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Notice on Village Clinic Management Method (Trial)

(en.nhfpc.gov.cn)

Updated: 2014-07-19

Except first-aid hemostasis and small wound treatment to save life, generally, village clinic can’t offer the following services:

(1) Surgery, hospitalization and delivery; (2) Medical services beyond its capacity; (3) Other medical services banned by local health and family planning administrative department at or above the county level.

10. Village clinic is responsible for publicizing health and family planning policies and information, collecting relevant information and assisting in policy promotion and fundraising for the new rural cooperative medical system.

11. Village clinic should offer corresponding traditional Chinese medicine service and family planning drugs and instruments.

Organization structuring and accreditation

12. Village clinic organization structuring should abide by the following rules:

(1) Follow local health and medical institute and new village construction planning; (2) Give full consideration to local economic and social development, rural residents’ health service needs, service population and geographical factors to make it easier for the public to seek medical treatment; (3) Make use of rural health resources and allocate health resources; (4) Follow medical institution management regulations and meet requirements of the Medical Institution Basic Standards.

13. In principle, an administrative village can only have one village clinic, but those with a large or scattered population can have more. Village with a small population can share a village clinic with neighboring village. Villages that have township-level health clinics don’t have to set up a village clinic.

14. County-level health and family planning department should deal with village clinic establishment review and license registration based on national laws and regulations.

15. Village clinic can register prevention and health care, general practice and traditional Chinese medicine departments with superior units and can’t have other departments registered in principle.

16. Village clinic name should consist of the names of villages or towns, administrative village and clinic. If an administrative village has several clinics, extra words can be added to distinguish them. Village clinic can’t use names of other medical institutes.

17. Village clinic should be no smaller than 60 square meters and can be scaled up if patients are straining existing capacity. The room should have at least diagnosis, treatment, public health and pharmacy sections. Observation room can be added if village clinic receives approval from county-level health and family planning administrative department. Duty and rehabilitation rooms should be established as needed.

Village clinics cannot set up operation, pharmaceutical preparation, maternity rooms, and inpatient beds.

18. Village clinic should purchase equipment necessary for essential medical and health care services for rural residents and follow the rules of health and family planning administrative department at the provincial level or above.

19. Village clinic should regularly receive verification from registration authority.

Personnel allocation and management

20. In principle, there should be no less than one village clinic worker for 1,000 rural residents, but specific standards are based on provincial health and family planning department.

21. Personnel should get practice certification to engage in prevention, health care and medical services at village clinic.

22. Government-funded village clinic should be open, fair and merit-oriented to hire personnel with good work ethics and professional abilities. Township-level health institutes are encouraged to send resident doctors to village clinics.

23. Establish a village clinic personnel training system. Provincial health and family planning department arranges training plan, and county-level health and family planning department ensures village clinic personnel can receive at least two free training sessions every year, each lasting no less than two weeks, through clinical studies, centralized or long-distance education, or one-on-one support.

24. Village clinic personnel are encouraged to receive continuing education to become medical practitioners or assistant doctors. Favorable policies should be created to attract medical practitioners or assistant doctors, as well as graduates with a license to work at village clinics, and give them training.

25. Explore rural doctor back-up talent cultivation model. Local health and family planning and education departments should take into account circumstances and send young people to medical schools, or select and hire qualified medical graduates and give them training.

26. Village clinic personnel should strengthen medical ethics and follow the codes of conduct.

27. Village clinic room should have clear smoking ban signs and forbid smoking. Service identifier should be standardized and catch the eye, and a green, clean and warm hospital environment should be created. Clinic personnel should be in uniform and offer enthusiastic, considerate and courteous services.

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Link: China's Central Government / World Health Organization / United Nations Population Fund / UNICEF in China

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