Decree of the Ministry of Health of the Slovak Socialist Republic No. 19 / 1975 Coll.
Decree of the Ministry of Health of the Slovak Socialist Republic on the System of Medical Devices
Valid
Effective from 01.04.1975
19
DECLARATION
Ministry of Health of the Slovak Socialist Republic
of 25 February 1975
on the system of medical devices
The Ministry of Health of the Slovak Socialist Republic, in agreement with the participating central authorities, provides, pursuant to § 33 (2), § 42 (1) and § 70 (1) (c) of Act No. 20 / 1966 Coll., on the care of the health of the people ("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 within the 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, prompt 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, patients come into first and most frequent contact with medical facilities and therefore their development with beading and material equipment must be ensured as a priority.
Medical facilities participate in scientific research activities, teaching and education of medical schools and medical faculty listeners and pharmaceutical faculties to a specified extent, and perform the tasks assigned to them in the further training of health workers. Medical facilities designated by the Ministry of Health of the Slovak Socialist Republic ("the Ministry ') in agreement with the Ministry of Education of the Slovak Socialist Republic for the teaching of students of medical faculties or pharmaceutical faculties are referred to as faculty; the designated departments of medical establishments are designated as clinics. The clinics are also designated as teaching bases of the Institute for the Further Training of Doctors and Pharmaceuticals in Bratislava, designated by the Ministry.
SPECIES AND TASKS OF HEALTH EQUIPMENT
Sanitary stations
(1) Sanitation centres carry out the tasks set out in Section 34 of the Act and carry out the tests provided for for in the treatment of preventive care.
(2) Sanitary stations are established in two types: in the districts as district sanitary stations and in the regions as regional sanitary stations. The sanitary stations in the city districts of the Slovak Socialist Republic of Bratislava and the sanitary station in Košice have the status of district sanitary stations. The health station of the capital of the Slovak Socialist Republic Bratislava has the status of a regional health station.
(1) County health centres carry out a basic field investigation for the population of the district; 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 in each district, district health centres are set up in four stages:
a) The level I county health station does not have laboratories and is divided into departments according to the fields of hygiene and epidemiology.
(b) Regional Sanitation Station II usually has a Department of Hygiene, the Department of Epidemiology and the Department of Microbiology, which is subdivided into departments by field of hygiene, epidemiology and microbiology; has basic microbiological laboratory equipment.
(c) The 3rd degree health station has a Department of Hygiene, the Department of Epidemiology and the Department of Microbiology and, in the advanced industrial districts, the Department of Labour Hygiene, which is divided into departments by hygiene, epidemiology and microbiology; has basic hygienic and microbiological laboratory equipment.
d) District Sanitation Station IV has departments of hygiene, hygiene of work, epidemiology and microbiology, which are divided into departments according to the fields of hygiene, epidemiology and microbiology, and has basic and special laboratory equipment.
(3) Unions and departments may be merged.
(1) Regional health stations carry out specially specialised performances for the needs of the population of the region which cannot be provided in district health stations. They are the head of the district health station 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 Municipal Hygiene, Nutrition and Common Use Objects, Hygiene of Children and Adolescents and Health Laboratories;
(b) Department of Hygiene Work with Department of Hygiene Work, Physiology of Work, Radiation Hygiene and Laboratory of Hygiene Work;
(c) the Epidemiology Department with the Epidemiology Department and the Disinfectant, the Disinfectant and the Deratization Department;
(d) microbiology department with bacteriology, immunology, virology and parasithology departments;
(e) the organisational documentation department.
(1) In order to ensure the safety of specialised examinations and other performance, sections can be set up in hygienic stations (1) and in individual departments of sanitary stations.
(2) Stranded workplaces or branches of sanitary stations in cities outside the headquarters of the stations and in large plants can be established with the agreement of the Ministry.
(3) After consulting the Regional National Committees (National Committee of the Slovak Socialist Republic of Bratislava), the Ministry may provide that certain performances are to be carried out by designated regional or regional health centres for other counties or counties.
(4) If special needs of the county or district so require, another department or department may be set up in the county or district health station after a prior positive statement by 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 medical practitioner, to the district pediatrician, to the female doctor and to the dental practitioner, and, where appropriate, 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 (Sections 9 to 11).
(2) Hospital with a type I clinic forms a single functional unit with hospitals with type II and type III clinic to provide comprehensive preventive treatment.
