Can six major diseases stipulated by the health department of Guizhou Province be reimbursed in emergency rescue?

Six major diseases such as end-stage renal disease in new rural cooperative medical system in Guizhou Province

Implementation scheme of payment by disease type (for Trial Implementation)

In order to further improve the medical security level of six major diseases such as the new rural cooperative medical system end-stage renal disease in our province, on the basis of summarizing and evaluating the pilot work of payment for diseases such as leukemia and congenital heart disease in rural children, combined with the reality of our province, it is decided to carry out the payment for six major diseases such as the new rural cooperative medical system end-stage renal disease in our province, and to improve the medical security level, this implementation plan is specially formulated.

First of all, the new rural cooperative medical system pays for major diseases according to diseases.

1. End-stage renal disease: The specific disease for reimbursement is chronic renal failure (uremia).

2. Women's "two cancers": breast cancer and cervical cancer.

3. Severe mental illness: including schizophrenia, manic psychosis, bipolar disorder, paranoid psychosis, epilepsy with mental disorder, mental retardation with mental disorder and other diseases.

4. Multidrug-resistant tuberculosis.

5, AIDS opportunistic infection. Specific reimbursement diseases are:

(1) Bacterial infections include bacterial pneumonia, bacterial enteritis, septicemia and bacterial meningitis.

② Virus infection. Cytomegalovirus retinitis, herpes simplex virus infection, herpes zoster virus infection.

③ Parasitic infection. Toxoplasma encephalitis, cryptosporidiosis.

④ Fungal infection. Pneumocystis carinii pneumonia, oral and esophageal candidiasis, cryptococcal meningitis.

The second is the designated hospital.

The Provincial Health Department selected the new rural cooperative medical system designated hospitals with strong service ability, good diagnosis and treatment conditions and high technical level as designated hospitals for major diseases in Guizhou Province to ensure the medical safety and quality of patients with major diseases.

Determination of designated hospitals for major diseases in Guizhou Province: All designated medical institutions of the new rural cooperative medical system at all levels that meet the requirements of designated hospitals for major diseases (Annex 1) shall apply to the local health administrative department or the new rural cooperative medical system management institution according to the principle of voluntary declaration, and report to the provincial health department step by step after passing the preliminary examination. The provincial health department will determine the list of designated hospitals for serious and serious diseases in Guizhou Province according to the conditions of designated hospitals for serious and serious diseases and considering the actual treatment capacity of hospitals.

See Annex 2 for the list of the first batch of designated hospitals for the treatment of 6 major diseases such as end-stage renal disease of the new rural cooperative medical system.

Three. Scope, method and standard of compensation

(a) patients who meet the following conditions are included in the scope of payment for major diseases according to the disease.

1, patients must participate in the new rural cooperative medical system.

2, the patient's disease diagnosis and main treatment methods must also conform to the scope of major diseases stipulated in this plan.

3. Patients should be treated in designated hospitals related to major diseases.

4. Current hospitalization (or outpatient) medical expenses incurred by the patient according to the prescribed treatment methods.

(two) the following medical expenses of patients with major diseases are not included in the scope of payment for major diseases according to diseases.

1. For patients with major diseases who have not been treated in designated hospitals for major diseases, treatment methods other than those specified in this scheme shall be adopted. The medical expenses incurred for re-hospitalization (or outpatient service) due to intensive maintenance and other treatments shall not be included in the scope of payment for major diseases according to diseases, and compensation shall be made as a whole according to the original compensation scheme of the new rural cooperative medical system.

2, in an insured year, patients with major diseases in the same disease process (referring to the same disease diagnosis and treatment method) are only allowed to enjoy the compensation policy stipulated in this scheme, and the medical expenses incurred in re-hospitalization are compensated according to the original compensation scheme of the new rural cooperative medical system.

3. Patients with major diseases whose major expenses have been reduced or exempted from other projects will no longer enjoy the compensation policy stipulated in this scheme, and the remaining expenses will be compensated as a whole according to the original compensation scheme of the new rural cooperative medical system.

(three) the average medical expenses and payment standards for major diseases.

