我国首个针对陪诊行业的国家标准《社会化陪同就医服务基本要求》将于11月1日正式实施 1。该标准明确规定，陪诊服务的提供者限定为“机构”，而非个人 1。在具体条款方面，标准设立了包含12项正面清单和7项负面清单的内容规范，旨在通过制度化手段划定服务边界 1。
新标准严格禁止陪诊人员做出医疗判断、误读诊断结果或推荐药品及治疗程序等越界行为 1。专家杜鹏指出，此举旨在解决长期困扰患者的“黄牛”加价、误导性诊断及纠纷责任不清等问题，从而提升患者特别是老年群体在就医过程中的安全感 1。
关于标准的落地执行，杜鹏建议采取因地制宜的策略：在一、二线城市严格推行该标准，并探索将其与养老服务补贴相结合；而在医疗资源相对匮乏的地区，则鼓励发展志愿服务和互助性质的陪诊模式 1。此外，为了兼顾公平与效率，服务定价应区分基础普惠型服务与涉及跨距离或长时间的市场化服务 1。
China’s first national standard for the medical accompaniment industry, titled "Basic Requirements for Socialized Accompanied Medical Visit Services," is set to officially take effect on November 1. 1 The new regulation restricts service providers to institutional entities rather than individuals, establishing a formal framework for the sector. 1 By defining clear operational boundaries through positive and negative lists, the standard seeks to address prevalent issues such as price gouging by scalpers, misleading diagnoses, and unresolved disputes regarding liability. 1
The framework includes a specific list of 12 permitted services and 7 prohibited actions to guide service content. 1 Notably, it strictly forbids accompaniment staff from making medical judgments, misinterpreting diagnostic results, or recommending pharmaceutical products and treatment procedures. 1 These measures are designed to enhance the sense of security for patients, particularly the elderly population who frequently rely on such services. 1
Expert Du Peng suggested that implementation strategies should account for regional differences. 1 In tier-one and tier-two cities, strict enforcement combined with elder care subsidies is recommended, while areas with limited medical resources should be encouraged to develop volunteer and mutual aid models. 1 Additionally, pricing structures should distinguish between basic inclusive services and market-oriented services involving long distances or extended durations. 1
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