Attention general hospital!

Medical News, July 2nd, the work of traditional Chinese medicine in general hospitals will be further strengthened
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Recently, the National Health Commission, the State Administration of Traditional Chinese Medicine, and the Health Bureau of the Central Military Commission’s Logistics Support Department issued the "Opinions on Further Strengthening the Work of Traditional Chinese Medicine in General Hospitals to Promote the Coordinated Development of Traditional Chinese and Western Medicine", deploying second-level and above general hospitals to strengthen the work of Chinese medicine.
Promote the coordinated development of Chinese and Western medicine
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The opinion pointed out that the health administration department should include the integration of traditional Chinese and western medicine into the hospital review and public hospital performance appraisal to promote the development of traditional Chinese medicine in general hospitals
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Public general hospitals with clinical departments of traditional Chinese medicine (Chinese medicine, integrated traditional Chinese and western medicine, ethnic medicine, the same below) should incorporate the establishment of a coordinated development mechanism of traditional Chinese and western medicine and a multidisciplinary diagnosis and treatment system into the hospital charter, and incorporate Chinese and western medicine joint rounds and consultations The hospital management system combines the characteristics and laws of traditional Chinese medicine to coordinate, optimize and differentiate the implementation of the performance appraisal of the clinical departments of traditional Chinese medicine, and encourage and guide the provision of traditional Chinese medicine services
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At the same time, tertiary general hospitals should all set up TCM clinical departments and set up TCM clinics and TCM beds in accordance with the Basic Standards for Medical Institutions (Trial), Basic Standards for TCM Clinical Departments in General Hospitals, and TCM Work Guidelines for General Hospitals.
The Chinese medicine ward and the comprehensive treatment area of ​​Chinese medicine can be set up
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In terms of strengthening the construction of traditional Chinese medicine clinical departments in county-level general hospitals, we will focus on the construction of hierarchical diagnosis and treatment, medical consortia, and the construction of compact county medical communities, promote the work of traditional Chinese medicine in general hospitals, and promote the construction of a comprehensive hierarchical diagnosis and treatment service system for integrated Chinese and Western medicine.
, To give full play to the role of traditional Chinese medicine in the prevention and treatment of common, frequently-occurring and chronic diseases at the grassroots level
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The TCM clinical departments of county-level general hospitals and county-level TCM hospitals should form an orderly pattern of mutual cooperation and dislocation development
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In remote areas and ethnic minority areas without county-level TCM hospitals, county-level general hospitals must basically achieve full coverage of TCM clinical departments, and play a guiding role in guiding and radiating the work of grassroots TCM
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　　The full text of the attached document:
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Further raise awareness, strengthen organization and leadership, improve relevant systems (1) Further raise awareness
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The general hospital is one of the backbones of the Chinese medicine service system, an important platform for the integration of Chinese and Western medicine, and an important front for the inheritance and innovation of Chinese medicine
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Further strengthening the work of traditional Chinese medicine in general hospitals and promoting the coordinated development of traditional Chinese and Western medicine in general hospitals will not only help improve the overall service capacity and operational efficiency of general hospitals, but also improve the accessibility and availability of traditional Chinese medicine services, and is more conducive to promoting traditional Chinese medicine.
Inheritance, innovation and development to better meet the growing medical and health needs of the broad masses of people
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Health administrative departments at all levels, competent Chinese medicine departments, military health departments, and general hospitals at all levels should further increase their awareness of the importance of coordinated work between Chinese and Western medicine, and create conditions for the coordinated development of Chinese and Western medicine
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It is necessary to summarize the experience in the prevention and control of medical treatment of the new crown pneumonia epidemic, further strengthen the work of traditional Chinese medicine in general hospitals, and improve the related systems of integrated Chinese and Western medicine, so that the work of integrated Chinese and Western medicine has a mechanism, a team, and measures and is effective
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Public general hospitals should have hospital leaders who are relatively in charge of TCM work, responsible for organizing the formulation of measures and methods for the development of TCM in hospitals, coordinating and solving difficulties and problems encountered in TCM work, supervising the implementation of TCM policies and measures, and in medical management The responsible person in the department is responsible for the management of the Chinese medicine business of the whole hospital
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(2) Further improve the system of coordination of Chinese and Western medicine in general hospitals
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The health administration department should include the integration of traditional Chinese and western medicine into the hospital review and public hospital performance appraisal to promote the development of traditional Chinese medicine in general hospitals
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Public general hospitals with clinical departments of traditional Chinese medicine (Chinese medicine, integrated traditional Chinese and western medicine, ethnic medicine, the same below) should incorporate the establishment of a cooperative development mechanism of traditional Chinese and western medicine and a multidisciplinary diagnosis and treatment system into the hospital charter, and incorporate Chinese and western medicine joint rounds and consultations The hospital management system combines the characteristics and laws of traditional Chinese medicine to coordinate, optimize and differentiate the implementation of the performance appraisal of the clinical departments of traditional Chinese medicine, and encourage and guide the provision of traditional Chinese medicine services
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　　2.
