医疗机构

The instrument of diagnosis and treatment of medical establishment oral cavity that our country Ministry of Public Health makes disinfects a technology to operate a standard, the regulation begins the medical establishment that course of diagnosis and treatment of department of stomatology serves, must bring into the alexipharmic job of appliance of oral cavity diagnosis and treatment management of medical treatment quality, ensure alexipharmic effect.

我国卫生部制定的医疗机构口腔诊疗器械消毒技术操作规范，规定开展口腔科诊疗科目服务的医疗机构，必须将口腔诊疗器械的消毒工作纳入医疗质量管理，确保消毒效果。

The most impactive feature in the reform of medical system is the introduction of competition mechanism.

医疗卫生体制改革对医疗机构最具冲击力的是竞争机制的引入，将医疗机构推向市场。

In his litigation of claiming the hospital for compensation, the medical identification---the misdiagnosis and the wrong treatments didn't constitute medical blunders---made by the Medical Association would not be adopted by the court because the staff constitution of the identification group was not compliable. This non-adoption upgraded the status of the other evidence helpful for xxx. But in this favorable situation, xxx's lawyer took advantage of the ignorance of xxx, convincing him to remove the litigation. As medical institutions have a powerful force in society, and they can affect many aspects of the social life, lawing medical institutions not only consume time and energy, but also would brought adverse effects to his career.

在他要求医院进行赔偿的诉讼中，医学会做出的不构成医疗事故的医学鉴定结论由于鉴定组人员的构成不符合规定被法院裁定不予采用，这种不予采用使得其他有利于XXX的证据地位得以提升，但在这种有利的形势下，XXX的律师却利用XXX的无知说服其选择了撤诉，因为医疗机构在社会上拥有强大的势力，可以影响到社会生活的方方面面，与医疗机构打官司不仅耗时耗力，还可能给自己的职业生涯带来不利影响。

Policy recommendations: 1 Improve relevant policies, laws and regulations, including: the responsibility of governments at all levels, funds raise and management, program for Coordinating, the responsibility of public hospital. 2 Establish sustained and stable funding and management mechanism, emphasis fund-raising responsibilities of government at all levels, strengthen government and social organizations, set up special accounts of MAP, study the scientific and reasonable mechanism for distribution of funds. 3 Optimize Program for Coordinating MAP and NCMS, including: Free out-patient services, abolition of pay lines of out-patient and hospitalization, out-patient help including village health clinic and chronic disease; hospital help by disease, sub-object and pro-rata; increase sorts of serious disease, set reasonable pay line, cap line, and proportion in MAP; regular or occasional payment of a fixed payment or MAP cards, improve MAP coverage and benefit rates.4 Establish a new type of management for Coordinating MAP and NCMS.

政策建议：1完善相关政策法规，包括：各级政府的责任、医疗救助资金的筹集和管理、医疗救助与新农合衔接方案、管理与服务制度、公立医疗机构在医疗救助领域的职责等。2建立持续稳定的资金筹集和管理机制，强调各级政府在医疗救助资金的筹资责任，加强政府与社会组织的合作，建立医疗救助基金，研究科学合理的资金分配和管理机制。3优化新农合与医疗救助衔接方案，包括：开展免费门诊服务项目，取消门诊和住院起付线，将村卫生室纳入门诊报销范围，增加慢性病的门诊救助；按病种、分对象、按比例地给予住院救助，增加大病救助的病种，合理设定住院救助的起付线、封顶线、救助比例；定期或不定期发放定额的救助金，发放医疗救助优惠卡，提高医疗救助的覆盖面和受益率等。4建立新型的医疗救助与新农合衔接管理模式。

For an ANFA member who has fallen into critical conditions in China due to an accident or disease outbreak, ANFA specialists will activate the domestic transfer mechanism by arranging an ambulance or other vehicle as may be necessary under the circumstances to transfer the member from the place of first visit to the nearest most suitable medical institution under the escort of one physician or nurse, with ANFA bearing all the expenses (including the reasonable costs incurred by the transport from the scene to the place of the first visit), if the physicians of ANFA 24-Hour Medical Service Center and the doctors in charge of the member believe that the technology and equipment of the medical institution of the local city cannot satisfy the needs of treatment.

安法会员在中国境内，因意外伤害或突发疾病致紧急情况时，《安法24小时医疗服务中心》的医师及会员的主治医师认为该城市之该医疗机构内的技术、设备无法满足会员治疗之条件时，安法专员将为您启动境内转送机制，安排救护车或其它适当交通工具，由一名医师或护士陪同转送会员，从初诊地至邻近最适当的医疗机构，并承担上述转送费用（包含从出事地点到初诊地点合理的运送费用）。

Objective To analyze risk cause on adverse apparatus events of medical institution for causing the attention of medical institutions and reducing or exempting the occurrences.

目的：分析医疗机构器械不良事件的风险成因，以期引起医疗机构的重视，减少医疗器械不良事件的发生。

Therefore, this paper unscrambles the regulations from the perspective of medical practice in order to make medical institutions and its personnel attach more importance to it , and prevent medical institutions from being in the dock.

因此，为提高医疗机构及其医务人员对其的重视，防止医疗机构在将来陷于被动的局面，很有必要从医疗实务的角度对该内容进行解读。

In recent years, a new county health agencies work space 33000 square meters, adding a large number of medical instruments and equipment, county-level medical institutions equipped with CT, large-scale full-automatic biochemical analyzer, color B Ploymetric advanced equipment, township hospitals equipped with X -ray machine, B super-machines and laboratory equipment.

近年来全县医疗卫生机构新建工作用房33000平方米，增添医疗仪器设备一大批，县级医疗机构配备了CT、大型全自动生化仪、彩色B超等先进仪器设备，乡镇卫生院配备了X光机、B超机和化验设备。

The lawmaking should constitute the internal stipulation mechanism of medical treatment organization, we can draw lessons of the overseas doctor association system; guarantee the self-discipline of the medical treatment organization.

立法时应当考虑建立医疗机构的内部约束机制和外部约束机制，如借鉴国外的医师协会的自律制度，来保障医疗机构的自律；建立医疗仲裁机制，以及相关的简洁的民事诉讼程序，能快速有效的解决医患关系中的矛盾和冲突。

The medicals in the CMS will try their best to create the surplus demand to fulfill their profits, and at the same time the people who take part in the CMS have the tendency to make the mutual profits by cooperating with the medicals through the trans-payments agreement, that comes the moral risk and the collusion of medicals and the patients. And the problems in the rural area are quite different from those arising in the towns and cities.

由于医疗保健市场的特殊性，医生将从自身利益最大化的角度出发，倾向于诱导过度需求；合作医疗的存在会导致医疗服务的消费者和供给者的道德风险和医患共谋，本文研究了道德风险和医患共谋产生的机理，指出消费者和医疗机构确实可以通过达成转移支付的子合同来获得联合剩余，并在此基础上研究了防范医患共谋产生的医疗保险合同应该具有的特性，还进一步指出农村合作医疗中的医患共谋问题的特点与城镇职工医疗保险中不同，前者主要是由于管理者缺位以及一些基本制度不完善造成的。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。