Decree of the Ministry of Health of the Czech Socialist Republic No. 121 / 1974 Coll.
Decree of the Ministry of Health of the Czech Socialist Republic on the System of Medical Devices
Valid
Effective from 01.01.1975
121
DECLARATION
Ministry of Health of the Czech Socialist Republic
of 18 November 1974
on the system of medical devices
The Ministry of Health of the Czech Socialist Republic provides, in agreement with the participating central authorities pursuant to § 70 (1) (c), with regard to § 33 and 42 of Act No. 20 / 1966 Coll., on the care of the health of the people (hereinafter referred to as "the Act"):
INTRODUCTORY PROVISIONS
(1) The system of health care establishments providing health services consists of health care and preventive care facilities. These facilities shall be built according to the categories, types and degrees laid down in this Decree in a single network of health facilities and shall perform their tasks in close working and organisational continuity in order to provide all citizens with affordable, smooth and valuable health services.
(2) The basis of the system of medical facilities is the territorial and racing health circuits in which the citizens of the district services are provided. When providing these services in district health centres and clinics, the sick comes to the first and most common contact with medical facilities, and therefore their development must preferably be provided with beading and material equipment.
Medical facilities participate in the teaching and education of medical schools and students of medical faculties and pharmaceutical faculties and perform the tasks assigned to them in the further training of health workers. Medical facilities designated by the Ministry of Health of the Czech Socialist Republic ("the Ministry ') in agreement with the Ministry of Education of the Czech Socialist Republic for the teaching of students of medical faculties or pharmaceutical faculties are referred to as faculty; the designated bed departments of the health care establishment are referred to as clinics. The teaching bases of the Institute for the Further Training of Physicians and Pharmaceuticals in Prague designated by the Ministry are also referred to as clinics.
SPECIES AND TASKS OF HEALTH EQUIPMENT
Sanitary stations
(1) Hygiene centres carry out the tasks set out in Section 34 of the Act and also provide for specific tests for the purpose of preventive treatment.
(2) Sanitary stations are established in two types: in the districts as district sanitary stations and in the regions as regional sanitary stations. Urban sanitary stations are established in the cities of Brno, Ostrava and Pilsen and district sanitary stations are established in the urban districts of the capital of Prague; have the status of district health stations. The health station of the capital city of Prague has the status of a regional health station.
(1) County sanitary stations conduct basic field investigations; laboratory investigations and specialised performances shall be carried out to the extent specified by the network of laboratory services in accordance with the concepts of hygiene, epidemiology and microbiology and with the perspective network of medical facilities (Section 26).
(2) According to the development of industry and agriculture, county health centres are set up in three stages in their catchment area. The level I county sanitation station is divided into departments according to the fields of hygiene and epidemiology; no laboratory equipment. A level II district health station usually has a Department of Hygiene and an Anti-Epidemic Department which is divided into departments according to the fields of hygiene, epidemiology and microbiology and has basic laboratory equipment; a department of occupational medicine is established in turn. In general, the 3rd degree health station has health, hygiene and occupational medicine departments, anti-epidemic and microbiological, which are divided into departments by field of hygiene, epidemiology and microbiology and have basic and special equipment. Unions and departments can be merged.
(1) Regional health centres carry out, for the needs of the inhabitants of the region, specially specialised performances which cannot be secured in district health centres and are trained by their staff. In their field of competence, they take care of further training of health workers. They deal with planned scientific research tasks and ensure that science results are put into practice.
(2) The Regional Sanitation Station is subdivided into:
(a) the Department of Hygiene with General and Community Hygiene, Nutrition and Common Use Articles, Child and Adoption Hygiene and Health Laboratories,
(b) the Department of Labour and Labour Medicine Hygiene with Department of Labour Hygiene, Physiology of Labour, Labour Medicine, Mental Hygiene and Psychology of Labour, Radiation Hygiene and Labor Hygiene Laboratories;
(c) an anti-epidemic section with anti-epidemic and disinfectant, disinfectant and exeratization,
(d) a microbiological department with bacteriological, immunological, virological and parasitological separation;
(e) the organisational documentation department.