1. According to the Standardized Diagnosis and Treatment Plan for Six Major Diseases, such as End-stage Nephropathy in Guizhou Province (20 12 Edition) and the level of medical expenses in recent years, the quota standard of average medical expenses for various major diseases (hereinafter referred to as the quota standard) was determined, and it was reported immediately.

(1) end-stage renal disease.

For patients diagnosed with chronic renal failure (uremia) who are suitable for peritoneal dialysis or hemodialysis treatment, if there are surgical indications on a voluntary basis, they will be given "autogenous arteriovenous fistula plasty" to establish peritoneal dialysis or hemodialysis access. Outpatient medical expenses are 3000 yuan/case, and hospitalization medical expenses are 65438 yuan +5000 yuan/case. The cost of peritoneal dialysis or hemodialysis treatment during hospitalization includes.

After discharge, continue hemodialysis or peritoneal dialysis, medication, examination and other treatments, and the maximum medical expenses are as follows:

Dialysis method

limited price

serial number

Reserve bill

haemodialysis

Below 480 yuan (using disposable hemodialysis machine)

No more than 9 times a month.

Compensation expenses include 1 set of pipes and dialyzers (disposable), 1 set of dialysate, 2 puncture needles, 6 bottles of physiological saline (500ml), anticoagulants, disinfection consumables, hemodialysis operation, drug expenses and monitoring expenses (including oral drugs, excluding blood transfusion and other expenses).

Hemofiltration

/kloc-less than 0/000 yuan

No more than four times a month.

Blood perfusion

1below 900 yuan

No more than 1 time per month

peritoneal dialysis

Peritoneal dialysate 34.6 yuan/bag

4-5 bags a day

Compensation expenses include: external short tube and iodine liquid micro cap (4-5/day), disinfection consumables, peritoneal dialysis operation, drug expenses and monitoring expenses (including laboratory expenses and treatment expenses for each follow-up, 65,438 empty needles for consumables, 2 blood collection needles and 5 sterile culture bottles, excluding blood transfusion and other expenses).

Peritoneal balance test

500 yuan/time

No more than five times a year.

Kt/V determination

500 yuan/time

No more than five times a year.

Replace peritoneal dialysis short tube

340 yuan/time

No more than three times a year.

Hemodialysis is 95,000 yuan per year, and peritoneal dialysis is 90,000 yuan per year. Drugs include nitroglycerin, L-carnitine, trimetazidine and isosorbide dinitrate sustained-release tablets; Therapeutic drugs for renal anemia: erythropoietin, iron, folic acid; Vitamin b12; Therapeutic drugs for renal hypertension: nifedipine tablets, captopril tablets, amlodipine besylate sustained-release tablets, nifedipine controlled-release tablets, felodipine sustained-release tablets, amlodipine besylate tablets, carvedilol, betaloc, irbesartan and losartan; Drugs for treating renal osteopathy: calcium carbonate, aluminum hydroxide, α-calcitol; Drugs for the treatment of uremic gastrointestinal mucosal lesions: reletidine, omeprazole, pantoprazole, sucralfate preparation; Hemodialysis anticoagulant thrombolytic drugs: low molecular weight heparin calcium, low molecular weight heparin sodium, heparin sodium, urokinase.

② Breast cancer.

For confirmed patients, on the premise of voluntary, mastectomy (including breast-conserving surgery, radical mastectomy, modified radical mastectomy, etc.) is performed. ) "Implement treatment with surgical indications (including preoperative or postoperative chemotherapy). See Annex 2 for the standard of medical expenses of designated medical institutions; If outpatient or inpatient chemotherapy or radiotherapy is directly performed without surgical indications, or if outpatient or inpatient chemotherapy or radiotherapy is needed after operation, the annual medical expenses standards of designated medical institutions for radiotherapy and chemotherapy are shown in Annex 2.

③ Cervical cancer.

