Zhongxinwang Beijing on July 29 news: The Ministry of Health formulated “Before the wedding Public health work Standard” the other day to 1997 has carried on the revision. “Before the wedding the Public health work Standard (Revision)” recently officially issued the implementation after the revision, original “Before the wedding Public health work Standard” also abolished.??The new promulgation “Before the wedding Public health work Standard” to the medical check-up, the hygienic instruction, the hygienic consultation and so on many contents made the explicit stipulation before the wedding before the wedding before the wedding.
??”Before the wedding Public health work Standard” stipulated that when carried on before the wedding the medical check-up to the female, besides the hymen growth exceptionally, refused to its integrity to carry on the description. To the suspicious growth unusuality, should diagnose prudently.
??”Job specification” stipulated: The medical check-up which the medical check-up, was before the wedding to male and female both sides which prepares to marry possibly contracts, the influence to marry and to give birth disease which carries on. Inspection main disease includes: The serious hereditary disease, assigns the infectious disease, related nerve disease and other have disease which with the marriage closes.
??”Job specification” requests, medical check-up’s result, must carry on the security before the wedding to individual privacy. The medical check-up unit, should to accept the medical check-up litigant before the wedding to write up “Before the wedding Medical check-up Proof” before the wedding, both sides for the direct line blood relation, three generation of within collateral branch kindredship, as well as in the medicine thought that is not suitable disease which marries, the indication “the suggestion is not suitable marries”. Discovered that in the medicine thought is not suitable the serious hereditary disease which gives birth, or other important internal organs disease, as well as in the medicine thought that is not suitable disease which gives birth, the indication “the suggestion is not suitable gives birth”. The discovery assigns the infectious disease in the infective stage, the related neurosis in the period of disease, or in other medicine thought when should postpone the marriage disease, the indication “suggested that postpones the marriage”.
??????Attaching: “Before the wedding Public health work Standard (Revision)” full text:
??To provide the high quality hygienic service to the citizen, improves the quality of life and the birth human quality, (hereafter referred to as “Maternal infant Health care Law” according to “the People’s Republic of China Maternal infant Health care Law”), “the People’s Republic of China Maternal infant Health care Law Implementation Means” and the related law, the laws and regulations, the formulation before the wedding the public health work standard.
??First, before the wedding hygienic service content
??The hygienic service was to before the wedding male and female both sides which prepares to marry, carried on before the wedding medical check-up before the marriage registration, before the wedding the hygienic instruction and before the wedding the health advisory service.
??(1) before the wedding medical check-up
??The medical check-up which the medical check-up was before the wedding to prepares the male and female both sides possible trouble influence which to marry to marry and to give birth disease which carries on.
??1st, before the wedding the medical check-up project including the inquiry medical history, the medical examination, the conventional auxiliary inspection and other inspected specially.
??Inspects when the female reproductive organs should make the anus abdominal wall doublet to examine, if must make the vagina inspection, must solicit myself or the family member agreed, carries on. Besides the hymen growth exceptionally, refuses to its integrity to carry on the description. To the suspicious growth unusuality, should diagnose prudently.
??The conventional auxiliary inspection should carry on the chest perspective, the routine blood test, the routine urine test, syphilis screening, the blood transaminase and the hepatitis B surface antigen examination, the feminine vagina secretion infusorium, the mold inspection.
??Other inspect specially, like hepatitis B serology mark detection, gonorrhea, AIDS, mycoplasma and chlamydia inspection, seminal fluid convention, B supersonic, mammary gland, chromosome inspection and so on, should according to need or the volunteer principle determination.
??2nd, before the wedding medical check-up main disease
??(1) serious hereditary disease: Because inherits usually the congenital formation, the patient completely or the part loses the independent viability, the filial generation reappears the risk to be high, in the medicine thought that is not suitable disease which gives birth.