(1) In order to ensure closely specialised examinations and other performances, sections can be set up in hygienic stations (1) and in the various departments of hygienic stations.
(2) Extended workplaces or branches of sanitary stations may be set up in cities outside the headquarters of the stations and in large plants.
(3) In agreement with the regional national committees concerned (National Committee of the City of Prague), the Ministry may provide that some of the most specialised performances are to be carried out by designated regional or regional health centres for other districts or regions.
(4) Another department or department can be set up at the regional health station only if special needs of the region so require; the establishment must be discussed in advance with the Ministry.
Preventive care facility
Circuit health centres
(1) The district health centre is intended for the provision of district services to the population of the territorial district or several territorial districts, in particular in the rural and peripheral parts of the city and working establishments which are in the territorial district and do not otherwise have district services secured. This centre shall provide services to the district doctor, to the district pediatrician, to the female doctor and to the dental practitioner, or to dentists, unless the clinic provides such services directly.
(2) The district health centre shall be designated for the provision of district services to the workers of the plant or, where appropriate, locally separated parts of the plant or several localised establishments, unless the clinic provides such services directly.
(3) A pharmacy or dispensary may be set up at the health centre.
Hospital with clinic
(1) Hospitals with a clinic are established in three types.
(2) The hospital and the clinic are connected functionally and organically to the district health centres or other clinics (Section 12) with the relevant health centres.
(3) In order to provide medical preventive care to workers of large plants and, where appropriate, to residents in the designated catchment area, a hospital with a clinic is established.
(4) In order to provide specialised preventive care for children and adolescents, a children's hospital with a clinic can exceptionally be established with the agreement of the Ministry.
Hospital with Clinic I type
(1) Hospital with a type I clinic provides treatment preventive care in an area of up to 50 000 inhabitants. The population of this area is provided with urgent hospital first aid, constitutional care for patients with common uncomplicated diseases and treatment of patients. In cases where there is a need for a specialist examination or treatment, a rapid transport of patients to the appropriate hospital department with a higher-type clinic. The population of the medical district of the clinic provides professional outpatient services and the population of medical districts whose headquarters is in the clinic also provides district services, unless they are secured by other outpatient care facilities in the outpatient area.
(2) Hospital with type I clinic is subdivided into
(a) a hospital which has an internal department and a surgical department and may still have a children's department and a women's department in accordance with the perspective network of medical facilities; the berth of a medical facility which does not have an internal or surgical separation is part of a higher-type hospital;
(b) a clinic which has internal, paediatric, surgical, female, dental, evaluation,
(c) joint investigation and treatment components: generally separation or workplace of clinical biochemistry, X-ray, rehabilitation, prosecture.
(3) Hospital with a type I clinic forms a single functional unit with hospitals with type II and type III clinic to provide comprehensive medical preventive care.
(4) A pharmacy is set up at a hospital with a type I clinic.
Hospital with a type II clinic
(1) A hospital with a II-type polio clinic provides specialised services in an area of up to 200 000 inhabitants, which do not fall within the tasks of hospitals with a I-type polio clinic in that area. In its narrowest area, the hospital also performs its tasks with a type I clinic.
(2) Hospital with type 2 polio is subdivided into
(a) a hospital which has internal, paediatric, surgical, female, tuberculosis and respiratory diseases, skin, ear-bearing, ocular, nervous, psychiatric, anesthesiologic-resuscitation, orthopaedic, urological, possibly infectious, 2)
(b) a clinic which has an internal, paediatric, surgical, female, dental, ear-bearing, ocular, tuberculosis and respiratory diseases, skin, adolescent, orthopaedic, nervous, psychiatric, urological, radiotherapy, physical, medical,
(c) joint investigation and treatment components: separation of clinical biochemistry, X-ray, rehabilitation, transfusion, nuclear medicine, pathology.
(3) A rapid medical assistance service is set up in a hospital with a type II clinic.
(4) A pharmacy is set up at a hospital with a type II clinic.