On the premise of voluntariness, "radical hysterectomy plus retroperitoneal lymph node dissection (including laparoscopic hysterectomy)" treatment (including preoperative or postoperative chemotherapy) with surgical indications is implemented for the confirmed patients. See Annex 2 for the standard of medical expenses of designated medical institutions; In case of direct outpatient or inpatient radiotherapy and chemotherapy or postoperative radiotherapy and chemotherapy without surgical indications, see Annex 2 for the annual medical expenses standard of the whole process of radiotherapy and chemotherapy in designated medical institutions.

④ Severe mental illness.

Patients diagnosed as schizophrenia, manic psychosis, bipolar disorder, paranoid psychosis, epilepsy with mental disorder and mental retardation (with mental disorder) should receive standardized hospitalization:

① The hospitalization expenses of severe mental illness with hospitalization days within the range of 3 1-75 days are 8,000 yuan/case in tertiary and above specialized hospitals; 7000 yuan/case/time for tertiary and above general hospitals; Secondary specialized hospital 6000 yuan/case/time; Second-level general hospitals and first-level specialized hospitals are 5000 yuan/case.

② For whatever reason, if the hospitalization time of patients with severe mental illness is less than 30 days and the hospitalization expenses do not reach the quota standard, they shall be paid according to the actual hospitalization medical expenses.

(3) No matter what the reason, the hospitalization time of patients with severe mental illness is 75 days, and the medical expenses incurred from the 76th day will be counted as hospitalization expenses, and will be compensated according to the original compensation plan of the overall planning area.

(4) After reaching the clinical cure standard and leaving the hospital, if the illness needs to continue outpatient treatment, the outpatient medication, examination and other expenses shall be included in the scope of compensation for serious illness in the outpatient department of the new rural cooperative medical system.

Multidrug-resistant tuberculosis.

Multidrug-resistant pulmonary tuberculosis (ICD- 10: A 15.0, A 15. 1) should be treated according to outpatient or inpatient standards. After discharge, outpatient treatment, hospitalization, outpatient continuous injection or oral medication, regular examination and other expenses are 65,438 yuan+800,000 yuan/case/year.

(6) opportunistic infection of AIDS.

Patients with AIDS opportunistic infections diagnosed as bacterial infections (bacterial pneumonia, bacterial enteritis, sepsis and bacterial meningitis), viral infections (cytomegalovirus retinitis, herpes simplex virus infection and herpes zoster virus infection), parasitic infections (toxoplasmosis and cryptosporidiosis) and fungal infections (PCP), oral and esophageal candidiasis and cryptococcal meningitis should receive standardized treatment. If the illness needs to continue outpatient treatment, the outpatient medication, examination and other expenses shall be included in the scope of compensation for serious illness in the outpatient service of the new rural cooperative medical system.

2, the new rural cooperative medical fund to pay. According to the quota standard determined in the preceding paragraph, the new rural cooperative medical fund for end-stage renal disease pays 90%, the new rural cooperative medical fund for other diseases pays 80%, and the fixed payment (packaged payment) is implemented for each hospitalized (or outpatient) patient with major diseases.

3. Patients with major diseases pay. Taking the medical expenses of the approved quota standard for major diseases as the base, patients with end-stage renal disease pay the expenses borne by individuals according to the self-payment ratio of 10%, and patients with other major diseases pay according to the self-payment ratio of 20%. Patients who meet the conditions of medical assistance, after the new rural cooperative medical system pays according to the disease type, pay part of the expenses according to the local assistance standard.

4, the new rural cooperative medical fund for patients with major diseases, fixed compensation, no deductible, not restricted by the new rural cooperative medical reimbursement drug list and diagnosis and treatment project list, and not controlled by the patient's highest cap line.

5, due to special reasons such as automatic discharge, transfer, death, etc. Patients with major diseases quit the main treatment and the medical expenses did not reach 50% of the quota standard. According to the actual hospitalization medical expenses, the new rural cooperative medical fund and patients with major diseases are paid at 80% and 20% respectively.

