Integrated Media Reporter Zhang Yuhui
From high to low, it is divided into five levels: A (excellent credit), B (good credit), C (general credit), D (poor credit), and E (serious breach of trust).
htmlOn July 15, the Chongqing Municipal Health Commission issued the "Notice of the Chongqing Municipal Health Commission on Issuing the Chongqing Municipal Medical Staff Practice Credit Management Measures (Trial)". The evaluation results affect the rating dimensions including the issuance of commendations by the health department, support task experience, handling of public health emergencies and other emergency tasks, and violation punishment.
In the professional credit rating of medical staff, there are both information on increasing credit and information on breach of trust. This is the first management method in my country to carry out professional credit rating evaluation in the medical and health field.
There are three types of credit-enhancing information:
1. It is the commendation and reward information related to the practice of medical staff issued by the health and health administrative departments at or above the county level;
2. It is the medical staff information for completing the support tasks of the municipal health and health administrative departments aid to Tibet, aid to Xinjiang, , foreign aid, and other support tasks;
3. It is the medical staff information for completing the emergency medical rescue and emergency response to public health emergencies arranged by health and health administrative departments at all levels.
Breach of trust information mainly includes:
1. Medical staff are subject to administrative penalties by the health administrative department;
2. Those who have illegal and irregular behaviors in practice are ordered by the health administrative department to correct within a time limit;
3. Violations and cheating such as professional title and professional qualification examinations, personnel recruitment examinations, standardized training and graduation assessments are handled by the health administrative department;
html l04. The fourth type is that it violates the provisions of the "Nine Guidelines for Integrity in Medical Institution Staff" and is verified by the health administrative department;
5. It is subject to criminal punishment for illegally carrying out medical and health practice activities;
6. It is subject to compulsory execution by the people's court for failing to fulfill the administrative penalty decision of the health administrative department within the deadline;
7. It is subject to serious breach of trust entities pushed by the development and reform department.
Honorary Chairman of the Medical Legal Professional Committee of the China Hospital Association, Hong Kong Medical Law Society, Vice President of the China Health Law Society Zheng XueqianLawyer In an interview with a reporter from the Physicians Daily, that conducting professional credit grading evaluation is the first in the field of medical and health care, not only is it an active response to the country's call to promote the construction of the social credit system, but also a powerful measure to further enhance the sense of responsibility, mission, honor and standardize professional behavior after the issuance of the "Nine Guidelines for Integrity in Medical Institution Staff"
The point of Chongqing's humanized evaluation of the professional credit of medical staff is that it is not permanently blacklisted after breach of trust. Medical staff can also repair professional credit information, which fully reflects that the purpose of rating is to promote the improvement of practitioners. If doctors value their credit evaluation and pay attention to the consequences of credit evaluation, they will more actively follow professional norms, improve medical quality, and may even work hard to increase credit enhancement information. The ultimate result will be improved in the industry's work style and promote harmony between doctors and patients.
Credit rating is related to medical skills but is not completely equal. Zheng Xueqian believes that the credit system can reflect the quality, moral standards and professional ethics of doctors to a certain extent, but it cannot be completely evaluated as an evaluation of the level of medical technology . Credit Assessment plays a supervisory role to some extent, allowing practitioners to self-discipline and practice medicine and practice in accordance with the law in their posts.
Professor Feng Lei, vice president of the School of Marxism of Chongqing Medical University and executive director of the Chinese Society of Health Law, said that Chongqing implements hierarchical evaluation of the professional credit of medical personnel, which is of certain significance to exploring credit management in the medical and health field.
manages physicians based on the credit evaluation results, which undoubtedly has an incentive or warning effect on the practice of medical personnel, making medical personnel cherish their professional credit more and face medical and health work more actively. Most of the contents of breach of trust are related to violations of laws and regulations, which also makes medical staff pay more attention to the study and understanding of health laws and regulations and diagnosis and treatment standards, and also play a major role in promoting the implementation of the "Eighth Five-Year Plan for Legal Publicity and Education in the Health and Health System (2021-2025)".
"This rule is exploratory and there are some parts worth improving." Feng Lei put forward three views:
first, and the evaluation may be duplicated. In talent review and other content, illegal and irregular people generally cannot participate in the evaluation. Is it appropriate to use it as the focus of the evaluation results and can the expected goals be achieved?
Second, the credit for a period of time is dynamic, and there may be both credit-enhancing information and breach of trust information. How to evaluate and judge, and Article 19: Whether "lower results are applicable" should be appropriate, there should be an evaluation and review process or mechanism.
Third, this evaluation is still internal and does not involve the issue of disclosure to the society. The patient's "medical dispute" punishment for breach of trust is socially open. Will this cause an unbalanced feeling?
Feng Lei reminds that medical personnel must strictly abide by medical and health laws and follow diagnosis and treatment standards, especially pay attention to honest work. They should not only focus on medical behavior itself, but also focus on shaping good medical ethics and styles, truly put patients at the center, and cherish the sense of honor of the medical profession.