Decree of the Ministry of Health No. 43 / 1966 Coll.
Decree of the Ministry of Health on the System of Medical Devices
Valid
Effective from 01.07.1966
43
DECLARATION
Ministry of Health
of 13 June 1966
on the system of medical devices
The Ministry of Health provides in the agreement with the participating central authorities pursuant 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
The system of health care facilities consists of sanitation and preventive care facilities. The versatility, continuity and unity of health services are ensured by an efficient division of tasks between these facilities and their close working and organisational connections.
(1) Medical establishments participate, to the extent provided, in the teaching and education of secondary schools and medical and pharmaceutical faculty, and carry out the tasks assigned to them in the further training of health professionals. Medical facilities designated by the Ministry of Health in agreement with the Ministry of Education and Culture for the practical teaching of doctors and pharmacists are referred to as faculty and their departments as clinics. The training bases of institutes (institutes) for the further education of doctors and pharmacists, as determined by the Ministry of Health, are referred to as clinics.
(2) In order to carry out their tasks, health establishments have the necessary economic and technical components.
SPECIES AND TASKS OF HEALTH EQUIPMENT
Sanitary stations
The health centres carry out the tasks set out in Section 34 of the Act and also provide the prescribed tests for the purpose of preventive treatment. They are set up in two types as district sanitary stations and regional sanitary stations. Urban health stations are set up in cities whose municipal national committees have the status of district national committee.
(1) County (urban) health centres carry out all basic field and laboratory investigations for the needs of the population of the district (city).
(2) The County Sanitation Station is subdivided into the Department of Sanitation and the Anti-Epidemic Department, in districts with a particularly developed industry designated by the Regional National Committee, including the Department of Labour Hygiene. The Department of Sanitation shall be subdivided into the Department of Hygiene and the Anti-Epidemic Department, as a general rule, in the Anti-Epidemic Department, in the Microbiological Department and in the Disinfectant, Disinfectant and Deratization Department, and, where appropriate, in the Virological Department.
(1) Regional health centres carry out specially qualified performances for the needs of the inhabitants of the region which cannot be provided in district health stations. It also addresses planned scientific research tasks and ensures the implementation of scientific results; professional management of district (urban) health station staff, participate in the teaching of students of medical faculties, and continuously take care of further training of health workers in the region.
(2) The Regional Sanitation Station is subdivided into:
(a) a hygienic department with general and communal hygiene, nutrition and articles of common use, children's and youth hygiene and health laboratories,
b) Department of Hygiene Work with Department of Hygiene Work, Physiology of Work, Radiation Hygiene and Laboratory of Hygiene Work,
(c) an anti-epidemic unit with anti-epidemic, microbiological, virological and antiseptic departments.
(1) Extended workplaces or branches of sanitary stations may be set up in cities outside the headquarters of the stations and in large plants.
(2) The Regional National Committee may provide that a regional or district health centre shall carry out laboratory or other specialised performances for a district health station and shall adjust the breakdown of the participating health centres accordingly.
(3) The Ministry of Health may, after consulting the Regional National Committees, provide that some of the most specialised performances are to be carried out by designated health centres for other regions.
(4) If this is necessary due to the specific needs of the district or region, another department or department or some departments or departments may be set up at the health station.
Preventive care facility
Hospital with clinic
(1) In addition, emergency care centres and maternity centres are part of a set of preventive care facilities, which consist of hospitals with a clinic and other outpatient care facilities, provided that they are established in the catchment area. The main article of this file is a hospital with a clinic, which is usually built as a building unit.
(2) Hospitals with a clinic are established in three types (Sections 8 to 10). In order to provide medical preventive care for workers of major plants, and where appropriate, for their family members, they shall be established in hospitals with a clinic and other outpatient facilities; the size and breakdown of the hospital with the clinic is determined by the type of production, operation of the plant and the number and composition of the workers.
Hospital with Clinic I type
(1) Hospital with a type I clinic provides treatment preventive care usually in the area of 50 000 inhabitants. It shall provide hospital care to the population of this catchment area; the population of the districts integrated into the clinic also provides the district services and other professional outpatient services, the population of other districts those professional outpatient services which are not provided by other outpatient care facilities in the catchment area (§ 13 to 15).
(2) Hospital with type I clinic is subdivided into
(a) hospital department: internal, paediatric, surgical, female,
(b) the clinic department: internal, paediatric, surgical, female, dental, ear-bearing, ocular, tuberculosis and respiratory diseases, skin,
(c) joint investigation and treatment components: laboratory, X-ray, rehabilitation, prosecture.