6. Examination and approval of treatment expenses outside the clinical pathway. For cases that really need to be treated in isolation through clinical pathway or need to be treated outside clinical pathway, the designated medical institutions shall fill in the Application Form for Cases with Overexpenditure of Treatment Expenses for Major Diseases of Rural Residents in Guizhou Province (Annex 3), and submit an application for examination and approval to the Provincial Joint Medical Office at the end of the year. The Provincial Joint Medical Office will regularly organize experts to examine and approve the rationality of treatment expenses beyond clinical pathway. The number of cases in which the rationality of the application for the same disease in designated medical institutions exceeds the clinical pathway in each year shall not be higher than 5% of the total number of cases in our hospital.

Four, outpatient service, hospitalization, reimbursement and settlement process

(1) Patients with major diseases should bring their participation certificate (or card) and ID card (or household registration book) to the designated treatment hospital (all patients with major diseases with irregular documents should go back to the local new rural cooperative medical system to prove their participation and age). For patients with major diseases diagnosed as falling within the scope of disease payment, the attending physician should fill in the Confirmation Form for Major Diseases of New Rural Cooperative Medical System in Guizhou Province (Annex 4), and the designated hospitals should review the participation of patients. For patients with major diseases who need hospitalization, a notice of admission is issued. Patients with major diseases (such as end-stage renal disease, women's "two cancers" radiotherapy and chemotherapy, multidrug-resistant tuberculosis, etc.) should be given outpatient treatment. People who don't need to be hospitalized.

(II) When patients with major diseases are hospitalized, the hospitalization expenses shall be paid in advance at 20% of the quota standard of the disease; when patients with major diseases are discharged, the personal out-of-pocket expenses shall be settled at 20% of the actual medical expenses of the current hospitalization, and the prepaid hospitalization expenses shall be refunded more and supplemented less. According to the agreement signed between the patient and the medical institution, the outpatient treatment pays the prescribed out-of-pocket expenses in installments.

(3) Designated hospitals treat patients in strict accordance with the Standardized Diagnosis and Treatment Plan for Six Major Diseases, including End-stage Nephropathy in Guizhou Province (version 20 12). At the end of diagnosis and treatment, fill in (or be automatically generated by HIS system) two copies of Compensation Settlement Form of New Rural Cooperative Medical System in Guizhou Province (be automatically generated by the new rural cooperative medical system), sign and affix the official seal of the department, and then hand it over to the new rural cooperative medical system hospital. Audit and seal of hospital agricultural cooperative association (one copy shall be kept, and one copy shall be handed over to the agency in the new rural cooperative medical system area where the patient is located at the time of settlement), and information on medical services and fund compensation for major diseases shall be reported according to relevant regulations. Patients with end-stage renal disease undergoing outpatient dialysis, female "two cancers" chemotherapy, radiotherapy and multidrug-resistant pulmonary tuberculosis will be treated by designated hospitals and a one-year or full-cycle treatment agreement will be signed with the patients. The hospitals will submit the agreement to the agencies in the areas where the patients are located, and the agencies can pre-allocate the fixed fees to the designated hospitals.

(four) designated hospitals to apply for the settlement of the new rural cooperative medical system. Designated treatment hospitals and rural cooperative institutions submit ① Statement of Compensation for Major Diseases of New Rural Cooperative Medical System in Guizhou Province for patients with major diseases; (2) Summary of discharge (summary of outpatient treatment of end-stage renal disease, radiotherapy and chemotherapy for female "two cancers" and outpatient treatment of multidrug-resistant pulmonary tuberculosis patients); (3) Full-cost invoice, and regularly apply to the regional agency of the new rural cooperative medical system where the patient is located to allocate the fixed fee payable by the new rural cooperative medical system fund.

(5) After receiving the application materials for the settlement of major diseases in designated hospitals, the new rural cooperative medical institutions in the overall planning area will complete the audit within 10 working days, and allocate funds to designated hospitals according to the quota payment standard of the new rural cooperative medical fund.

Verb (abbreviation of verb) organization and management

(a) the scope of major diseases, designated hospitals, quota standards, the proportion of payment of the new rural cooperative medical fund, the proportion of self-payment, hospitalization and compensation settlement process as determined by the Provincial Health Department. Monitor and regularly evaluate the actual level of medical expenses for major diseases, adjust the quota standard in time with major adjustments or changes in the actual level of medical expenses for major diseases, the price of high-value consumables and the price standard of medical services, and establish a dynamic adjustment mechanism for the quota standard.

