Mutual recognition of examination results is an important measure to improve the patient's medical experience. To promote this convenient measure, it is necessary to clarify the scope of mutual recognition medical institutions, diagnosis and treatment projects, and technical standards; Establish a mutual recognition and sharing platform to promote data interconnection and interoperability; Fully mobilize the enthusiasm of medical institutions and medical personnel, and form a long-term effective operating mechanism. "This is a CT taken at another hospital a while ago. Do you think you need to take a new one?" Recently, Ms. Wang, who lives in Chaoyang District, Beijing, brought her child to the hospital for treatment with her previous CT scan and report. The doctor checked the examination date and, based on the patient's condition, determined that the results of the last examination can be used as a reference. My child has mild scoliosis and I would like to take him to see treatment plans from other hospitals. If we still need to retake CT scans, it will be time-consuming and expensive Ms. Wang said, "The examination results can be mutually recognized, which saves us a lot of trouble." Do we need to undergo a new examination and test when seeing the same disease at a different hospital? This is a problem that many patients encounter. Zhao He, from Hefei City, Anhui Province, told reporters that he had previously found a thyroid nodule and requested a re examination when he went to another hospital for treatment a month later. "The imaging judgments of different hospitals may vary, and I also agree that a re examination should be conducted," Zhao He said. The Management Measures for Mutual Recognition of Inspection and Inspection Results in Medical Institutions (hereinafter referred to as the "Management Measures"), which officially came into effect in March 2022, stipulate that medical institutions should carry out mutual recognition of inspection and inspection results. How effective is the current promotion of mutual recognition of inspection and testing results? Under what circumstances can mutual recognition be allowed? The reporter conducted an interview. "To promote mutual recognition of inspection and testing results, the scope of institutions, diagnosis and treatment items, and technical standards should be clearly defined. The basic principle of promoting mutual recognition of inspection and testing results is to ensure quality and safety as the bottom line, quality control as the premise, reduce patient burden as the guide, meet diagnosis and treatment needs as the foundation, and judge by attending physicians as the standard." Wang Yi, Vice President of Hangzhou Traditional Chinese Medicine Hospital in Zhejiang Province, told reporters. In recent years, the country has successively issued relevant policy documents, gradually clarifying the scope of mutual recognition institutions, diagnosis and treatment projects, technical standards, and other contents. As early as 2006, the former Ministry of Health issued a notice on issues related to mutual recognition of medical testing and medical imaging examinations among medical institutions; In 2010, a notice was issued on strengthening the construction of medical quality control centers and promoting mutual recognition of inspection results among medical institutions at the same level, requiring mutual recognition of inspection results among medical institutions at the same level; In 2021, the General Office of the National Health Commission issued a notice on accelerating the mutual recognition of inspection and testing results. The Management Measures specify that medical institutions should carry out mutual recognition of inspection and testing results, and put forward requirements for mutual recognition rules, quality control, support and guarantee. At present, some places have carried out inter provincial communication and sharing of medical examination and test results. For example, the Fujian Province Examination and Test Result Mutual Recognition Platform has connected 243 public hospitals at or above the second level, basically achieving the sharing of examination and test result reports between provincial, municipal, and county-level public hospitals. A total of 285 million items (times) have been mutually recognized, covering 144 million medical visits; The Gansu Provincial Inspection and Testing Data Sharing and Exchange Platform has connected to 234 hospitals at or above the second level, sharing 82.43 million various types of inspection and testing reports; Guangdong Province has identified 114 projects for mutual recognition of medical examination and testing results in the first batch, and has achieved cross institutional sharing and retrieval of medical examination and testing results from 336 medical institutions in Guangzhou and Shenzhen. Promoting the exchange and sharing of examination and testing results can improve the utilization of medical resources, improve diagnosis and treatment efficiency, reduce the burden on patients seeking medical treatment, and improve the medical experience of the public. But which projects can carry out mutual recognition? According to the requirements, provincial health administrative departments should establish a mutual recognition system for inspection and testing results within their jurisdiction based on actual situations, clarify the scope, conditions, diagnosis and treatment items (content), and technical standards of mutual recognition institutions, and prioritize the selection of stable, high-value, and high-frequency inspection and testing items for mutual recognition. "The inspection and testing items that participate in mutual recognition generally need to have good stability and unified technical standards." Qu Chenxue, Director of the Laboratory Department of Peking University First Hospital, said, "The country has standardized the mutual recognition marks for medical institution inspection and testing results. Inspection and testing results marked with national or local mutual recognition marks should be recognized without affecting disease diagnosis and treatment. In the future, with the development of medical and information technology, these projects may be dynamically adjusted to make it more convenient for the public to seek medical treatment." Breaking through the obstacles of mutual recognition of inspection and testing, solving the problem of "unrecognizability", and promoting mutual recognition of inspection and testing results, we need to solve the problem of "unrecognizability". Wang Yi told reporters that in 2022, Hangzhou Traditional Chinese Medicine Hospital established a special team for mutual recognition and sharing of inspection and testing. ". At the beginning, the effect was not ideal. The hospital conducted multiple training and work coordination meetings, and in terms of operating platforms, tried to reduce the complexity of doctors in mutual recognition operations and improve their enthusiasm. The hospital's mutual recognition rate of examination and testing has gradually improved. The patient's examination and testing result data is stored in different medical institutions, and mutual recognition of examination and testing results is promoted. A comprehensive and shared information platform should be established to facilitate doctors to access imaging reports. At present, various regions have taken a series of measures to break down information barriers between medical institutions. For example, Zhejiang Province has uniformly planned, designed, and constructed a medical examination and testing mutual recognition and sharing platform at the provincial and municipal levels, promoting data interconnection and interoperability. From a technical perspective, it has achieved