Hospital with polio type III
(1) A hospital with a type III polio provides a special specialised service in a population of approximately 1 million, which does not belong to the tasks of a type II polio clinic in that area. It also provides hospital care in its narrowest area, or it also performs other tasks of hospitals with a type II and type I clinic. He participates in the further training of health professionals, develops scientific research activities according to an approved plan and ensures the implementation of scientific results into practice.
(2) Hospital with a type III clinic is subdivided into
(a) a hospital which has internal, paediatric, surgical, female, infectious, tuberculosis and respiratory diseases, skin, ear-bearing, eye, dental, nervous, psychiatric, orthopaedic, urological, radiotherapy, anesthesiologic-resuscitation, occupational disease,
(b) a clinic which has an internal, paediatric, surgical, female, dental, ear-bearing, ocular, tuberculosis and respiratory diseases, skin, adolescent, orthopaedic, nervous, psychiatric, urological, radiotherapy, occupational diseases, medical genetics, physical medicine, assessment,
(c) joint investigation and treatment components: Department of Clinical Biochemistry, X-ray, Rehabilitation, Prosthetic, Transfusion, Clinical Hematology, Pathology, Judicial Medical, Nuclear Medicine, Tissue Station.
Specialized workplaces in the same extension field are merged into one of the departments.
(3) A rapid medical assistance service is set up in a hospital with a type III clinic.
(4) A pharmacy is set up at a hospital with a type III clinic.
(5) The Ministry may determine which highly specialised services certain hospitals with a type III clinic will procure for wider catchment areas; such arrangements must be discussed in advance with the relevant national committees.
Liquids
(1) The local clinic set up outside the hospital's head office with the clinic provides the population of medical districts of the catchment area of the clinic with professional outpatient services and the population of medical districts whose head office is in the hospital also provides district services, unless they are secured by other outpatient care facilities. They are referred to as a clinic and an investigative and medical component of a hospital with a type I clinic.
(2) The racing clinic provides district services as well as other professional outpatient services to the workers of the plant or several establishments for which it is established.
(3) A pharmacy or dispensary is set up at the clinic.
Establishment of wards and other hospital departments with a clinic (clinics)
(1) The hospital department shall form, with the appropriate hospital department, a unit managed by one manager.
(2) As part of the hospital separation, intensive care units and treatment units are established according to the principles of differentiated preventive care.
(3) In a hospital with a clinic (in a clinic), where there are specific reasons for this, departments or departments other than those referred to in Sections 9 to 11 may also be set up; however, such derogations and other derogations may only be made in accordance with the concepts of preventive care (Section 26) or with the agreement of the Ministry.
(1) The size of the departments and other departments of the hospital with the clinic (the clinics) is determined according to the needs of the defined catchment area and individual branches of the preventive care facility to ensure the efficient use of the working collectibles and material equipment.
(2) Hospital beds of hospitals with a clinic of all types form a common (integrated) bed fund in each field, allowing their rational use according to differentiated treatment principles, in the defined area of the hospital.
Professional medical institutes
(1) The professional medical institutes perform the tasks set out in Section 36 of the Act according to the concepts of the various fields of preventive care (Section 26). The catchment area of professional medical institutions according to their nature, importance and location usually includes several counties or counties.
(2) Professional medical institutes may, depending on their professional orientation and size, be divided into departments or other departments.
(1) Treatment facilities for long-term sick patients are intended for the provision of specialised institutional care aimed primarily at nursing and rehabilitation care for those suffering from prolonged illness.
(2) The treatment facilities for tuberculosis and respiratory diseases are intended for pulmonary or extrapulmonary tuberculosis and respiratory diseases, if their condition requires long-term institutional care.
(3) Psychiatric hospitals are intended for persons suffering from mental disorders who require specialised institutional care or compulsory treatment.
(4) Rehabilitation institutes are intended for the provision of specialised institutional rehabilitation care to patients with established mobility disorders or other functions.
(5) Specialised institutional care is also provided by other professional medical institutions set up according to the needs of the development of preventive care.
