical equipment of Class B will be formulated by the provincial health department. plan. Reserve reasonable space for the establishment of medical services.Specifically:
(1) Class A large medical equipment.
1. Heavy ion radiation therapy system. Strengthen the tracking and evaluation of the use of equipment in use, and no new allocation plan will be formulated during the planning period.
2. Proton therapy for the tumor system. The national master plan configuration is controlled within 10 units, all of which are newly added. According to the actual situation of regional function positioning, medical service radiation capacity and medical institution diagnosis and treatment level, by the end of 2019, one unit will be deployed in six regions of North China, East China, Central South, Northeast, Southwest and Northwest; by the end of 2020, it will be densely populated. The medical radiation capacity is strong, and one set of planning is arranged in North China, East China, Central South and Southwest of Beijing-Tianjin-Hebei, Yangtze River Delta, Pearl River Delta and Chengdu-Chongqing Economic Zone.
3. Positron emission type magnetic resonance imaging system (PET/MR). Strengthen the tracking and evaluation of the use of equipment in use. By the end of 2020, there will be 33 temporary deployments in the country, which will be allocated in six regions including North China, Northeast China, East China, Central South, Southwest China and Northwest China, of which 28 will be added.
4. High-end radiation therapy equipment. By the end of 2020, the country plans to allocate 216 units, including 188 new ones.
(2) Class B large medical equipment.
1. X-ray positron emission tomography scanner (PET/CT, including PET). By the end of 2020, there will be 710 units in the national planning, of which 377 will be added.
2. Endoscopic surgical instrument control system (surgical robot). By the end of 2020, there will be 197 sets of national planning, including 154 new ones.
3.64 rows and above X-ray computed tomography scanner (64 rows and above CT). By the end of 2020, the country plans to allocate 8,119 units, including 3,535 units.
4.1.5T and above magnetic resonance imaging system (1.5T and above MR). By the end of 2020, the national planning and allocation of 9846 units, including 4,451 new.
5. Linear accelerator (including X knife). By the end of 2020, the national plan will be deployed in 3,162 units, including 1,208 units.
6. Gamma ray stereotactic radiotherapy system. By the end of 2020, the country plans to allocate 254 units, including 146 new ones.
The sub-regional/provincial allocation plan is detailed in Annex 1.
V. Organizational configuration access standards
(1) Guarantee the quality and safety of use. The basic conditions for the use of quality and safety of equipment, including medical institutions should have technical conditions, use capabilities, supporting facilities, and professional and technical personnel with corresponding qualifications and capabilities.
(2) Control medical costs. The standard requirements for medical institutions to configure different types of equipment are different. Public medical institutions should select suitable models according to the requirements of functional positioning, clinical service needs and ladder configuration to improve the use efficiency of funds and the utilization of equipment functions.
(3) Supporting the society to run medical treatment. Support the development of non-public institutions, and do not take the business factor factors such as the level of medical institutions and bed size as the main configuration standards of non-public medical institutions, and focus on assessing the requirements of personnel quality and technical service capabilities to ensure the application of quality and safety.
The guidelines for the allocation of Class A large-scale medical equipment and the standard for the allocation of Class B large-scale medical equipment are detailed in Annex 2 and Annex 3. The provinces shall formulate the standard for the allocation of large-scale medical equipment of Class B in this province according to the actual conditions and guidelines.
Sixth, safeguard measures
(1) Strengthen organizational leadership. The planning of large-scale medical equipment allocation is an important basis for the health administrative department to implement the macro-control duties of medical resources. Health administrative departments at all levels must fully understand the importance of promoting the scientific planning and rational allocation of large-scale medical equipment, effectively strengthen the implementation of large-scale medical equipment allocation planning, and do a good job of connecting with local medical and health service system planning and resource allocation standards. Deployment, overall arrangement, and simultaneous implementation.
(2) Strict planning and implementation. Promptly release plans to the community. All large medical equipment configurations are strictly in accordance with the configuration planning and implementation requirements. Improve the disciplined disciplinary mechanism, strengthen the binding and execution of planning and standards, ensure the implementation of the plan, and maintain the seriousness and authority of the plan. In accordance with the relevant requirements of the administrative license, improve the system, further optimize the procedures, compile and improve the configuration license service guide and work rules, and standardize the examination and approval behavior.
(3) Innovative institutional mechanisms. Improve the mechanism, strengthen post-event supervision, and implement a “double random, open” supervision model. Increase the intensity of information disclosure, build a large-scale medical equipment information management platform, rely on the platform to achieve central-local information interconnection, and be fully transparent and verifiable. Strengthen the evaluation and analysis of equipment use, prevent and manage excessive use, and control the excessive and unreasonable growth of medical expenses. Give full play to the role of professional associations, establish and improve self-restraint mechanisms, and strengthen industry self-discipline and mutual supervision.
(4) Strengthen supervision and evaluation. Establish and improve the supervision and evaluation mechanism for the implementation of the configuration plan, set up an evaluation work group or entrust an independent third party, organize the implementation progress and effect evaluation of the configuration plan, timely discover the problems existing in the implementation, and timely study and solve. Comprehensive use of legal, economic and administrative means to standardize, manage and guarantee the effective implementation of the allocation plan, and the results are announced to the public in a timely manner.
Attachment: Quantity distribution table of large medical equipment configuration planning from 1.2018 to 2020
2. Class A large-scale medical equipment configuration access standards 3. Class B large-scale medical equipment configuration standards guidelines
National Health and Wellness Committee
October 26, 2018
(information disclosure form: active disclosure)
Attachment download: Accessories for large medical equipment configuration planning from 2018 to 2020
Related links : Policy Interpretation of "National Large-scale Medical Equipment Allocation Planning in 2018-2020"
http://www.nhc.gov.cn/caiwusi/s10741/201810/e5d3d478905a447cb9609b569680577d.shtml
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