(3) A pharmacy is set up at a hospital with a type I clinic.
Hospital with a type II clinic
(1) In general, hospitals with a II-type polio-clinic provide 150 000 to 200 000 inhabitants of qualified and specialised services in the catchment area which cannot be provided by hospitals with a I-type polio 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) hospital department: internal, paediatric, surgical, female, infectious, tuberculosis and respiratory diseases, skin, ear-bearing, ocular, orthopaedic, nervous, psychiatric,
(b) Politerical department: internal, paediatric, surgical, female, dental, ear-bearing, ocular, tuberculosis and respiratory diseases, skin, juvenile, orthopaedic, nervous, psychiatric, urological, oncological, physical,
(c) joint investigation and treatment components: separation of laboratory, X-ray, anesthesiological, rehabilitation, transfusion, pathological-anatomy and pharmacies.
(3) For the provision of specialist care, the orientations may be set up in individual departments of the hospital with a type II clinic, according to the principles (concepts) established by the Ministry of Health for the development of individual fields.
Hospital with polio type III
(1) A hospital with a type III polio usually provides 1 to 1.5 million residents in its catchment area with specially specialised services which cannot be provided by hospitals with type II polio in this area. In its narrower territory, it also performs hospital care tasks, or other tasks of hospitals with a type II and type I clinic.
(2) A hospital with a type III clinic is usually a faculty hospital; it shall also provide continuous care for the further training of health workers in its catchment area. It develops scientific research and ensures the implementation of scientific results.
(3) Hospital with a type III clinic is subdivided into
a) hospital department: internal, paediatric, surgical, female, infectious, tuberculosis and respiratory diseases, skin, ear-bearing, eye, dental, nervous, psychiatric, orthopaedic, urological, oncological, resuscitation, occupational diseases,
(b) Politerical department: internal, paediatric, surgical, female, dental, ear-bearing, ocular, tuberculosis and respiratory diseases, skin, juvenile, orthopaedic, nervous, psychiatric, urological, oncological, occupational diseases, physical medicine,
(c) joint investigation and treatment components: separation of laboratory, X-ray, rehabilitation, prosthetic, transfusion, pathological-anatomical, medical and, where appropriate, tissue and pharmacy.
(4) In the various departments of the hospital with the III-type polio clinic, the ministries are established according to the principles (concepts) established by the Ministry of Health for the development of individual fields.
(5) A children's hospital can be established as a hospital with a type III clinic.
(6) The Ministry of Health may provide that some of the most specialised medical preventive services are to be provided by certain hospitals with a type III clinic for a wider territory.
Establishment of wards and other hospital components with a clinic
(1) The hospital department shall, with the appropriate department, form a clinical unit managed by one manager. Under the conditions laid down in Section 60 of the Act, the department is referred to as a clinic.
(2) In a hospital with a type I or type II clinic, other departments or components other than those referred to in Sections 8 and 9 may be set up, provided that there are particular reasons for doing so, but such derogations or other derogations may be made only in accordance with the principles laid down by the Ministry of Health or with its consent. In accordance with the needs of the development of science and medical preventive care, other specialised departments or components other than those referred to in Section 10 may be set up in a hospital with a type III clinic, with the consent of the Ministry of Health.
(1) The size of hospital and political departments is determined in such a way as to guarantee the efficient use of the work collectibles and the use of the facilities and not to exceed the manageable extent.
(2) The hospital ward must have at least 50 beds, the pediatric, ear-bearing, ocular, dental, skin and occupational diseases, and the number of beds in the hospital ward must not exceed 120 beds; the derogation is granted by the Ministry of Health.
(3) If the number of beds for a particular branch exceeds the highest limit, several hospital departments of the same branch may be established. Another internal department with a specific designation shall be established under the conditions laid down in the concept of the development of the field of internal medicine.
Other outpatient care facilities
In order to ensure the availability and effective provision of preventive care, additional clinics and district health care facilities shall be established as appropriate.
(1) A local clinic set up outside the head office of a hospital with a hospital provides district services (§ 16) to the population of the districts that are incorporated in it and provides other professional outpatient services to the population of the assigned districts. This clinic is divided into the clinic department and the investigation and treatment services as a hospital with a type I clinic.
(2) The racing clinic provides district services and other professional outpatient services to the workers of the plant or several establishments for which it is established. The breakdown of the clinic is based on the nature of the operation and the size of the plant.
