Legal basis: Guiding Opinions on Further Standardizing Medical Behavior and Promoting Reasonable Physical Examination III. Strengthen supervision and management to further promote effective implementation.
(a) the implementation of special governance. Carry out a one-year special treatment action for unreasonable physical examination, and deal with violations of laws and regulations in accordance with the law. The health department should work out a work plan in conjunction with market supervision, medical insurance and other relevant departments, clarify the key contents and related requirements of governance, comprehensively organize medical institutions to conduct self-examination and self-correction, and local competent departments to supervise and inspect, organize experts to conduct supervision and management by means of flight inspection, causal inspection and random inspection, and focus on rectification of unfounded inspections and repeated inspections. (Led by the National Health and Wellness Commission, with the participation of the General Administration of Market Supervision, the National Medical Insurance Bureau, state administration of traditional chinese medicine, and the Health Bureau of the Logistics Support Department of the Military Commission)
(2) Strengthen information monitoring. Real-time monitoring of mutual recognition and information sharing of medical institutions' inspection results, real-time monitoring of high-value and high-frequency inspection items highlighted by the masses, and gradual realization of automatic discovery, automatic reminder and automatic intervention of unreasonable medical examinations. Put forward improvement requirements for medical institutions that find outstanding problems through monitoring, and promote medical institutions to continuously improve the rationality of physical examination. (The National Health and Wellness Commission, state administration of traditional chinese medicine and the Health Bureau of the Logistics Support Department of the Central Military Commission are responsible according to the division of responsibilities)
(3) Establish a long-term mechanism for medical inspection and supervision. Health departments should establish a long-term mechanism for daily supervision, rectification and implementation, and incorporate physical examination into daily work such as medical service supervision, medical quality management, and comprehensive supervision of medical and health industries. It is necessary to explore the establishment of a key monitoring catalogue and an extraordinary early warning system, focusing on monitoring high-cost inspection items and obviously unreasonable inspection behaviors. It is necessary to regularly report the monitoring situation of high-value and high-frequency inspection projects, link the results with performance appraisal and evaluation, and promptly warn and correct unreasonable inspections. It is necessary to establish and improve the credit evaluation system and information disclosure system, strengthen the supervision of medical examination behavior and expenses included in the scope of medical insurance, and promptly investigate and deal with illegal acts. (The National Health and Wellness Commission, the National Medical Insurance Bureau, state administration of traditional chinese medicine, and the Health Bureau of the Logistics Support Department of the Military Commission are responsible according to the division of responsibilities)
(4) Strengthen accountability and joint and several liability. Establish accountability and accountability mechanisms for illegal medical examinations. Warning, interviewing, ordering rectification and informed criticism for medical institutions and personnel who violate relevant regulations. If the circumstances are serious, the relevant responsibilities shall be investigated according to law. For medical institutions with serious problems, frequent or bad medical insurance violations, and involving a large amount of money, it is necessary to seriously investigate the leadership responsibilities of the relevant responsible persons of medical institutions. If the problem of over-inspection of medical institutions is serious and the supervision is weak, the person in charge of the relevant department should be held accountable. (The National Health and Wellness Commission, state administration of traditional chinese medicine and the Health Bureau of the Logistics Support Department of the Central Military Commission are responsible according to the division of responsibilities)