Further strengthen the construction of TCM clinical departments in general hospitals
(1) Strengthen the establishment of TCM clinical departments in general hospitals
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The National Health Commission, the State Administration of Traditional Chinese Medicine, and the Health Bureau of the Central Military Commission’s Logistics Support Department jointly revised the "Guidelines for the Work of Traditional Chinese Medicine in General Hospitals" to further promote the construction and development of clinical departments of traditional Chinese medicine in general hospitals, and give full play to the advantages of Chinese and Western medicine collaboration
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A tertiary general hospital should set up TCM clinical departments and set up TCM clinics and TCM beds in accordance with the Basic Standards for Medical Institutions (Trial), Basic Standards for TCM Clinical Departments in General Hospitals, and TCM Work Guidelines for General Hospitals.
Set up a traditional Chinese medicine ward and a comprehensive traditional Chinese medicine treatment area
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Encourage qualified tertiary general hospitals to set up second-level TCM disciplines or professional groups, and set second-level TCM subjects for diagnosis and treatment, and support TCM clinical departments in tertiary general hospitals to promote the collaboration of traditional Chinese and Western medicine and play a leading role in demonstration
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Encourage and support secondary public general hospitals to set up TCM clinical departments
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General hospitals with conditions can explore the development of TCM treatment services, promote the concept and methods of TCM treatment in the whole hospital, and give full play to the advantages and functions of TCM in "preventing disease before disease, preventing change of pre-existing disease, and preventing recovery after morbidity".

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Encourage TCM clinical departments in general hospitals to develop TCM culture and create a TCM culture atmosphere
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(2) Strengthen the establishment of Chinese pharmacies in general hospitals
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Conditional general hospitals, especially those with conditions of tertiary level A general hospitals, should set up traditional Chinese pharmacies in accordance with the "Basic Standards for Chinese Pharmacies in Hospitals" to provide traditional Chinese medicine preparations, Chinese patent medicines and traditional Chinese medicine formula granules preparation services, and traditional Chinese medicine preparations decoction services
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It is necessary to further optimize the service process of traditional Chinese medicine and increase the quality control of the whole process such as emphasizing, decoction, and distribution, so that the people can use traditional Chinese medicine with confidence
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Support qualified general hospitals to set up traditional Chinese medicine preparation rooms, and actively research, develop and use Chinese medicine preparations
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(3) Strengthen the construction of TCM clinical departments in county-level general hospitals
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Taking hierarchical diagnosis and treatment, medical consortia and the construction of close county-level medical community as the starting point, promote the work of traditional Chinese medicine in general hospitals, promote the construction and improvement of integrated traditional Chinese and Western medicine graded diagnosis and treatment service system, and give full play to the common diseases and frequently-occurring diseases of traditional Chinese medicine at the grassroots level.
