Promote mutual recognition of inspection and test results of medical institutions
2021-11-29
In order to promote the mutual recognition of inspection and test results of medical institutions and reduce the medical burden of the people, the medical administration and hospital administration of the National Health Commission organized the drafting of the administrative measures for mutual recognition of inspection and test results of medical institutions (Draft for comments), and solicited opinions from the public. The deadline for feedback is December 12. According to the draft, the mutual recognition of examination and test results of medical institutions will continue to be promoted, and medical institutions and their medical personnel shall mutually recognize the examination and test results marked with the national or regional mutual recognition mark (HR) without affecting the diagnosis and treatment of diseases. According to the exposure draft, "examination results" refer to the images or data information obtained by examining the human body through ultrasound, X-ray, MRI, electrophysiology, nuclear medicine and other means; "Test results" refer to the data information obtained from the biological, microbiological, immunological, chemical, hematological immunology, hematology, biophysics, cytology, etc. of materials from human body. The examination results do not include the diagnostic conclusion issued by the doctor. It is clear in the exposure draft that the mutual recognition mark of inspection and test results of medical institutions is unified as HR. If the inspection items participate in the quality evaluation carried out by quality control organizations at all levels and are qualified, the medical institution shall mark their corresponding mutual recognition scope + mutual recognition marks, such as "national HR", "Beijing Tianjin Hebei HR", "Beijing Xicheng District HR", etc. The inspection items that fail to participate in the quality evaluation or fail to pass the quality evaluation shall not be marked. The competent health departments at all levels shall guide the quality control organization at the same level to regularly sort out the list of mutual recognition items of medical institutions under their jurisdiction, and strengthen publicity and publicity according to relevant regulations, so as to facilitate the inquiry and understanding of medical institutions and the public. Medical institutions and their medical personnel shall, on the premise of not affecting the diagnosis and treatment of diseases, mutually recognize the inspection results marked with mutual recognition marks of the whole country or the region where the institution is located. If the existing examination results provided by patients meet the conditions of mutual recognition and meet the needs of diagnosis and treatment, medical institutions and their medical personnel shall not repeat the examination and test. Medical personnel shall issue inspection and inspection orders according to the patient's condition. For the inspection items that meet the conditions of mutual recognition, relevant fees shall not be charged again in the form of packaging with other items. In the following cases, the medical institution and its medical staff can recheck the relevant items: due to the change of the condition, the inspection results are inconsistent with the patient's clinical performance and disease diagnosis, which is difficult to meet the needs of clinical diagnosis and treatment; The examination results change rapidly in the process of disease development and evolution; The inspection items are of great significance for disease diagnosis and treatment (such as before major medical measures such as surgery and blood transfusion); The patient is in a state of emergency such as emergency and first aid; Involving judicial, disability and sick leave appraisal; It is really necessary to recheck under other circumstances. The draft points out that the competent health authorities should strengthen the organization and management of medical institutions within their jurisdiction, guide medical institutions and their medical personnel to standardize the mutual recognition of inspection and test results, strengthen the construction of regional platforms and promote the exchange and sharing of inspection and test results of medical institutions within their jurisdiction in accordance with the functional guidelines for the construction of national health information platform. Medical personnel shall abide by industry norms, abide by medical ethics, make reasonable diagnosis and treatment, strive to improve their professional level and service quality, and recognize the qualified inspection results. The competent health department shall have the right to supervise and inspect the mutual recognition work carried out by medical institutions within its jurisdiction by means of consulting and recording, and medical institutions shall not refuse, hinder or conceal relevant information. The competent health departments of the local people's governments at or above the county level shall regularly carry out work assessment, and investigate the relevant responsibilities of the medical institutions and their medical personnel in violation of the relevant provisions according to law and regulations. Local competent health departments at all levels shall improve the assessment indicators of inspection, inspection and mutual recognition, and incorporate relevant contents into the performance assessment requirements of public medical institutions. If a medical institution issues wrong inspection and inspection results, resulting in a medical accident, it shall bear corresponding responsibilities according to law and regulations. (outlook new era)
Edit：Yuanqi Tang Responsible editor：Xiao Yu
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