(1) Spa hospitals provide patients with specially targeted constitutional spa care, which is linked to care provided in other preventive care facilities and where natural medical resources or climatic conditions are mainly used. They are generally specialised in one or more fields according to the indicator. Spa hospitals can also provide outpatient spa care. If a spa hospital provides professional care in several fields or if it is useful due to its size, it can be divided into departments.
(2) Spa care for children and adolescents is provided in spa hospitals specialised in accordance with the specified indications.
(3) The spa facilities intended for the provision of outpatient services and, where appropriate, for the provision of certain other professional services in the spa during the spa treatment period are referred to as the spa clinic. It may also provide some outpatient services for the population in and around the area.
(4) Spa clinics, spa clinics and other common aid and secondary spa facilities are integrated into spa organisations.
Healing facilities for children and adolescents and adults are health facilities in which people in convalescence or at risk of health are provided under medical supervision and management of professional constitutional care while respecting the necessary biography, generally using climatic conditions.
Night-time sanitariums are health care establishments in which workers with vulnerable or disturbed health but able to work, allow for appropriate resume outside working hours and provide the necessary treatment and treatment. Night sanitariums may also be set up as territorial or joint health facilities.
Medical facilities
(1) In order to carry out the tasks referred to in Section 37 of the Act, pharmacies are set up in three types and other facilities of the pharmacy service. These facilities shall provide for the preparation, expenditure and control of medicinal products and medical supplies in close cooperation with other facilities for preventive care and, where appropriate, veterinary services.
(2) Type I pharmacies provide for the preparation and supply of medicines and medical supplies mainly for the purpose of district services in the territory of approximately 10 000 to 30 000 inhabitants. Second-type pharmacies provide such services to the extent needed primarily for district services and other professional services of the hospital with a type I clinic or only a clinic. The 3rd-type pharmacies provide the full range of specialized services needed for all outpatient and institutional care.
(3) For the purposes of veterinary services and agriculture, pharmacies designated by the district national committee shall provide services to the extent of an extended or full range of veterinary medicinal products.
(4) As appropriate, the following may be set up as extended workplaces of pharmacies:
(a) dispensaries of medicines in institutional and, where appropriate, outpatient care facilities, in large factories and in places with difficult availability;
(b) dispensers of medical supplies,
(c) dispensers of medicinal plants.
(5) The laboratory for the control of medicinal products controls medicinal products for the pharmacy service, the organisation for the supply of medicinal products and medical supplies, or for other designated health organisations, as a rule in the territory of the region.
Special children's devices
(1) Infants' institutes provide institutional care (including educational care) to children under one year of age whose development is at risk of medical conditions or an inappropriate home environment.
(2) Children's homes provide institutional care (including educational care) to children from one to three years of age who are not to be cared for or who cannot, for health or social reasons, be provided with care in their own family or with alternative family care.
(3) A nursing home and a children's home can be joined in a joint establishment as a children's home for children under three years of age.
(1) All-round development of healthy children under three years of age is provided in nurseries; following up on the care of children in the family and complementing it. The job of the nursery is to help families in childcare and to enable mothers to participate in work and participation in public life.
(2) Depending on the time of operation, the day-to-day or weekly, exceptionally continuous, nurseries shall be established.
(3) The farm nurseries shall be established primarily for the care of the children of parents or other persons who have custody of the children and work in the plant, the cooperative nurseries for the care of the children of members of the single agricultural cooperatives and, where appropriate, other cooperatives.
(4) In common buildings with a parent school, nurseries are set up in accordance with specific regulations.3)
(5) Local and urban national committees are administered by the local and urban crèches, racing and cooperative crèches are managed by national health institutes.
Common provisions on health establishments
(1) In line with the increased care of the entire company for the health of workers, racing medical establishments are established (Sections 39 (1) and 40 of the Act). The size and breakdown of the plant health facilities shall be determined by the type of production, operation of the plant and the number and composition of the workers. The priority of setting-up of health care facilities is ensured both by establishing a lower number of workers responsible for the establishment of individual types of health care facilities and by more favourable standards of their personal and material equipment. Racing medical establishments shall be established preferably for workers who are at increased risk of health during work and for workers who are at risk of occupational diseases.