Role in the prevention and treatment of chronic diseases
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The TCM clinical departments of county-level general hospitals and county-level TCM hospitals should form an orderly pattern of mutual cooperation and dislocation development
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In remote areas and ethnic minority areas without county-level TCM hospitals, county-level general hospitals must basically achieve full coverage of TCM clinical departments, and play a guiding role in guiding and radiating the work of grassroots TCM
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(4) Strengthen informatization support
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The general hospital information system should support the development of Chinese medicine services
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Those setting up Internet hospitals to provide Internet medical services are encouraged to provide Internet Chinese medicine diagnosis and treatment services
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Innovating the cooperative medical model of
Chinese and Western medicine (1) Incorporating Chinese medicine into the multidisciplinary consultation system
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General hospitals shall specify the requirements for encouraging participation of TCM physicians in relevant systems and procedures such as in-hospital consultation management and multidisciplinary diagnosis and treatment management
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When conducting multidisciplinary consultations for acute, critical, and difficult and complex diseases admitted to each clinical department, doctors of the traditional Chinese medicine category shall be invited to participate in accordance with the needs of the condition
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When establishing a multidisciplinary diagnosis and treatment team (MDT), the hospital encourages TCM physicians to join in and jointly study treatment plans for integrated TCM and Western medicine
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(2) Strengthen the cooperation between Chinese and Western medicine in the clinical departments of general hospitals
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According to clinical needs, strengthen the provision of Chinese medicine physicians in clinical departments of general hospitals, and jointly build a team of integrated Chinese and Western medicine with clinical physicians, and carry out combined Chinese and Western medicine in accordance with the registered and registered traditional Chinese medicine, integrated Chinese and western medicine, and ethnic medicine departments.
Diagnosis and treatment
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Encourage the establishment of specialized departments of integrated traditional Chinese and western medicine for the dominant diseases of integrated traditional Chinese and western medicine
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(3) Carry out collaborative research of traditional Chinese and Western medicine among departments of general hospitals
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General hospitals should closely integrate the development focus and superior specialties of the hospital, identify the entry point and intervention timing of TCM treatment for the disease types that have advantages in TCM treatment, and through the collaboration of TCM and Western medicine, study, formulate and implement "The West is the West" The Diagnosis and Treatment Plan of Integrated Traditional Chinese and Western Medicine
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The tertiary general hospitals should strengthen the clinical research work of integrated traditional Chinese and western medicine, focusing on cancer, cardiovascular and cerebrovascular diseases, diabetes, infectious diseases, Alzheimer’s, prevention and treatment of altitude sickness, and microbial resistance, and actively explore and carry out collaborative research of traditional Chinese and Western medicine to form a Chinese medicine.
Integrated western medicine diagnosis and treatment plan
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(4) Deepen the collaborative research of traditional Chinese and Western medicine in general hospitals and traditional Chinese medicine hospitals
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The State Administration of Traditional Chinese Medicine, the National Health Commission and the Bureau of Health of the Ministry of Logistics and Support of the Central Military Commission expand and deepen the clinical collaboration pilot project of TCM and Western medicine for major and difficult diseases, promote the strong alliance of TCM and Western medicine, and jointly study and formulate expert consensus on the integration of TCM and Western medicine for major and difficult diseases and clinical practice Guidelines for diagnosis and treatment
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Encourage all provinces (autonomous regions and municipalities) to carry out provincial-level clinical trials of TCM and Western medicine for major and difficult diseases
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Strengthen medical quality management
(1) Improve the standardization of Chinese medicine diagnosis and treatment
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The TCM clinical departments of general hospitals shall follow the relevant requirements of TCM clinical diagnosis and treatment guidelines, technical operation specifications, industry standards and clinical pathways, strictly abide by the core system of medical quality and safety, and strictly regulate TCM medical behaviors
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In accordance with the "Management Measures for the Clinical Application of Medical Technology" and other requirements, develop medical technologies that are compatible with their technical capabilities
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Strictly implement the "Basic Norms for Writing Traditional Chinese Medicine Medical Records" and other medical record management regulations, implement the "Classification and Codes of Traditional Chinese Medicine Disease Syndrome" and "Chinese Medicine Clinical Diagnosis and Treatment Terminology" (revised edition), and standardize the writing of Chinese medical records and the terms used in Chinese medicine
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(2) Strengthen medical quality control and evaluation
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General hospitals shall establish a medical quality management system and control system covering the whole process of clinical diagnosis and treatment of Chinese and Western medicine in accordance with the "Medical Quality Management Measures" and other documents, implement the diagnosis and treatment guidelines, technical specifications and clinical pathways of integrated Chinese and Western medicine, and strengthen the treatment of Chinese and Western medicine.