intelligent retrieval, real-time retrieval, and mutual recognition and sharing of examination and testing results across hospitals, levels, and regions; The Gansu Provincial Health Commission relies on the new platform for national health in the province to achieve the sharing of medical record information of patients seeking medical treatment in medical institutions within the province. Mao Qunan, Director of the Planning Department of the National Health Commission, said that in order to further promote mutual recognition of inspection and testing results, it is necessary to establish information standards and norms for the exchange and sharing of inspection and testing results, clarify the list of items for mutual recognition of inspection and testing, form a coding database for inspection and testing items, establish a main index data service interface for inter provincial exchange and sharing of inspection and testing results, and establish and improve management systems for quality control and authorized access of inspection and testing results. On the other hand, the standardization and normalization of inspection and inspection are the foundation of mutual recognition. "Mutual recognition of inspection and testing results between hospitals at the same level, such as tertiary hospitals, may be relatively easy. However, for some secondary hospitals or more grassroots medical institutions, how to ensure the inspection equipment, quality, and qualifications and abilities of inspection personnel is a difficult point in promoting mutual recognition of inspection and testing results between different medical institutions." Qu Chenxue told reporters. Currently, the uneven distribution of medical resources has led to certain disparities in the inspection and testing levels of medical institutions in various regions. The precision of inspection equipment, the ability level of personnel, and the patient's condition can all affect the accuracy of medical examination results, thereby affecting the doctor's diagnosis. To better carry out mutual recognition of inspection and inspection results, it is necessary to clarify the rules and items of mutual recognition, and carry out quality evaluation. Recently, four departments including the Beijing Municipal Health Commission and the Municipal Medical Insurance Bureau jointly released the "Implementation Plan for Mutual Recognition of Inspection and Testing Results in Medical Institutions in Beijing", which implements mutual recognition of 181 medical inspection results and 300 medical imaging examination results. Among them, it is proposed to meet the quality evaluation indicators of Beijing and participate in the inspection and testing projects that have passed the quality evaluation of the Beijing Medical Laboratory Quality Control and Improvement Center, Beijing Clinical Laboratory Center, and Beijing Medical Imaging Quality Control and Improvement Center, with mutual recognition covering the entire city. Medical institutions at or below the second level in Beijing, whose quality evaluation work is completed by the district level quality control center in accordance with the city level quality evaluation standards, can be included in the scope of mutual recognition throughout the city. Experts point out that quality control is a necessary step for mutual recognition of inspection results. In addition, it is necessary to further improve the inspection and testing level of medical institutions and promote the homogenization of regional inspection and testing levels. We can fully leverage the role of county-level medical communities, establish interconnected resource sharing centers for medical testing, medical imaging, electrocardiogram, pathological diagnosis, etc., and achieve grassroots examination, superior diagnosis, and regional mutual recognition. Enhance the enthusiasm of hospitals and doctors, truly putting patients at the center. Several industry insiders told reporters that in practice, many doctors are concerned about medical risks, and their willingness to recognize each other needs to be improved. Because some changes in the condition are often unpredictable, if diagnosed based on the results of external hospital examinations and tests, medical disputes may arise and the division of responsibility is unclear. Deng Yong, a professor at the Law Department of the School of Humanities at Beijing University of Traditional Chinese Medicine and the head of the legal and business team at Beijing University of Health, believes that legislation should be further improved and responsibility allocation mechanisms should be implemented. For example, explanations can be added after physicians fulfill their diagnostic obligations to ensure that the judicial system does not adopt a "one size fits all" attitude towards medical accidents caused by mutual recognition of results. "It should be clear that mutual recognition of examination results should be patient-centered, allowing patients to truly benefit." Wang Yi said that on the one hand, it is necessary to improve the guarantee system and allow physicians to "dare to recognize". On the other hand, medical personnel need to strengthen doctor-patient communication, provide explanations for projects that are not recognized, and fully inform them. The "Management Measures" specify six situations that medical institutions and their medical staff cannot recognize, including: due to changes in the condition, the examination and test results do not match the patient's clinical manifestations and disease diagnosis, making it difficult to meet clinical diagnosis and treatment needs; The results of examination and testing change rapidly during the development and evolution of the disease; The inspection and testing items are of great significance for the diagnosis and treatment of diseases; The patient is in a state of emergency such as emergency or first aid; Those involved in judicial, disability, and medical appraisal; Other situations that require re examination. Taking a cold and fever as an example, if the patient's condition is complex and does not improve, white blood cells, platelets, and other indicators may change with the change of the condition within one or two days. In this case, it is necessary to redo blood routine tests and other tests in order for doctors to make more accurate judgments and avoid delaying the condition Qu Chenxue said. In addition, promoting mutual recognition of inspection and testing results inevitably affects the income of medical institutions, which also leads to some medical institutions being unwilling to recognize inspection and testing results. Deng Yong believes that the compensation mechanism for public hospitals should be improved. For example, actively promoting payment method reform, implementing outpatient package payment, disease diagnosis related group payment, etc., guiding medical institutions to actively control costs; Strengthen the performance evaluation and assessment mechanism for the use of medical insurance funds, and cannot reduce the total medical insurance budget due to mutual recognition of inspection and testing results. Experts told reporters that breaking through the obstruction of mutual recognition of inspection results is a systematic project. To promote mutual recognition of inspection and testing results, it is necessary to fully mobilize the enthusiasm of medical institutions and medical personnel to carry out mutual recognition of inspection and testing results, form a long-term and effective operating mechanism, improve relevant policy systems and guarantees, and also increase the social publicity efforts of the mutual recognition system of inspection and testing results, ensuring the right to informed consent closely related to the interests of patients. (Lai Xin She)