(2) The Provincial Health Department organized a provincial expert group to formulate the Standardized Diagnosis and Treatment Plan for Six Major Diseases of End-stage Renal Disease in Guizhou Province (20 12 Edition) according to the clinical pathway or diagnosis and treatment norms of the Ministry of Health; The provincial rural cooperative medical management office conducts daily supervision on the service behavior of designated hospitals according to the standardized diagnosis and treatment scheme of major diseases and the medical service agreement.

(three) designated hospitals should strictly examine and confirm the insured status, actual age and whether it meets the scope of major disease protection. Policy interpretation should be made for patients who do not meet the scope of major diseases. Commit to and strictly abide by the Standardized Diagnosis and Treatment Plan for Six Major Diseases such as End-stage Nephropathy in Guizhou Province (Version 20 12), standardize medical service behavior and charging behavior, ensure medical safety and quality, and actively accept supervision. Designated hospitals shall not refuse or pass the buck to critically ill patients; It is not allowed to upgrade or exchange diseases (or treatments) outside the scope of major diseases for diseases (or treatments) within the scope of major diseases, and increase the new rural cooperative medical fund; Shall not reduce the content of diagnosis and treatment items and services included in the standardized diagnosis and treatment plan for major diseases, and harm the interests of patients; The medical expenses included in the standardized diagnosis and treatment plan for major diseases shall not be excluded from the current hospitalization medical expenses through outsourcing prescriptions, outpatient prescriptions, outpatient inspections, inspections in other hospitals, decomposition of hospitalization, and decomposition of expenses. Let patients pay for themselves and increase the economic burden.

(IV) Designated hospitals in violation of the provisions of the preceding paragraph, respectively, according to the disease cumulative, resulting in an increase in patients' medical expenses of 6.5438+0 million yuan or a loss of 6.5438+0 million yuan of the new rural cooperative medical fund, in addition to recovering the lost funds (funds), the provincial health department shall give informed criticism treatment and order rectification; If the patient's medical expenses increase by more than 654.38+100000 yuan (inclusive) or the new rural cooperative medical fund loses by more than 654.38+1000000 yuan (inclusive), in addition to recovering the lost funds (funds), the provincial health department will give serious treatment such as suspending or canceling the qualification of the designated hospital for treating the disease according to laws and regulations, and make an announcement to the public.

(5) The designated medical institutions of the new rural cooperative medical system in the overall planning area should widely publicize and inform the participating farmers of the scope of major diseases, designated hospitals, management and compensation policies, and actively guide patients with major diseases to the designated hospitals for treatment; Responsible for the audit and settlement of the quota compensation fees for patients with major diseases of the new rural cooperative medical system, simplify relevant procedures, and timely allocate advance funds for designated hospitals.

(VI) The Provincial Rural Cooperative Medical Management Office shall be responsible for the interpretation of this implementation plan, and it shall be implemented as of March 1 day, 2065438 (i.e. patients with major diseases admitted before March1day) according to the document of Qian Wei Ban Fa [20 1 65438]18.

Attachment (attached):

1. The situation of designated hospitals for treating six major diseases such as end-stage renal disease in Guizhou Province.

2. List of the first batch of designated hospitals for the treatment of 6 major diseases such as end-stage renal disease in Guizhou Province.

3 rural residents in Guizhou Province, the cost of major diseases treatment cost overruns application form

4. Diagnostic Catalogue of Major Diseases of New Rural Cooperative Medical System in Guizhou Province

5. Settlement Table of Compensation for Major Diseases of New Rural Cooperative Medical System in Guizhou Province

Attachment 1

Hospital conditions for designated treatment of six major diseases such as end-stage renal disease in Guizhou Province

1. 1 Conditions of designated medical institutions for the treatment of end-stage renal disease (uremia)

haemodialysis

First, the qualification of blood purification room: the unit that carries out hemodialysis treatment must be a medical institution approved by the health administrative department, and it needs to receive quality control and inspection regularly every year.

