The National Health and Medical Commission issued: National standards for setting up medical institutions

With the promotion of China's national policies such as medical reform, graded diagnosis and treatment, and support for domestic equipment, a new medical infrastructure led by the expansion of large public hospitals is being launched on a large scale in China, providing opportunities for medical device companies to develop rapidly.
The medical device market Enter the continuous heavy volume stage
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In the next five years, the development of public hospitals will also help medical device companies usher in a new opportunity for expansion
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Announcement of bed plans for the next five years Recently, the National Health and Health Commission issued the "Guiding Principles for the Planning of Medical Institutions (2021-2025)" (hereinafter referred to as the "Guiding Principles")
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The "Guiding Principles" guide the health administrative departments at all levels to formulate the "Medical Institution Establishment Plan" (hereinafter referred to as the "Plan") for their respective administrative regions, give full play to the role of the government's macro-control and market allocation of resources, and further promote the optimal allocation of medical and health resources.
Shortcomings, changing models, and increasing efficiency, realize the coordinated development of urban and rural medical service systems, comprehensively enhance medical service capabilities, and effectively improve the fairness and accessibility of medical services
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The establishment of medical institutions is subject to macro-control based on major indicators such as medical service demand, medical service capacity, number of beds per thousand population (number of TCM beds per thousand population), number of physicians per thousand population (number of TCM physicians per thousand population), and number of nurses per thousand population.
The value is determined by the provinces, autonomous regions and municipalities directly under the Central Government according to the actual situation
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Improve hierarchical diagnosis and treatment, focus on strengthening the construction of specialist capacity, improve the urban medical and health service system based on community health service institutions, and establish a division and cooperation mechanism between urban hospitals and community health service institutions; further improve county-level hospitals as the leader, township health centers and Village clinic-based rural medical service network
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Accelerate the improvement of the hierarchical diagnosis and treatment system
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In accordance with the management of urban grid layout, the establishment of a compact urban medical group is led by tertiary public hospitals or hospitals representing the medical level of the jurisdiction, and several hospitals, primary medical and health institutions, and public health institutions.

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Actively develop a close county-level medical community in accordance with the principles of county-township integration and rural integration.
County-level hospitals focus on strengthening specialist capacity building, strengthening urban tertiary hospitals' counterpart assistance to county-level hospitals, and strengthening county-level hospitals and public health institutions.
The division of labor and business coordination will strengthen technical guidance for township hospitals and village clinics
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Integrate existing medical resources in the region and promote mutual recognition of inspection results by medical institutions
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Support the development of rehabilitation hospitals, nursing homes, and nursing stations (hereinafter collectively referred to as continuous medical institutions), encourage some secondary hospitals in areas with rich medical resources to transform into continuous medical institutions, increase service coordination within the region, and expand rehabilitation, nursing, and palliative care.
Provide continuous services such as nursing care
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With the goal of promoting national medical progress, relying on existing resource planning to set up national medical centers, national and provincial regional medical centers, clinical medical research centers, and traditional Chinese medicine inheritance and innovation centers, private hospitals are encouraged to participate
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Strengthen the construction of clinical specialty capacity during the "14th Five-Year Plan" period, build a high-quality talent team, and drive the overall national and regional medical service level to a new level
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Focusing on diseases with high provincial mortality and high transfer rate, strengthen the technical and talent support of national high-level hospitals to provincial hospitals, improve provincial diagnosis and treatment capabilities, and reduce cross-provincial medical treatment
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Strengthen the supporting role of informatization, effectively implement the standards and norms for informatization construction of hospitals and primary medical and health institutions, promote the deep integration of emerging information technologies such as artificial intelligence, big data, cloud computing, 5G, and the Internet of Things with medical services, and promote the construction of smart hospitals and hospital information standardization, vigorously develop and standardize telemedicine and Internet medical care
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Establish and improve a major epidemic treatment system with tiered and tiered shunting.
Relying on hospitals with strong comprehensive treatment capabilities, build major epidemic medical centers in sub-regions across the country, led by national medical centers, national and provincial regional medical centers, and jointly composed of relevant medical institutions.
Rescue Network
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Adhere to the coordination of medical treatment and prevention and the combination of peace and emergency, and form a major epidemic treatment system with clear division of labor, complementary advantages, and coordinated linkage in accordance with the principles of classification, stratification, and diversion of treatment.