??(2) assigns the infectious disease: “the People’s Republic of China Infectious disease Prevention law” stipulated in AIDS, gonorrhea, syphilis as well as the medicine thought that the influence marries other infectious diseases which and gives birth.
??(3) related neurosis: Schizophrenia sickness, amenomania despondent neurosis as well as other heavy neuroses.
??(4) other have disease which with the marriage closes, like important internal organs disease and reproductive system disease and so on.
??3rd, medical check-up’s extension examined before the wedding
??The medical check-up implemented the progressive extension to examine the system before the wedding. To difficult illness which cannot diagnose, should fill in the unified extension by the medical check-up unit to examine the list before the wedding originally, transferred to supposes the healthcare organization which the area the municipal above people’s government administration of public health department assigned to carry on the diagnosis. This organization should diagnose the result and the examination report feedback gives originally before the wedding the medical check-up unit. The medical check-up unit should fill in “Before the wedding Medical check-up Proof” before the wedding originally according to the diagnosis result, and retains the firsthand information.
??Had the objection before the wedding to the medical check-up result, may apply for the maternal infant health care technical appraisal.
??4th, medicine opinion
??The medical check-up unit should to accept the medical check-up litigant before the wedding to write up “Before the wedding Medical check-up Proof” before the wedding, and in the fence indicates in “the medicine opinion”:
??(1) both sides for the direct line blood relation, three generation of within collateral branch kindredship, as well as in the medicine thought that is not suitable disease which marries, like discovered that a side or both sides contract the specific weight, the specific weight intelligence to be extremely low, does not have the marital consciousness ability; The heavy neurosis, has the attack harm behavior at the condition attack, the indication “the suggestion is not suitable marries”.
??in (2) discovery medicine thought that is not suitable the serious hereditary disease which or other important internal organs disease gives birth, as well as in the medicine thought that is not suitable disease which gives birth, the indication “the suggestion is not suitable gives birth”.
??(3) discovery assigns the infectious disease in the infective stage, the related neurosis in the period of disease or other medicine thought when should postpone the marriage disease, the indication “suggested that postpones the marriage”; Will discover regarding the pre-marital physical examination life-long will possibly infect not in the period of disease contagious patient or the pathogen carrier, when writing up premarital visit medicine opinion, should explain the situation to the patient, proposed that the prevention, will treat and takes other medicine measure the opinion. If the patient insists to marry, should respect fully is examined the bilateral wish, the indication “suggested that takes the medicine measure, respects the patient wish”.
??(4) had not discovered that the down payment (1), (2), (3) kind of situation, decides the permission marriage for the pre-marital physical examination hour system the situation, the indication “had not discovered in the medicine is not suitable the situation which marries”.
??When writes up any medicine opinion, pre-marital physical examination doctor must explain the situation to the litigant, and carries on the instruction.
??(2) before the wedding hygienic instruction
??The hygienic instruction was before the wedding to male and female both sides which prepares to marry carries on take the reproductive health as a core, marriage with birth related health knowledge public education.
??1st, before the wedding hygienic instruction content
??(1) pertinency health care and sex education
??(2) newly married contraceptive knowledge and the birth control instruct
??before (3) becomes pregnant the preparation, the environment and disease and so on is pregnant the health knowledge before the descendant influence
??(4) hereditary disease’s elementary knowledge
??(5) influence marriage nurtures related disease’s elementary knowledge
??(6) other reproductive health knowledge
??2nd, before the wedding health line of conduct
??Content which the health instructed before the wedding by the provincial level mother and child care organization basis, formulation public education material. The health devices carried on before the wedding the reproductive health education systematically before the wedding through many kinds of methods for the target client, and provided before the wedding the health care publicity material to the pre-marital physical examination object. The propaganda time many in 40 minutes, and carries on the effect appraisal.
