Physician's outpatient consultation management regulations

The first is to regulate the behavior of doctors' consultations among medical institutions, promote medical exchanges and development, improve medical standards, ensure medical quality and medical safety, facilitate people's medical treatment, and protect the legitimate rights and interests of patients, physicians, and medical institutions, according to the Law on Practitioners. These regulations are formulated in accordance with the provisions of the Regulations on the Administration of Medical Institutions. So100
Article 2 The term "out-of-office consultation" as used in these Regulations refers to the doctor's approval by the medical institution to carry out the medical treatment activities within the scope of practice for the specific patients of other medical institutions. Physicians are not allowed to go out for consultation without the approval of their medical institution.

Article 3 The administrative departments of health at all levels shall strengthen the supervision and management of doctors' outing consultations.
Article 4 In the course of diagnosis and treatment, medical institutions shall invite doctors from other medical institutions to consult when they are required according to the patient's condition or patient requirements. The department shall explain the consultation, expenses, etc. to the patient, and obtain the consent of the patient. Approved by the medical management department of the unit; when the patient does not have full capacity for civil conduct, he or she should obtain the consent of his close relatives or guardians.
Article 5 Medical institutions that invite consultations are invited to invite doctors from other medical institutions to consult, and a written consultation invitation letter must be sent to the medical institutions. The content should include the summary of the medical records of the patients to be consulted, the qualifications of the professional and technical positions to be invited to the physician or the invited physician, the purpose, reason, time and cost of the consultation, and the official seal of the medical institution is invited. If a consultation invitation is submitted by telephone or e-mail, the written procedure shall be reissued in time.
Article 6 In any of the following circumstances, a medical institution may not invite a consultation:
The consultation invitation is beyond the unit's medical treatment subject or the unit does not have the corresponding qualifications;
The technical strength, equipment and facilities of the unit cannot provide the necessary medical safety guarantee for the consultation;
The consultation invitation exceeds the scope of the invited physician's practice;
Other situations as stipulated by the provincial health administrative department.
Article 7 After receiving the consultation invitation, the medical service department shall, in the absence of affecting the normal business work and medical safety of the unit, the medical management department shall promptly arrange for the doctor to go out for consultation. If the consultation affects the normal business of the unit but there are special needs, it shall be approved by the person in charge of the consultation medical institution.
Article 8 In any of the following circumstances, a medical institution may not send a doctor to go out to consult:
The consultation invitation is beyond the unit's medical treatment subject or the unit does not have the corresponding qualifications;
The consultation invitation exceeds the scope of the invited physician's practice;
Invite medical institutions not to have appropriate medical treatment conditions;
Other situations as stipulated by the provincial health administrative department.
Article 9 When a medical institution for consultation cannot send a consultation doctor, it shall promptly inform the invited medical institution.
Article 10 After receiving the consultation task, the physician shall have a detailed understanding of the patient's condition, personally examine the patient, complete the corresponding consultation work, and write the medical documents in accordance with the regulations.
Article 11 Physicians shall strictly implement relevant health management laws, regulations, rules, and medical treatment norms and routines during the consultation process.
Article 12: Physicians who find it difficult to be qualified for consultation during the consultation process shall promptly and truthfully inform the inviting medical institution and terminate the consultation. During the consultation, the physician finds that the technical strength, equipment, and facilities conditions of the inviting medical institution are not suitable for the patient, or it is difficult to guarantee the quality and safety of the consultation. It is recommended that the patient be transferred to other medical institutions with medical conditions for treatment.
Article 13 After the consultation, the medical institution shall be invited to notify the medical institution of the consultation. The physician shall report the relevant situation of the outpatient consultation to the person in charge of the department and the medical management department within 2 working days after returning to the unit.
Article 14 A medical accident dispute that occurs during the process of going out for consultation by a physician shall be handled by the inviting medical institution in accordance with the provisions of the Regulations on the Handling of Medical Accidents. If necessary, the medical institution of the consultation should assist in handling it.
Article 15 The consultation expenses involved in the consultation shall be carried out in accordance with the regulations of the place where the medical institution is invited. Travel expenses are settled according to the actual amount incurred, and no recurring fees may be used. If the medical institution is invited according to the medical treatment needs, the travel expenses shall be borne by the medical institution; if the patient requests the invitation, the travel expenses shall be borne by the patient, and the charging party shall provide the official fee bill to the patient. The fees for treatment and surgery involved in the consultation can be increased as appropriate on the basis of local regulations. The increase rate is determined by the provincial price department in conjunction with the health administrative department at the same level. Inviting medical institutions to pay for consultations shall be paid to the consultation medical institution in a unified manner and shall not be paid to the consultation physician himself. The income generated by the consultation medical institutions due to the consultation should be included in the unified accounting of the unit's financial department.

Article 16 The medical institution for consultation shall pay the reasonable payment to the consultation physician in accordance with the relevant regulations. Where a physician completes a consultation task on a national statutory holiday, the medical institution that consults shall raise the standard of remuneration of the consultation physician in accordance with relevant state regulations.
Article 17: When a doctor goes out to a consultation, he or she must not accept the remuneration of the inviting medical institution in violation of the regulations, and must not accept or request the money of the patient and his family, and must not take other improper interests.
Article 18 Medical institutions shall strengthen the management of outpatient consultations of their own physicians, establish a management file for outpatient consultations, and combine the outpatient consultation with their annual assessment.
Article 19 Where a medical institution violates Articles 6, 8 and 15 of these Provisions, the health administrative department at or above the county level shall order it to make corrections and give a warning; if the medical treatment activities are beyond the scope of registration, the Regulations on the Administration of Medical Institutions shall be followed. Article 47.
Article 20 If a doctor violates Articles 2 and 7 and goes abroad for a consultation or violates the provisions of Article 17 in the consultation, the medical institution shall record the examination file of the doctor; if the education is still not corrected, administrative punishment shall be given according to law. Disciplinary action.
If a doctor goes out to consult a doctor in violation of the relevant provisions of the Practitioners Law, he shall be dealt with in accordance with Article 37 of the Practitioners Law.
Article 21 If a medical institution is negligent in the management of a doctor who is out of the hospital, the health administrative department at or above the county level shall notify the medical institution and its principal responsible person and the responsible person in charge.
Article 22 These regulations are not applicable to physicians who are dispatched by the health administrative department to other medical institutions for medical treatment activities.