(1) County-level hospitals carrying out hemodialysis must have 5 or more hemodialysis machines, and tertiary hospitals must have 10 or more hemodialysis machines (if the hardware is not up to standard, it must be declared again after rectification within six months). Hospitals must have more than 20 beds in internal medicine and be equipped with relevant rescue facilities.

(2) Structural layout of blood purification room: The blood purification room should be rationally arranged, and the clean area must be separated from the polluted area and its passage. The necessary functional areas include clean areas: medical staff office and living areas, water treatment rooms, liquid preparation rooms and clean warehouses; Semi-clean area: dialysis preparation room (treatment room); Contaminated area: dialysis treatment room, waiting room and sewage treatment room.

(3) Blood purification room management regulations: dialysis medical record registration management and dialyzer reuse management.

(4) Management requirements for infection control in blood purification center (see point 1 0 of Standard Operating Procedures for Blood Purification Management, version 2010).

Second, the blood purification room personnel standards: the blood purification room must have qualified doctors and nurses. Dialysis room staff should pass professional training to meet the relevant conditions of hemodialysis before taking up their posts.

(1) doctor: 1 a doctor who must have the title of attending doctor (more than 2 years working experience in hemodialysis room) and attend hemodialysis training regularly every year. Long-term vascular access establishment surgery must be performed by doctors with corresponding qualifications.

(2) Nurses: Nurses shall be provided according to the number of dialysis machines and patients. Each nurse is responsible for the operation and observation of at most five dialysis machines at the same time, that is, nurses and dialysis machines are equipped according to the ratio of 1:5; And regularly participate in hemodialysis training every year.

(3) Engineering and technical personnel: Blood purification centers with more than 20 dialysis machines should be equipped with at least 1 full-time engineering and technical personnel.

peritoneal dialysis

A, peritoneal dialysis room structure layout

(1) doctor and nurse office area

② Reception area

(3) Training area

(4) Operating a treatment area: having an incubator; Spring scale or baby scale (for weighing dialysate); Weighing scale;

Transfusion stand (hanging peritoneal dialysate); Therapeutic carrier; Wash basin; Ultraviolet lamp; Wall clock; Dirt bucket with cover; Sphygmomanometer; Diagnosis and treatment bed; Oxygen supply device; Central negative pressure interface or equipment; Rescue vehicle (including articles and medicines needed for rescue).

⑤ Operating room

[6] Sewage treatment area

(7) Storage area: The storage area is used to store peritoneal dialysis medical records, peritoneal dialysis fluids and consumables. It shall conform to the Class III environment specified in Hygienic Standard for Disinfection in Hospitals (GB 15982- 1995), and keep it ventilated, dark and dry.

Second, the peritoneal dialysis treatment professional qualification

(1) Physician: It is required to hold a doctor qualification certificate and a doctor's practice certificate, and two or more physicians have received special training in kidney disease and peritoneal dialysis. The physician in charge of peritoneal dialysis catheter is a trained qualified nephrologist or a surgeon familiar with peritoneal dialysis catheter technology.

(2) Nurses: They should hold a nurse qualification certificate and a nurse practice certificate, and have received systematic theoretical and clinical training on peritoneal dialysis for more than 3 months. There are 1 full-time peritoneal dialysis doctors and 1 full-time nurses in the outpatient department of peritoneal dialysis room (center) with more than 20 ~ 30 people, and 1 full-time nurse is needed for every 50 patients. Every 80 patients need to add 1 full-time doctors. The number of full-time doctors and nurses should be increased according to the number of peritoneal dialysis inpatients.

Three, peritoneal purification room management procedures

(1) Medical record management: equipped with computers and Internet access; Dialysis medical records shall be kept by medical institutions in accordance with relevant requirements.

(2) Follow-up system: telephone follow-up; Home visits; Outpatient follow-up; Hospital follow-up.

1.2 conditions of designated medical institutions for breast cancer treatment

First, the basic conditions: the department setting, beds and operating room conditions meet the standards of general hospitals above Grade II, and there is a specialized clinic.

Personnel requirements: major surgery should have at least one chief physician or two deputy chief physicians. Departments should have 2-3 people with half a year or above specialist training experience, and at least 1 person has participated in a special seminar every year.

