in order to further standardize medical behavior, promote reasonable examination, improve the utilization efficiency of medical resources, reduce medical expenses, earnestly safeguard people's health rights and interests, and improve people's medical experience, this plan is formulated in accordance with the requirements of Guiding Opinions on Further Standardizing Medical Behavior and Promoting Reasonable Medical Examination. I. Action Objectives By carrying out special treatment actions, we will seriously investigate and deal with unreasonable medical examinations (including various imaging examinations, laboratory examinations and pathological examinations, etc.) that violate relevant laws and regulations and technical specifications for diagnosis and treatment and harm the interests of the people, guide medical institutions to establish and improve systems and norms for standardizing medical behaviors and promoting reasonable medical examinations, create a good medical environment, promote the establishment of a long-term mechanism for medical examination and supervision, and effectively protect the health rights and interests of the people. II. Scope of Action All kinds of medical institutions at all levels and other institutions that carry out medical examinations in violation of laws and regulations. Iii. key contents (1) control the illegal conduct of medical examination. We will severely crack down on illegal acts such as not obtaining the practice license of medical institutions, carrying out medical examinations beyond the scope of diagnosis and treatment subjects, carrying out medical examinations prohibited for clinical use, using medical devices that are not registered or filed according to law, hiring non-health professional technicians to carry out medical examinations, and charging medical examination fees in violation of regulations, and deal with them severely according to the law. Designated medical institutions and related personnel who have found illegal use of medical insurance funds in special governance actions will be severely dealt with according to the law and regulations. (two) to control unreasonable inspection behaviors such as unfounded inspection and repeated inspection. Organize self-examination and spot check on the medical examination of patients in medical institutions (emergency) and inpatients, organize experts to demonstrate the necessity and standardization of the examination, investigate and deal with unfounded inspection and unnecessary repeated inspection in violation of the provisions of the health administrative department and relevant technical specifications for diagnosis and treatment, order rectification, and deal with it severely according to the law. (three) the implementation of inspection behavior in violation of the principle of informed consent. Focus on the implementation of special inspections without signing informed consent. Guide medical institutions to strengthen the implementation of informed consent and hospital affairs disclosure requirements, strengthen popular science education, and disclose the charging standards for inspection items carried out by our hospital. Before issuing a checklist for patients, medical staff should explain the purpose and necessity of the examination and obtain the understanding and cooperation of patients or their families. For special examinations, the written consent of patients or their families should be obtained. (four) governance may induce excessive inspection indicators and performance distribution. Seriously investigate and deal with medical institutions and departments to implement "billing commission", set business income indicators and directly link them with the income of medical staff, and other behaviors that may induce excessive inspection. Promote the technical level, difficulty coefficient, work quality, positive rate of test results and patient satisfaction as key assessment indicators for performance distribution, and guide the establishment of performance distribution methods that reflect the labor value and technical value of medical staff. (five) governance in violation of the planning and allocation of large medical equipment. Strengthen the supervision and inspection of relevant medical institutions, investigate and deal with violations of the license management of large-scale medical equipment configuration and illegal use of large-scale medical equipment for clinical diagnosis and treatment, and deal with it severely according to the law and regulations. Iv. division of responsibilities the health department shall, jointly with relevant departments, formulate a special governance action plan and organize and coordinate the work of various departments. Specifically responsible for checking the medical examination behavior and internal management of medical institutions and their medical personnel, collecting and sorting out clues reported by the masses and transferring them to relevant departments for investigation according to their duties, and publicizing the progress and achievements made in special governance actions. Market supervision departments investigate and deal with all kinds of price violations according to law. In the daily supervision, it is found that it is suspected that it has not obtained legal qualification to carry out medical examination, and it shall promptly notify the health administrative department. The designated medical institutions and relevant personnel involved in the illegal use of medical insurance funds found in the special governance actions will be dealt with severely according to the law. The drug regulatory department will severely deal with the institutions and relevant responsible persons who use medical devices that are not registered or filed according to law to carry out inspection activities. The competent department of traditional Chinese medicine is responsible for organizing and implementing the special governance actions of medical institutions in the traditional Chinese medicine system. The military health department is responsible for organizing and implementing the special governance actions of medical institutions in the military system. V. Implementation Steps The special governance activities will be implemented in four stages from April 221 to March 222. (1) Deployment stage (April-May 221). According to the actual situation, all localities have determined the multi-sectoral joint working mechanism, formulated and published the local implementation plan