??(3) before the wedding hygienic consultation
??The concrete question which pre-marital physical examination doctor should aim at the medical check-up result to discover the unusual circumstance which as well as the target client proposed to carry on the explanation, to exchange the opinion, to supply the information, helps to examine the object in the foundation which knows the circumstances of the matter to make suitable the decision. Doctor was proposing that “is not suitable when marries”, “is not suitable gives birth” and “postpones the marriage” and so on medicine opinions, should fully respect the target client the wish, the patience, carefully clarifies the scientific truth, to the consequence which possibly produces gives key explained that and by receives examines both sides to sign on the physical chart knows the circumstances of the matter the opinion.
??Second, before the wedding hygienic service organization and personnel’s management
??(1) before the wedding medical check-up organization and personnel’s examination
??1st, was engaged in before the wedding the medical check-up organization, must be obtained “Medical establishment Disciple Permit” the medical service, the health devices, and had the area after its locus the place (city) the level administration of public health department to examine, obtains “Maternal infant Health care Technical service Disciple Permit”. “Medical establishment Disciple Permit” in the transcription must give in it to indicate. Set up before the wedding the medical check-up organization, must facilitate the citizen.
??Was engaged in the foreigner, the Hong Kong, Macao and Taiwan resident and lives in the overseas Chinese citizens before the wedding the medical check-up medical service, the health devices, should to have the condition provincial level medical service, the health devices. Has the special need, must solicit the province, the autonomous region, the municipality administration of public health department’s opinion, agreed, may to have the area the place (city) the level, the county level healthcare organization.
??2nd, was engaged in before the wedding the medical check-up personnel, must obtain “Practicing physician Certificate” and “Maternal infant Health care Technology Inspection Certificate of quality”. The host examines doctor to obtain above doctor in charge the technical title.
??(2) before the wedding hygienic service organization primary standard
??1st, should be the county level above medical service, the health devices.
??2nd, house request: Distinction establishment special-purpose male, female before the wedding medical check-up room, had the condition local establishment special-purpose synthesis inspection room, before the wedding the hygienic propaganda education office and the consultation room, the checkout room and other related auxiliary administrative offices.
??3rd, equipment request:
??(1) female pre-marital physical examination room: The diagnostic bed, the stethoscope, the sphygmomanometer, the batheroom scales, the visual chart, the chromatograph, the percussion mallet (for example are equipped with synthesis inspection room, the above equipment should lay aside in synthesis inspection room), the gynecological examination bed, the instrument table, the gynecological examination instrument, the glove, the buttocks pad, the chemical examination thing, the screen, wash the hands the pond, the contamination barrel, the disinfection goods and so on.
??(2) male pre-marital physical examination room: The stethoscope, the sphygmomanometer, the batheroom scales, the visual chart, the chromatograph, the percussion mallet (for example are equipped with synthesis inspection room, the above equipment should lay aside in synthesis inspection room), the diagnostic bed, the instrument table, the testicle and the penis measuring appliance, the glove, the chemical examination thing, the screen, wash the hands the pond, the contamination barrel, the disinfection goods and so on.
??(3) proclaims the classroom: Related reproductive health propaganda facilities and so on knowledge wall map, model, video reproduction equipment.
??(4) consultation room: Has the men and women reproductive organ model, the picture and so on to be auxiliary the teaching aid and the commonly used contraceptive pills and so on.
??(5) has the development convention and the special inspection project laboratory and other auxiliary tester. Was engaged in the foreigner, the Hong Kong, Macao and Taiwan resident and lives in the overseas Chinese citizens the hygienic service medical service, the health devices should have the examination AIDS virus (HIV) equipment and other conditions before the wedding.
??4th, environment request
??The hygienic service environment should enforce before the wedding, neatly, is peaceful, is warm, the layout is reasonable, the convenient populace, are advantageous to the protection target client privacy, prevents the cross infection. Is hanging “Maternal infant Health care Technical service Disciple Permit” in the obvious position, the inspection project and the charging criterion.