(1) The district health centre shall be designated for the provision of district services to the population of the territorial district or several territorial districts in the rural and peripheral parts of the city and, in specified cases, also to the working plant located in the territorial district.
(2) The district health centre shall be designated for the provision of district services to the workers of the plant or part thereof, or to several establishments where such services are not provided by the racing clinic.
Circuit services
(1) In the territorial districts are provided the services of the local district doctor, the district pediatrician, the female doctor and the dentist, or dentists. The extent of the territorial perimeter shall be determined according to the principles determined by the Ministry of Health to ensure an ever-improved level and availability of district services.
(2) The professional services provided in the racing districts and the number of workers belonging to the racing circuit are determined by the type of production, operation of the plant and the composition of the workers.
Professional medical institutes
(1) According to their nature, importance and location, the catchment area of professional medical institutions is generally covered by several counties or counties or by the whole state.
(2) Professional medical institutes may, depending on their professional orientation and size, be integrated into the bed department and, where appropriate, into the investigation and treatment components. They are usually built in the size of 200 to 400 beds, or from 100 beds if they are children's hospitals. Psychiatric hospitals can be built up to 600 beds. Derogations are approved by the Ministry of Health.
(1) Treatment facilities for tuberculosis and respiratory diseases are intended for patients with pulmonary or extrapulmonary tuberculosis and respiratory diseases, if their condition requires long-term constitutional care.
(2) Psychiatric hospitals are intended for persons suffering from mental disorders who require specialised institutional care or compulsory treatment.
(3) Rehabilitation institutes are designed to provide constitutional care to patients with established disorders of the function of the movement system.
(4) Professional institutional care is also provided by oncological institutions or other professional medical institutions set up according to the needs of the development of therapeutic preventive care.
(1) Spa hospitals, which usually serve the needs of the population of the whole territory of the state, provide patients with specially targeted constitutional spa care, directly linked to care provided in other preventive care facilities; are generally specialised in one field, in particular for circulatory tract diseases, digestive tract diseases, inner secretive metabolism disorders, non-specific respiratory diseases, nervous diseases, mental disorders, musculoskeletal diseases, kidney and urinary disorders, skin and female diseases. If a spa hospital provides professional care in several fields or if this is useful due to the size of the hospital, it is divided into departments. The treatment room also provides the necessary catering and cultural educational services.
(2) Spa facilities intended for the provision of outpatient services to patients at the time of spa treatment and, where appropriate, for the provision of certain other professional services at the spa are referred to as a spa clinic.
(3) Spa hospitals, clinics and other common facilities auxiliary and secondary in spa areas are integrated into spa organisations. The Ministry of Health will issue an organisational order for spa organisations.
Health care facilities are health care 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 bio-management, generally using climatic conditions.
Night-time sanitariums are health care establishments in which workers with compromised or disturbed health work, but capable of working outside the working hours, allow for appropriate résumé and provide the necessary care and treatment.
Medicines
(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 establishments operate in close cooperation with outpatient and institutional care facilities.
(2) Type I pharmacies provide the preparation and supply of medicines and medical supplies mainly for the purpose of district services in the territory with a typically between 10 000 and 30 000 inhabitants. Class II pharmacies provide such services to the extent necessary primarily for district services and other professional services of the hospital with a type I clinic. The III-type pharmacies provide fully and specially qualified services for all outpatient and institutional care. For the needs of the veterinary service and the agricultural public, pharmacies of the 2nd type of service generally provide a full veterinary range.
(3) As appropriate, dispensaries of drugs may be established as extended workplaces, in particular:
(a) in institutional and, where appropriate, outpatient care facilities for dispensing medicines and medical supplies;
(b) in large plants for the supply of medicines and medical supplies prescribed by the worker, or for the sale of medicines and medical supplies not subject to medical prescription.
(4) The laboratory for the control of medicinal products controls medicines, medicines and medical supplies for the pharmacy service, or for other designated medical facilities, as a rule in the region.
Special children's devices
(1) Infants' institutes are intended for the provision of institutional care to children normally within one year, namely newborns or immature infants whose development is threatened by congenital weakness, congenital defects or poor nutrition, and children who cannot receive proper care in the family environment.
(2) Children's homes are intended for the provision of health and educational care to children between one and three years of age who cannot receive proper care in the family environment.
(3) Children's homes resulting from the combination of a nursing home and a children's home for children from one to three years are intended for the provision of health and education care to children under three years of age, namely newborns and infants whose development is threatened by congenital weakness, congenital defects or poor nutrition, and children who cannot receive proper care in the family environment.
