It's a waste of time and money to go to a hospital again. This "old and difficult" problem, which has plagued patients for a long time and strongly reflected by the masses, now has a substantive solution. The National Health Commission and other departments recently jointly issued the administrative measures for mutual recognition of inspection and test results of medical institutions, which made it clear that medical institutions should carry out mutual recognition of inspection and test results in accordance with relevant principles, which will be implemented as of March 1 this year. The mutual recognition of examination results is difficult because some hospitals and doctors have a negative attitude towards it due to the damage of interests, increased risks and other reasons. As long as we are unwilling subjectively, it is not difficult to find the objective reasons: different equipment and reagents, inconsistent operating procedures and standards, unreliable technology in small hospitals, difficult to control and share medical risks... Any one of these difficulties will become a "stumbling block" that hinders the mutual recognition of results. How to deal with the relationship between hospitals and how to interact between medical insurance and hospitals are the key to the success or failure of this work. In the past, hospitals and patients had a one-to-one relationship, and the two sides could enhance mutual trust. But as a result, mutual recognition involves many hospitals, and it is difficult to recognize each other without mutual trust. Mutual trust needs to be established between "one patient and multiple doctors", which has never occurred in the past, and there is an urgent need to introduce appropriate rules. The first rule is to establish a risk prevention and responsibility sharing mechanism. Blaming the medical malpractice on the poor quality of the external hospital inspection, and the external hospital believes that there are deviations in the interpretation results. Such mutual blame and mutual damage will only make the dispute more complex and difficult to reconcile. Establish a third-party sharing mechanism, launch "result mutual recognition liability insurance" and other types of insurance, and reduce responsibilities and risks by means of mutual assistance guarantee. Establish a special fund to settle claims for medical damage caused by mutual recognition of results. These measures are conducive to eliminating concerns. To dredge the channels of information exchange is the premise of mutual recognition of results. If the image data and electronic medical records can be accessed across hospitals in time, the result mutual recognition can be more accurate and efficient. There is good communication between medical staff in the hospital. When doctors have objections to the examination results of the hospital, they can communicate with relevant medical technicians face to face. However, doctors and medical technicians in other hospitals are separated from each other and do not know each other, so it is difficult to communicate. The Internet can eliminate physical barriers. We should explore the new mode of Internet plus diagnosis and treatment, and solve new problems with innovation. There is no need to avoid talking about benefits between medical insurance and hospitals. Inspection is a kind of technical labor, so is the interpretation result. Sometimes doctors need dynamic observation, repeated comparison and even multidisciplinary consultation for an examination. "Combined with clinical analysis" is also a common examination "result", and the analysis needs to pay technical labor. Whether such mutual recognition can be properly charged is worth discussing. Hospitals calculate small accounts, which will reduce income due to mutual recognition of results, and medical insurance will calculate large accounts, which will save expenses due to the reduction of repeated examinations. The money saved by medical insurance is far greater than the reduced income of hospitals, and the total cost of social medical treatment is greatly reduced. Medicare can use this money to improve the welfare of the people, and it can also consider giving appropriate feedback to the hospital. To steadily promote mutual recognition of results, we need to remember that mutual recognition is the result and the important thing is the process. The inspection level is high or low, but it can grow in the process. Taking the opportunity of popularizing the mutual recognition of results, we force the unification of standards and improve the quality to the level of mutual recognition. Mutual recognition projects should not be greedy for perfection at first, but should be less before more, easy before difficult, and gradually expand the scope. The introduction of the policy framework is only the first step. After that, we need to refine the rules and mature the model through exploration and innovation, so as to continue to expand the livelihood cake, and finally let patients spend less cost and obtain better services. (outlook new era)
Edit：Yuanqi Tang Responsible editor：Xiao Yu
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