??(3) before the wedding hygienic service personnel’s equipment
??The hygienic service organization should according to the actual need, provide quantity being suitable, meet the requirement before the wedding male, female pre-marital physical examination doctor, the host to examine doctor and to register nurse, the qualified examination personnel and undergo training health education personnel. Was engaged in the foreigner, the Hong Kong, Macao and Taiwan resident and lives in the overseas Chinese citizens before the wedding the hygienic service personnel, must have certain foreign language proficiency. (health care doctor responsibility, health care host examined doctor responsibility sees, appendix before the wedding after before the wedding)
??Third, before the wedding hygienic service work management
??The public health work practiced the progressive control system before the wedding.
??Before the provincial level, the municipal mother and child care organization assistance administration of public health divisional management area of jurisdiction endogamy, the public health work, undertakes training which, the technical guidance the administration of public health department turns over the handling and so on routine work and other work.
??Before the wedding health devices’ responsible leadership and the host examined doctor, was responsible for this organization before the wedding the hygienic service technical management work.
??(1) grade of service management
??Establishes the perfect each system, carries out activities and so on training of manpower, vocational study, difficult case discussion and material statistical analysis; Strengthens the quality control, enhances the disease diagnosis and the medicine instruction opinion rate of accuracy, the target client to the service satisfaction rate and so on.
??(2) laboratory quality control
??In medical check-up’s conventional examination project, should before the wedding carries on according to the inspection department standard inspection procedure and the quality control standard. Examines the personnel to strictly observe the working instruction, the writing up standard survey report.
??(3) information paper management
??1st, the health care information paper was responsible by the specialist to manage before the wedding, the regular statistics, compile, according to the medical department convention statistical returns request, progressive reports on time, and completes the information feedback.
??2nd, the health devices should establish “before the wedding the medical check-up registration book” before the wedding, “before the wedding the medical check-up disease registration and the consultation instruction minute book”, “before the wedding the health services study, the discussion minute book” and so on primitive this volume, and according to record, prompt lessons learned, search question.
??3rd, the medicine check table should before the wedding the preserve well, to individual privacy security.
??(4) “Before the wedding Medicine Check table” and “Before the wedding Medical check-up Proof” management
??1st, “Before the wedding Medicine Check table” and “Before the wedding Medical check-up Proof” was divided “domestic” and “the foreigner, the Hong Kong, Macao and Taiwan resident and lives in the overseas Chinese citizen” two kinds. The form unifies the stipulation by the medical department, various provinces, the autonomous region, the municipality administration of public health department prints (form style to see appendix) voluntarily.
??2nd, “Medicine Check table was Before the wedding” before the wedding the medical check-up historic record, is wrote up “Before the wedding Medical check-up Proof” basis, should be item by item complete, earnest filling, and managed properly.
??”Medical check-up Proof was one of Before the wedding” legal rule medicine proofs, its form unifies the stipulation by the medical department, various provinces, the autonomous region, the municipality administration of public health department prints. Fills in by pre-marital physical examination doctor, the host examined doctor to verify the signature, the pre-marital physical examination unit caps the medical check-up special-purpose chapter (stamp stamp model to see appendix) before the wedding.
??”Before the wedding Medical check-up Proof” the weight was joint, the checkstub united by the hygienic service organization put on file the preservation before the wedding, another association handed over the patient. Male and female both sides when marriage registration, must or “Medicine Appraisal Proof” hands over “Before the wedding Medical check-up Proof” the marriage registration department.
??3rd, “Before the wedding Medicine Check table” the preservation same Medical establishment in hospital case, the storage life do not be short generally in 30 years. “Before the wedding Medical check-up Proof” the preservation same Medical establishment outpatient service case, the storage life do not be short generally in 15 years. The pre-marital physical examination organization should preserve “Before the wedding Medicine Check table” gradually by the electronic case’s way and “Before the wedding Medical check-up Proof”.