(3) The hospital and the clinic are connected functionally and organically to the district health centres and, where appropriate, the maternity ward, if they are set up in their catchment area. Other clinics (§ 12) located in its catchment area are also connected to the hospital and the clinic.
(4) In order to provide medical preventive care to workers of large plants and, where appropriate, to residents of the designated catchment area, a hospital with a clinic is established.
(5) A children's hospital with a clinic can be set up to provide specialised preventive care for children 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 about 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, 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 internal, paediatric, surgical, female and, as a rule, anaesthesiologic-resuscitation departments;
(b) a clinic which has internal, paediatric, surgical, female, dental, tuberculosis and respiratory diseases, ear-bearing, ocular, skin, assessment;
(c) joint investigation and treatment components: the separation of clinical biochemistry, X-ray, physiatricalrehabilitation, or prosecture, as appropriate.
(3) 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 with a number of normally up to 200 000 inhabitants, which do not fall within the tasks of hospitals with a I-type polio clinic in that territory. 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 an internal, paediatric, surgical, female, skin, ear-bearing, ocular, nervous, psychiatric, anesthesiologic-resuscitation department; in accordance with the perspective network of health facilities, the separation of infectious, tuberculosis and respiratory diseases, orthopaedic, urological and radiotherapy may also be carried out;
(b) a clinic which has internal, paediatric, surgical, female, dental, ear-bearing, ocular, tuberculosis and respiratory diseases, skin, adolescent, orthopaedic, nervous, psychiatric, urological, radiotherapy, physical, medical, assessment or, where appropriate, occupational medicine;
(c) joint investigation and treatment components; Department of Clinical Biochemistry, X-ray, Physiatrico-Rehabilitation, Haematological and Transfusion, Nuclear Medicine, Pathologics-Anatomy.
(3) A rapid medical assistance station 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) In general, a hospital with a 3rd-type clinic provides 1 million people with special services in its catchment area, which do not fall within the tasks of a hospital with a 2nd-type clinic in that territory. 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 medicine;
(b) a clinic which has an internal, paediatric, surgical, female, dental, ear-bearing, ocular, tuberculosis and respiratory disease, skin, adolescent, orthopaedic, nervous, psychiatric, urological, radiotherapy, occupational medicine, medical genetics, physical health, medical assessment;
(c) joint investigation and treatment components: Department of Clinical Biochemistry, X-ray, Physiatrico-Rehabilitation, Prosthetic, Haematological and Transfusion, Pathologic Anatomy, Medical, Nuclear Medicine, Tissue Station.
(3) A rapid medical assistance station 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, after consulting the relevant national committees, determine which highly specialised services certain hospitals of the III type will provide for a wider catchment area.
Liquids
(1) The local clinic established outside the hospital with the clinic provides the population of the 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 clinic, as well as district services, provided that other outpatient care facilities do not provide them. As a general rule, it is 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) The clinic has functionally and organically connected medical centres located in its catchment area.
(4) A pharmacy or dispensary is established in the clinic.
Establishment of departments and other hospital departments with a clinic (clinics)
(1) The department of the hospital, with the appropriate department of the clinic, consists of a whole managed by one head
(2) As part of the hospital separation, intensive care and treatment units are established according to the principles of differentiated preventive care.
(3) In a hospital with a clinic (in a clinic), departments or departments other than those referred to in Sections 9 to 11 may be set up, where there are particular reasons for doing so. However, such derogations and other derogations may only be made in accordance with the concepts of the preventive care facility (§ 26), after the observations of the Regional National Committee (National Committee of the Slovak Socialist Republic of Bratislava); in other cases with the consent of the Ministry.
The size of the wards 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 treatment facility to ensure the efficient use of the working collective and material equipment.
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 centres for long-term patients are intended for the provision of specialised institutional care aimed primarily at professional nursing and rehabilitation care for people suffering from long-term diseases.
(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 need specialised institutional care or who have been assigned 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 oncological institutions or 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 related to care provided in other preventive care facilities, mainly using natural medical resources or climatic conditions. Depending on the therapeutic effects of natural resources or climatic conditions favourable to treatment, they are generally specialised in one or more fields for indicated disease groups. Spa hospitals can also provide outpatient spa care. If the spa hospital provides professional care in several fields, or if this is useful due to the size of the hospital, it can be part of the department. Spa hospitals also provide necessary catering and cultural education services.
(2) Spa care for children 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 hospitals, spa clinics and other common aid and secondary spa facilities form a natural spa spa which is integrated into spa organisations.
