A blockbuster medical law will go into effect, affecting doctors across the country

A blockbuster medical law will come into effect next month, affecting doctors across the country
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On August 20, 2021, the 30th meeting of the Standing Committee of the Thirteenth National People's Congress voted to pass the "Physician Law of the People's Republic of China", which will come into force on March 1, 2022
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The industry believes that this heavy regulation will have a very significant impact on the practice of Chinese doctors in the future
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In the era of the "Physician Law", what new regulations will Chinese doctors usher in multi-site practice? On October 23, 2021, under the guidance of the China Association of Non-Public Medical Institutions, the Shanghai Association of Social Medical Institutions, and the Institute of Social Medical Institutions of Shanghai Jiaotong University, hosted by "Seeing the Medical World", provided by Perennial International Medical and Health Center and Haier Industrial Finance The 2021 Shanghai Medical Fair (the 4th National Medical Fair) supported by the strategy was held in Shanghai.
At the meeting, Xu Yucai, a well-known medical reform expert, explained the multi-point practice policy of doctors in the era of physician law for more than a thousand guests from all over the country
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The following is a summary of Xu Yucai's speech
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Multi-site practice is written into the medical forensic doctor group.
The most fundamental is the doctor.
The "Physician Law" stipulates the multi-site practice policy for doctors, which directly affects the development of the medical city and the doctor group.
The era of the Physician Act
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The newly promulgated "Physician Law" not only includes the cancellation of the requirements for obtaining a doctor's qualification for obtaining a doctor's degree from a technical secondary school, multi-site practice for doctors, lifelong banning, autonomy in diagnosis and treatment, protection of doctors' legitimate rights and interests, emergency rescue behavior, resident doctor training and specialist doctor training.
The big highlight, and it is also mentioned that practicing assistant physicians can practice in remote or difficult county-level hospitals, while in the past, they were only allowed to practice independently in township health centers.
In general, there are many new things
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As for doctors to practice in multiple locations, it was a policy regulation in the past, but this time it is truly legal, and it is legally permitted, which is also a breakthrough
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Regarding the provisions on the multi-site practice of doctors, the "Physician Law" continues to use the relevant content of the "Law of the Licensed Physicians".
For example, if the state implements the registration system for doctors' practice, doctors must be registered before they can engage in corresponding medical and health care in medical and health institutions.
Serve
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How to understand these regulations? Article 15 of the "Physician Law" stipulates that if a physician practice regularly in two or more medical and health institutions, one medical and health institution shall be the main one, and relevant procedures shall be completed in accordance with relevant state regulations
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The state encourages physicians to regularly visit medical and health institutions below the county level, including township health centers, village clinics, community health service centers, etc.
, to provide medical and health services, and the main practice institution shall support and provide convenience
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This provision is actually a continuation of the policy on multi-site practice for more than a decade
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Physicians practicing in multiple locations refer to practicing in more than two medical institutions.
This provision was mentioned in the new medical reform documents, and it is also the task of the new medical reform
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Reasons for promoting multi-site practice of physicians: to promote the rational allocation of medical resources, to ease the difficulty of seeing a doctor at the grassroots level,
etc.
In the process of promoting the new medical reform, the practice of multi-point practice is also being continuously promoted.
Since 2009, the state has successively issued a number of policies
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In September 2009, the former Ministry of Health issued a notice on issues related to the practice of physicians in multiple locations
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In July 2011, the former Ministry of Health issued another document, proposing to expand the scope of practice for physicians in multiple locations
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In 2014, five ministries and commissions jointly issued the "Several Opinions on Promoting and Regulating Physicians' Multi-site Practice", proposing to explore record management and implement regional registration
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Since then, related documents, including 2017, have also mentioned this
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In February 2017, after the promulgation of the "Administrative Measures for Physician Practice Registration", three regulations were made, which can be filed with the health administrative department, and doctors can change their practice registration information for online processing, which provides a lot of convenience for multi-site practice
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Shenzhen has taken the lead in liberalizing multi-site practice for physicians.
As early as July 2015, it fully liberalized multi-site practice for physicians
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Although the national policy level is gradually relaxing the practice of doctors in multiple locations, the implementation is not as easy as imagined.

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Why is it difficult for doctors to practice in multiple locations? On the one hand, the directors of public medical institutions are not willing to do so, and on the other hand, it is related to the physicians themselves.
Physicians are unwilling to practice more or their own abilities are not enough
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The multi-point practice of doctors into the law itself is a kind of progress, at least it is legally allowed, and in the long run, there are still many places worth exploring
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How can physicians do multi-point practice? The Physician Law is beneficial to multi-site practice, including consultation and medical associations
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There are three situations that need to be paid attention to when handling the relevant change registration procedures
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First, Article 18 of the Physician Law stipulates that: Physicians participate in standardized training, advanced studies, counterpart support, consultation, emergency medical assistance, charity, or other public welfare medical care, free clinics, undertake national tasks or participate in important activities organized by the government, To practice in a medical facility within a medical complex
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This provision actually opens another legal channel for the orderly flow of high-quality medical resources and multi-site practice
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For example, in medical alliances, clinics and private medical institutions can be incorporated into medical alliances formed by local public medical institutions.
In this case, physicians in public medical institutions can practice at multiple locations in relevant medical institutions without going through the formalities.
This is a opportunity
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Physicians go to the grassroots to practice in multiple locations, which is permitted by law and encouraged by policies, but the actual implementation process will not be so smooth
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Second, the regular assessment of physicians must attract sufficient attention
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Because of unqualified regular assessment, doctors' practice registration is prone to problems
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Third, the regional registration of physicians and multi-institutional practice
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This is stipulated in the policy, but it is still an obstacle in the actual implementation process and the provisions of this "Physician Law"
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What is regional registration? Regional registration is in accordance with the policy, that is, doctors can be registered in a province as a unit, but it is not the same as multi-institutional practice.
The procedures to be done are different, and the policies and regulations are also different.

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Although the legal framework has been established, the practice location, multi-agency practice, freelance practice and freelance profession still need further exploration and efforts in the future
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