Medical quality management and evaluation of clinical diagnosis and treatment, including the quality assurance of Chinese medicine diagnosis and treatment into the hospital's review standards, and making full use of medical quality management tools and information technology to carry out daily medical quality management and control
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(3) Regulate the rational use of Chinese medicine
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General hospitals should establish a TCM prescription comment system in accordance with the "Prescription Management Measures", "Hospital Prescription Review Management Standards (Trial)", "Chinese Medicine Prescription Format and Writing Specifications" and other documents, strengthen the quality management of TCM prescriptions, and promote the rational use of TCM
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　　5.
Strengthen the construction of Chinese medicine team
(1) Strengthen the construction of Chinese medicine talent team in general hospitals
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General hospitals should increase the staffing of Chinese medicine professionals and formulate a complete training plan
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Through clinical follow-up, training of outstanding Chinese medicine clinical talents, and the construction of famous old Chinese medicine experts inheriting studios, actively carry out the inheritance of the academic experience of old Chinese medicine experts, strengthen the construction of outstanding talent echelon and talent reserve, and form a reasonable structure of talent team
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Strengthen the construction of clinical teaching capacity of Chinese medicine departments in general hospitals
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Support qualified general hospitals to explore and carry out standardized training of Chinese medicine doctors
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Strengthen the training of nurses in TCM departments, improve the ability of syndrome differentiation nursing and TCM characteristic nursing, and provide TCM characteristic nursing and health guidance
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(2) Carry out "Western learning in" talent training
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Public general hospitals should support clinical doctors in learning traditional Chinese medicine knowledge and skills, and guarantee them in terms of study time, remuneration and other aspects
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Organize the training of high-level talents of "Western medicine learning Chinese medicine", strengthen the study of classic Chinese medicine theory and clinical practice, and cultivate high-level talents of integrated Chinese and Western medicine
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(3) Strengthen continuing education and skill training in Chinese medicine
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General hospitals carry out rotation training of TCM expertise for clinical physicians, so that they have the ability of conventional TCM diagnosis and treatment in their professional field, gradually achieve "can meet the Chinese", and promote integrated TCM and Western medicine diagnosis and treatment services to cover the main clinical departments of the hospital
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Support and encourage Chinese medicine personnel, "Western learning Chinese" personnel to further study and academic exchanges
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(4) Improve the evaluation system of TCM talents in general hospitals
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Reform and improve the TCM professional title evaluation and appointment system, take TCM medical ability, medical ethics and medical ethics as the main evaluation criteria, take the ability to see a doctor and look after the disease as the main evaluation content, and use the theory, method, prescription and medicine of TCM to deal with The actual ability of the disease is the main assessment index
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For majors related to integrated traditional Chinese and Western medicine that are not listed in the "Professional Catalogue of the Health Professional Technical Qualification Examination", assessment and other methods may be adopted in accordance with relevant requirements to confirm the qualifications of junior and intermediate professional and technical positions
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Give full play to the role of demonstration and
promptly summarize and promote the experience and practice of strengthening the work of traditional Chinese medicine in general hospitals in various places and promoting the coordinated development of Chinese and Western medicine
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Organize the selection of some general hospitals with high technical level, strong scientific research strength, and sufficient development potential in a timely manner to create "flagship" hospitals and "flagship" departments for the collaboration of traditional Chinese and Western medicine, and radiate the promotion of the overall level of integrated traditional Chinese and Western medicine across the country
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　　7.
Giving play to the role of industry societies and associations
Relevant Chinese medicine societies and associations shall, under the guidance of the health administrative department and the competent Chinese medicine department, give full play to the important roles of academic exchanges, standard setting, industry self-discipline, talent training, and third-party evaluation.
Vigorously develop members of general hospitals , form a member system with a reasonable structure of traditional Chinese and Western medicine, continuously improve the quality and effectiveness of academic exchanges, create branded academic activities for integrated traditional Chinese and western medicine, and promote integrated traditional Chinese and western medicine medical models
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　　8.
Strengthen the work of Chinese medicine in
specialized hospitals, infectious disease hospitals, maternal and child health care institutions Specialized hospitals, infectious disease hospitals, maternal and child health care institutions may combine the actual situation of their institutions and refer to this "Opinion" to improve relevant systems, strengthen Chinese medicine work, and promote Chinese and Western medicine.
Coordinated development
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