and carried out relevant training and publicity, and emphasized the deployment of the content and requirements of special governance actions. (2) Self-examination stage (May-August 221). Local health administrative departments take the lead in organizing medical institutions at all levels to carry out self-examination and rectification according to the requirements of this plan. The scope of self-examination of special governance should achieve full coverage of hospitals (including traditional Chinese medicine hospitals and maternal and child health hospitals) within its jurisdiction, and other types of medical institutions (community health service centers, township hospitals, outpatient departments and clinics) should cover more than 5%. (3) Inspection and evaluation stage (September 221-January 222). Relevant departments of all localities conduct spot checks on medical institutions in the region, rectify the problems found, deal with them according to laws and regulations, guide medical institutions to establish and improve systems and norms, and summarize and evaluate the special governance work. The National Health and Wellness Commission and relevant departments organized inspection and evaluation of some areas. (4) Summary stage (February-March, 222). The provincial health administrative departments take the lead to summarize the special treatment work in this area. Vi. Job Requirements (1) Strengthen organizational leadership. All localities should fully understand the significance of the special treatment of unreasonable medical examination in promoting the deepening of medical and health system reform, standardizing medical service behavior, promoting the healthy development of the medical industry, and safeguarding people's health rights and interests. All relevant units should take the initiative to strengthen leadership, establish a provincial-level multi-sectoral joint cooperation mechanism, refine measures and clarify the division of labor. All localities and departments should conscientiously perform their duties, earnestly implement the requirements of the work plan, and organize self-examination and supervision and inspection of medical institutions. (2) Dispose of according to laws and regulations. All localities and departments should establish ledgers for violations of laws and regulations in the field of medical examination found in the special treatment work, and deal with them severely according to the law and regulations. It is necessary to give full play to the role of social supervision, set up special lines and special channels for unreasonable medical inspection, supervision and reporting on the basis of relevant reporting hotlines, online platforms, WeChat WeChat official account and other platforms in the field of health and health, and publicize them to the public, extensively collect clues, and carefully investigate and verify them to ensure the effectiveness of special actions. (3) increase publicity. All localities and departments should carry out extensive publicity activities. For typical cases and serious cases, it is necessary to inform the public and organize follow-up reports. Vigorously publicize the powerful measures and work results of purifying the industry environment and promoting the standardized and orderly development of the industry, and create a good public opinion atmosphere for the smooth development of special actions. (4) promoting the construction of a long-term mechanism. All localities should guide medical institutions to pay close attention to rectification and implementation for problems found. In view of the outstanding problems and * * * problems found in the special governance actions, we will further improve the system design, innovate the supervision means, incorporate them into the daily work of medical service supervision, promote the establishment of an information-based supervision platform, and make unremitting efforts. Actively promote industry self-discipline, give full play to the role of social organizations such as quality control centers and industry associations, and earnestly implement the main responsibility of medical institutions. Adhere to the combination of positive guidance and problem rectification, and continue to exert efforts in optimizing the allocation of medical resources, improving the standardization of diagnosis and treatment, and promoting the reform of salary system and medical insurance payment methods, thus forming a good policy environment for promoting reasonable medical examination. (5) Do a good job in submitting information. The provincial health administrative departments take the lead in summarizing the special treatment work in this region, filling in the Quantitative Statistical Table of Special Quality of Unreasonable Medical Examination, and summarizing the treatment measures, achievements, typical experiences and established institutionalized policies of various departments to form report materials. Before September 15, 221 and March 15, 222, the semi-annual report and the annual report will be submitted to the Medical Administration and Hospital Authority of the National Health and Wellness Commission respectively.

Legal basis:

Regulations on Handling Medical Accidents

Article 37 Where a medical accident dispute occurs, the party concerned shall apply to the health administrative department for handling it, and shall submit a written application. The application shall state the basic information, relevant facts, specific requests and reasons of the applicant. The parties concerned may, within one year from the date when they know or should know that their health has been damaged, apply to the administrative department of health for handling medical malpractice disputes.

article 46 disputes over civil liability, such as compensation for medical malpractice, can be resolved through consultation between doctors and patients; Unwilling to negotiate or if negotiation fails, the parties may apply to the administrative department of health for mediation, or directly bring a civil lawsuit to the people's court.

article 47 if the two parties resolve the civil liability disputes such as compensation for medical accidents through consultation, an agreement shall be made. The agreement shall specify the basic information of both parties, the cause of the medical accident, the level of medical accident recognized by both parties and the amount of compensation determined through consultation, and shall be signed by both parties.