(4) Babies' institutions are built with a number of beds from 80 to 150 and children's homes for children from one to three years with a number of beds from 50 to 90. Children's homes for children under 3 years of age (paragraph 3) are built with 100 beds for children under one year and 60 beds for children from one to three years of age.
(1) All-round development of healthy children under three years is provided in nurseries; following up on the care of children in the family and complementing it. The task of the nursery is to ease care for children employed by mothers and to enable other mothers to become involved in work and also to participate in public and cultural life.
(2) According to the time of operation, the nurseries are set up as daily, weekly and continuously operating.
(3) The racehouses are set up primarily for the care of the children of the parents working at the plant, as well as for the care of children of members of the single agricultural cooperatives.
(4) The nursery is built between 20 and 70 places for children. In common buildings with a nursery school, the nursery is built according to special regulations. *)
(5) The local and urban national committees are managed by the territorial crèches, the national health institutes are managed by the racing crèches.
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). Priority care for the construction 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. For the establishment and equipment of medical facilities, workers working according to the degree of priority care are classified in three groups.
(2) Racing health establishments are established, equipped, operated and repealed in cooperation with the competent authorities of the Revolutionary Trade Union Movement and 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 linked plants, as a general rule, of the same undertaking, health establishments in such a plant, with the exception of nurseries, may be grouped with the consent of the Ministry of Health at the national health plant.
(2) For working locally linked plants, where the conditions for the establishment of racing health facilities are met, a joint medical establishment may be set up for the sake of efficient provision and a higher level of service.
(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 AND FINAL PROVISIONS * *)
(1) Medical facilities and other facilities of the single health system governed by Article 33 of the Law of the District and Regional National Committees shall be integrated into regional or regional national health institutes, or under the conditions laid down in Article 26 (1), respectively, in national health racing institutes.
(2) The following health facilities are included in the Regional Institute of National Health: regional health centres, hospitals with a type III clinic and laboratories for drug control. In addition, professional medical institutes and pharmacies of type III may be incorporated, provided that they provide health services to the population of several counties, or even to a wider extent; their inclusion in the Regional Institute of National Health is decided by the Regional National Committee after consultation with the Ministry of Health.
(3) Other health establishments in the district shall be integrated into the regional national health institutes with the exception of local nurseries managed by local (urban) national committees.
(1) The Ministry of Health may, for particularly serious reasons, allow derogations from the provisions of this Decree in the design, characterisation and construction of health facilities.
(2) In accordance with the provisions of this Decree, the authorities which manage health care establishments are required to adapt their external labelling in accordance with the instructions of the Ministry of Health.
(1) The network of health facilities in large cities is organised with derogations which require the effective provision of health services for the concentrated urban population. Hospital care in these cities is provided by hospitals with a type II and III clinic, and for each part of the city the necessary number of clinics is established.
(2) Derogations in the organisation and external designation of health establishments are permitted in particular in large cities by the Ministry of Health.
Decree No 241 / 1952 Ú. l. (No 287 / 1952 Ú. v.) is hereby repealed, on the provision of health care for factory workers; if the implementing rules provided for in Article 40 of the Act are not adopted, the establishment and fitting-out of the health establishments shall be carried out in accordance with the provisions of this Decree still in force. *)
This Decree shall take effect on 1 July 1966.
Minister:
Plojhar v. r.
*) Government Decree No. 72 / 1961 Coll., on the establishment of nursery and nursery schools in common buildings.
* *) The competence of the authorities of the Slovak National Council in the performance of the tasks arising from this decree shall be determined by the Law of the Slovak National Council issued pursuant to § 73 of Act No. 20 / 1966 Coll.
*) The Regulations on National Committees repealed the Regulation of the Minister for Health No. 24 / 1952 Coll., on the Organisation of Preventive and Medical Care, Decree No. 65 / 1952 Ú. l. (No 95 / 1952 Ú. v.), on the Transfer of the Health Inventory of Racial Medical Devices to the Administration of National Committees, and Decree No. 216 / 1952 Ú. l. (No. 262 / 1952 Ú. v.), which issues the Organisational and Operational Regulations of National Health Institutions.
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Regulation Information
| Citation | Decree of the Ministry of Health No. 43 / 1966 Coll., on the System of Medical Devices |
|---|---|
| Regulation Type | - |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 24.06.1966 |
|---|---|
| Effective from | 01.07.1966 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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