Healing facilities for children, adolescents and adults are health care facilities in which people in recovery or at risk of health are provided under medical supervision and management of professional constitutional care while respecting the necessary lifestyle, generally using climatic conditions.
(1) 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. Overnight sanitariums may also be established as territorial or joint health facilities.
(2) Daily sanitariums as a special kind of treatment provide treatment and treatment to people with impaired health, with the possibility to maintain the necessary resume; provide education and education to children and adolescents. They are established in accordance with the concepts of the medical prevention care.
Medical facilities
(1) In order to carry out the tasks set out in Section 37 of the Act, pharmacies of three types and other pharmacy services are set up. These facilities shall ensure the preparation, supply and control of medicinal products and medical supplies in close cooperation with other facilities of 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. Type II pharmacies provide such services to the extent necessary for district services and other professional services of the hospital with a type I clinic or only a clinic. The III.-type pharmacies provide the full range of specialised 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) The following shall be established as additional facilities for the pharmacy service as appropriate:
(a) dispensers of medical supplies,
(b) dispensers of medicinal plants,
(c) storage of medical material,
(d) pharmaceuticals,
(e) infusion solution plants.
(5) As an extended pharmacy workplace, dispensaries of drugs may be set up in institutional or outpatient care facilities, in large factories and in places with difficult availability.
(6) The laboratory for the control of medicinal products controls medicinal products for the pharmacy service, the organisation for the supply of medicinal products and other medical supplies, as appropriate for other designated health organisations, as a rule within 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 manger shall be established with daily or weekly, exceptionally continuous operation.
(3) The farm nurseries shall be established primarily for the care of the children of parents or other persons who have custody and work in the establishment, as well as for the care of children of members of single agricultural cooperatives or other cooperatives.
(4) In common buildings with a parent school, nurseries are set up in accordance with specific regulation.2)
(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, number and composition of the workers. Priority care for the workers in the plants shall be ensured by the establishment of a lower number of workers responsible for the establishment of individual types of health care facilities and by more favourable standards of personal and material equipment for such facilities. Racing medical establishments are set up preferably for workers who are at increased risk of health at work and for workers who are at risk of occupational diseases.
(2) Racing health establishments establish, operate and repeal 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 size of the plant or several locally related plants of the same undertaking, the health establishments in that establishment may be grouped in agreement with the Slovak Trade Union Council and with the agreement of the Ministry in the National Health Racing Institute.
(2) For working locally related establishments, provided that the conditions for the establishment of health care facilities are jointly met, common health care facilities may be established 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 administered under Article 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, the Hospital with the 3rd-type clinic, the pharmacy established by it, the laboratory for the control of medicines, pharmaceuticals and infusion solutions at the headquarters of the Regional Institute of National Health. It also includes professional medical institutions, with the exception of treatments for long-term sick patients or other medical facilities, provided that they provide health services to the population of multiple counties or to a wider extent and are administered 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 Slovak Socialist Republic of Bratislava), the Ministry issues concepts of hygiene, epidemiology, microbiology and preventive care; in these also specify in which categories, types and degrees of medical facilities and their departments the activity of individual disciplines.3)
(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 Slovak Socialist Republic of Bratislava) and is issued as a directive.
(1) The Regional National Committees (National Committee of the Slovak Socialist Republic of Bratislava) 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 only be classified in the III type after prior approval by the Ministry; With the agreement of the Ministry, district sanitary stations are also classified in different degrees. Until classification under this Decree is carried out, health care establishments remain in existing categories and types.
(2) Pharmacy, which is still part of hospitals with a type III clinic, is to be removed from those hospitals with a type III clinic and integrated directly into the Regional Institute of National Health by 31 December 1975 at the latest.
(1) A network of health facilities in large cities may be organised with derogations, with the agreement of the Ministry, where this is necessary for 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 organisational integration, internal 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 April 1975.
Minister:
Prof. MUDr. Mateíček, DrSc., Retired
1) Directive No 28 / 1972 of the Ministry of Health of the SSR on the establishment and operation of reference laboratories for the sanitary service.
2) Government Decree No. 72 / 1961 Coll., on the establishment of nursery and nursery schools in common buildings.
3) The concept is issued as a methodological measure by the Ministry and published in the SSR Ministry of Health Bulletin.
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Regulation Information
| Citation | Decree of the Ministry of Health of the Slovak Socialist Republic No. 19 / 1975 Coll., on the System of Medical Devices |
|---|---|
| Regulation Type | - |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 17.03.1975 |
|---|---|
| Effective from | 01.04.1975 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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