(2) Racing health establishments establish, operate and abolish national committees in agreement with the competent authorities of the Revolutionary Trade Union Movement and in cooperation with the management of organisations.
(1) All plant health establishments in the plant, except for nurseries, form one whole integrated into the relevant national health institute. If this requires the importance and scope of the plant or several locally related plants of the same enterprise, the health facilities in such a plant can be grouped in agreement with the Czech Trade Union Council and with the agreement of the Ministry at the National Health Racing Institute.
(2) For working locally related establishments, where the conditions for setting up health care facilities are met, joint health care facilities may be set up in the interests of efficient provision and higher service levels.
(3) In accordance with the perspective network of health facilities, racing health facilities may also provide services to the population living in the vicinity of the plant, in particular in housing areas (open racing health facilities).
COMMON, TRANSITIONAL AND FINAL PROVISIONS
(1) Medical facilities and other facilities of the single health system managed under Section 33 of the Law by district and regional national committees are integrated into regional or regional national health institutions.
(2) The following health facilities are integrated into the Regional Institute of National Health: the Regional Health Station, a hospital with a type III clinic, a pharmacy set up by it, a laboratory for drug control. It also includes professional medical institutions, with the exception of treatments for long-term sick or other medical facilities, provided that they provide health services to the population of multiple counties or to a wider extent and are managed by the Regional National Committee.
(3) Other health establishments in the district, with the exception of nurseries administered by local (urban) national committees, shall be integrated into the regional national health institutes.
(4
(1) After consulting the Regional National Committees (National Committee of the City of Prague), the Ministry publishes concepts of hygiene, epidemiology, microbiology and medical preventive care, in which it also specifies in which categories, types and degrees of medical facilities and their departments the activities of individual disciplines.4)
(2) National committees shall build and develop health establishments within the approved national economic plan, in accordance with a perspective network of health facilities, which shall determine the future deployment, location and internal breakdown of health facilities. This network is processed by the Ministry together with the Regional National Committees (National Committee of the City of Prague) and is issued as a directive.
(1) The Regional National Committees (National Committee of the City of Prague) will examine the existing network of health facilities and include them in the categories, types and degrees of this decree by 31 December 1975 at the latest; hospitals with a clinic and pharmacies can be included in the III type of such facilities only after prior approval by the Ministry. Until classification is carried out under this Decree, health establishments remain in existing categories and types.
(2) Pharmacy, which is still part of hospitals with a type III clinic, is to be set aside from those hospitals with a type III clinic and integrated directly into regional national health institutions by 31 December 1975 at the latest.
(3) The Regional National Committees (National Committee of the City of Prague) and the Regional National Committees will also ensure the external designation of health facilities by 31 December 1975.
(1) A network of health facilities in large cities may be organised, with the agreement of the Ministry, with derogations which are required by the effective provision of health services for the concentrated urban population.
(2) In order to improve the availability, rational provision of health services and the efficient use of new techniques, the Ministry may allow derogations in the organisational breakdown and external labelling of health facilities.
The authorities managing the health care establishments shall, in accordance with the provisions of this Order, adjust their external marking.
The Decree of the Ministry of Health No. 43 / 1966 Coll., on the System of Medical Devices is hereby repealed.
This Decree shall take effect on 1 January 1975.
Minister:
Prof. Dr. Prohlo, CSc.
1) Directive No 4 / 1972. MZ ČSR, on the establishment and operation of reference laboratories for the hygiene service.
2) In order to rationalise the operation and use of beds, it is advisable to link small departments of the same branches of hospitals with the hospital to one hospital with a II-type clinic and thus to provide health services to the population of the catchment area.
3) Government Decree No. 72 / 1961 Coll., on the establishment of nursery and nursery schools in common buildings.
4) The concept is issued as a methodical measure of the Ministry and published in the Journal of the Czech Republic.
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Regulation Information
| Citation | Decree of the Ministry of Health of the Czech Socialist Republic No. 121 / 1974 Coll., on the System of Medical Devices |
|---|---|
| Regulation Type | - |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 04.12.1974 |
|---|---|
| Effective from | 01.01.1975 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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