Third, equipment requirements: 1, high-frequency color Doppler ultrasonic diagnostic instrument with ultrasonic probe above 7.5 MHz; 2. A digital mammography machine; 3. coarse needle biopsy system with breast biopsy (including Budd biopsy instrument or Mammoton breast biopsy system); 4. Have 1.5T breast MRI (not required).

Four. Technical requirements: 1. Pathology department can carry out rapid frozen pathological diagnosis and routine pathological diagnosis, have relevant qualifications and specialized training experience, can produce relatively reliable pathological diagnosis and breast cancer-related immunohistochemical results, and has a corresponding quality control system. Or do not have the above diagnosis conditions, but there are fixed procedures and corresponding systems to send samples to other medical institutions for diagnosis, and the sample sending institutions must have relevant qualifications. 2. Clinical specialists can make standardized diagnosis and treatment for breast cancer patients (including diagnosis, differential diagnosis and treatment, specifically in accordance with the "Diagnostic and Treatment Criteria for Breast Cancer (20 1 1 Edition)" issued by the Ministry of Health. 3. Hospitals with basic radiotherapy equipment (such as linear accelerator) should obtain the Permit for Radiological Diagnosis and Treatment and the Permit for Configuration of Large Medical Equipment according to law. Specialists and radiotherapy technicians have relevant qualifications and can carry out standardized radiotherapy. The basic technical management of radiotherapy conforms to the requirements of the Administrative Measures for Clinical Application of Medical Technology. 4. If there are no conditions for radiotherapy and chemotherapy, there should be a corresponding referral system so that patients with indications for radiotherapy and chemotherapy can get relevant treatment.

1.3 conditions of designated medical institutions for cervical cancer treatment

First, the basic conditions: a general hospital with a specialist clinic.

Personnel requirements: Gynecology should have at least one chief physician or two deputy chief physicians. Can carry out various diagnostic techniques and methods for cervical cancer, and can carry out various standardized operations and chemotherapy for cervical cancer. Academic leaders have participated in professional training for more than half a year, and some people have participated in related studies once a year;

3. Technical requirements: 1. Pathology department can carry out TCT, intraoperative freezing and pathological diagnosis of cervical cancer. The personnel have relevant qualifications and specialized training experience, can produce relatively reliable pathological diagnosis and immunohistochemical results of cervical cancer, and have corresponding quality control system. Or do not have the above diagnosis conditions, but there are fixed procedures and corresponding systems to send samples to other medical institutions for diagnosis, and the sample sending institutions must have relevant qualifications. 2. Operating room: laminar flow operating room and ICU ward with corresponding standardized management. 3. Hospitals with basic radiotherapy equipment (such as linear accelerator) shall obtain the Permit for Radiological Diagnosis and Treatment and the Permit for Configuration of Large Medical Equipment according to law. Specialists and radiotherapy technicians have relevant qualifications and can carry out standardized radiotherapy. The basic technical management of radiotherapy conforms to the requirements of the Administrative Measures for Clinical Application of Medical Technology. 4. If there are no conditions for radiotherapy and chemotherapy, there should be a corresponding referral system so that patients with indications for radiotherapy and chemotherapy can get relevant treatment.

1.4 conditions of designated medical institutions for multidrug-resistant pulmonary tuberculosis

One or more medical institutions have tuberculosis departments approved for registration.

Second, the hospital can routinely carry out Mycobacterium tuberculosis culture, bacterial type identification and drug sensitivity tests of first-line and second-line anti-tuberculosis drugs, and can also carry out PCR detection and drug resistance gene detection of Mycobacterium tuberculosis.

Three, the hospital tuberculosis department has a perfect discipline setting and academic echelon; Persons with senior professional titles in the expert team; Standardized treatment can be carried out for patients with multidrug resistance.

Fourth, the relevant departments are well established.

1.5 conditions of designated medical institutions for the treatment of AIDS opportunistic infections

First, infectious disease hospitals;

Two, a general hospital with infectious disease ward (department);

Three, Chinese medicine hospitals with the conditions for treating infectious patients.