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Continue to strengthen the management of hospital infection prevention and control, and improve the ability to respond to major epidemics
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Strengthen the construction of medical emergency service system
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Build a provincial, municipal, and county-level medical emergency service system covering urban and rural areas, with smooth connections and high-quality services
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Cities at the prefecture level and above, counties and county-level cities where conditions permit, set up emergency centers (stations), and counties and county-level cities that do not have the conditions set up county-level emergency centers (stations) relying on medical institutions with a higher comprehensive level in the region.
, while improving the emergency transport capacity of township health centers
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Large cities where conditions permit can set up emergency sub-centers or first-aid stations under the emergency centers
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Promote the effective connection between the pre-hospital emergency network and the in-hospital emergency, and explore the establishment of a real-time interactive intelligent platform between pre-hospital medical emergency institutions and the five major centers (chest pain center, stroke center, trauma center, critically ill maternal treatment center, critically ill children and neonatal treatment center).
Promote the integration of emergency and emergency services
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Focus on the development of rehabilitation, nursing, and traditional Chinese medicine.
Strengthen the establishment of geriatric medicine departments in second-level and above general hospitals, encourage qualified second-level and above traditional Chinese medicine hospitals to set up geriatrics departments, and guide some first- and second-level public medical institutions to transform into long-term care institutions
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Explore community health service institutions and township health centers to build community (township) combined medical and elderly care service facilities, and hospitals around elderly care institutions to open geriatric medicine departments, carry out various forms of medical and elderly care services, and do a good job in the diagnosis and treatment of geriatrics
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Expand the space for social medical services, and there is no planning limit on the total area and space for social medical services
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Encourage social forces to set up non-profit medical institutions and medical laboratory laboratories, pathological diagnosis centers, medical imaging diagnosis centers, hemodialysis centers, rehabilitation medical centers and other independent medical institutions in the fields of rehabilitation, nursing and other shortage specialties, and strengthen social management of medical institutions.
standardized management and quality control to improve the level of homogeneity
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Explore various forms of collaboration between socially run medical institutions and public hospitals
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The setting of the clinic is not limited by the planning and layout, and the management of the record system is implemented.

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Promote the construction of the National Center for Traditional Chinese Medicine, the National Regional Medical Center for Traditional Chinese Medicine, the National Center for Integrated Traditional Chinese and Western Medicine, and the National Regional Medical Center for Integrated Traditional Chinese and Western Medicine.
At least one provincial regional medical center for traditional Chinese medicine should be set up in each province (autonomous region, city), and vigorously develop the characteristics of traditional Chinese medicine.
Key hospitals, "flagship" hospitals in collaboration of traditional Chinese and Western medicine, county-run traditional Chinese medicine hospitals, traditional Chinese medicine clinics and outpatient departments have basically achieved full coverage of county-run traditional Chinese medicine medical institutions
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Relying on high-level TCM hospitals to build national TCM epidemic prevention and control bases and national TCM emergency medical rescue bases covering all provinces, strengthen the infrastructure construction of infectious disease departments, respiratory departments, emergency departments, critical care medicine departments and other related departments in traditional Chinese medicine hospitals, and improve traditional Chinese medicine.
Hospital emergency and rescue capabilities
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Reasonably determine the scale of public hospitals at the provincial level, plan to set up a provincial regional medical center for every 10-15 million population, and plan the layout of specialized hospitals and traditional Chinese medicine hospitals for children, oncology, psychiatry, infectious diseases, etc.
The population size of the region can be appropriately relaxed, and occupational disease and stomatology hospitals can be set up according to the actual needs of medical services; The population size of the sparsely populated areas can be appropriately relaxed), and city-run specialized hospitals (including specialized hospitals of traditional Chinese medicine) for children, mental health, obstetrics and gynecology, tumors, infectious diseases, and rehabilitation can be set up as needed
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Orderly guide some urban district-level hospitals to transform into specialized medical institutions such as rehabilitation, nursing, mental health, and occupational diseases; in county-level areas, based on the number of permanent residents, in principle, one county-run general hospital and one county-run traditional Chinese medicine hospital ( Including traditional Chinese medicine hospitals, integrated traditional Chinese and Western medicine hospitals, ethnic minority medical hospitals, etc.
), and ethnic minority areas and county-level regions in ethnic autonomous areas are given priority to establish ethnic minority medical hospitals
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In principle, the number of county-run hospitals may be appropriately increased in areas with a population of more than 1 million in the county area; county-run hospitals should be integrated if the resident population in the county area is less than 100,000
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Counties and urban areas that serve a large population but are not covered by prefecture-level medical institutions can build psychiatric hospitals as needed or rely on county-run general hospitals to set up psychiatric departments and wards
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There is one government-run standardized maternal and child health care institution in the province, city and county
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Public hospitals should reasonably set up the number of departments and wards according to their functional positioning and service capabilities
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The number of beds in each ward shall not exceed 50
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The number of beds in a newly established county-run general hospital (single practice site, the same below) is generally about 600-1,000; The number of beds in provincial general hospitals and above is generally around 1500-3000
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When setting up and approving tertiary general hospitals, it is necessary to guide tertiary general hospitals to increase the size and proportion of beds in intensive care medicine, and reasonably allocate the resources of various clinical specialties
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The newly added tertiary general hospitals and their beds shall comprehensively consider factors such as the utilization rate of hospital beds, the average hospitalization days, and the difficulty of receiving and treating diseases.
In principle, the average hospitalization days shall not be added
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In principle, support some public hospitals with strong comprehensive strength to build branch campuses on the basis of strictly controlling the scale of individual units
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In principle, by the end of 2025, eligible public hospitals shall have no more than 3 branch areas; for new branch areas, the number of beds in each branch area shall not be lower than the minimum requirements for second-level hospitals of the same category, and not higher than this guideline.
The highest standard of beds in a general hospital of the same level has been determined, and the total number of beds in each branch will not exceed 80% of the number of beds in the main hospital by the end of 2020
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