Promote "mutual recognition of medical examination" and reduce the burden on patients
2022-07-18
Recently, the State Health Commission, the state medical insurance administration, the State Administration of traditional Chinese medicine, and the Health Bureau of the logistics support department of the Central Military Commission jointly issued the administrative measures for the mutual recognition of inspection and inspection results of medical institutions to promote the mutual recognition of inspection and inspection results among different medical institutions, It is clearly proposed that medical institutions should carry out the mutual recognition of inspection results in accordance with the principle of "taking quality and safety as the bottom line, quality control as the premise, reducing the burden of patients as the guide, meeting the needs of diagnosis and treatment as the fundamental, and the judgment of the receiving physician as the standard". This measure, which aims to reduce the number of repeated examinations, reduce the expenditure of patients' diagnosis and treatment, and improve the experience of Cross hospital medical treatment, is popularly known as "mutual recognition of medical examination" and is widely welcomed by the public. However, some readers expressed some concerns: "do the small hospitals recognize the inspection results of the large hospitals? What if the doctors are misdiagnosed according to the inspection results of the previous hospital?" One reason why the "mutual recognition of medical examination" will cause some doctors and patients' concerns is the uneven distribution of medical resources. Not long ago, Mr. Chen in Huai'an City, Jiangsu Province, came to a local class III hospital for treatment again because of the poor treatment effect in the previous hospital. "Both had abdominal CT, but the diagnostic results were different, and the treatment plan was also different." Mr. Chen said that patients did not understand whether the examination results of different hospitals would be different. "The doctor has his own reason to ask for a new examination.". In this regard, a medical staff member of a class III a hospital said that doctors are very cautious about the diagnosis of the disease. Factors such as old and fuzzy film, too long inspection interval, different from the current symptoms, and weak pertinence will affect doctors' diagnosis, "The precision of examination equipment and the level of operators will affect the accuracy of medical examination results. Therefore, it is more convenient to implement mutual recognition of examination results by updating the examination equipment of hospitals, improving the examination technology of doctors, and reducing the difference of examination ability between hospitals". In addition to improving the level of hospital examination, the complete transmission of information between hospitals is also very important. Film is a common medium for the presentation of medical image results, but the information provided by film is not comprehensive. Insiders said that generally, CT and MRI examinations contain hundreds of thousands of images, and the printed films are usually only a few of the more critical ones. Therefore, even with medical films from other hospitals, doctors sometimes have to ask patients to have another examination because of the limited information provided. "When you go to see a doctor, you usually only bring the medical record book, and if there is film, you will bring the film." Mr. Zhang, a reader in Nanjing, Jiangsu Province, said that ordinary people do not know which tests they have done before have reference value, nor do they know which results hospitals can recognize each other. "After the doctor asks, they know that the previous test results may be useful, but they have to check again without them.". In response to these problems, some regions have carried out the electronic reform of film. According to the relevant person in charge of Neijiang Municipal Health Commission, Neijiang is promoting the 5g smart medical imaging project, which will build a number of "cloud film" model units, and is expected to cover all local medical institutions by the end of the year. Patients can view and share their examination reports and original images anytime, anywhere, and hospitals will also realize complete sharing and mutual recognition of examination results. Some places rely on digital technology to intelligently process the medical examination results of mutual recognition. Zhejiang Provincial Health Commission has developed a set of "Zhejiang medical mutual recognition" application system, which will automatically identify the items included in the mutual recognition when the doctor issues the inspection checklist. If there are mutual recognition items, they will be accurately reminded, and the same report form within 30 days will be popped up for doctors to read. Doctors need to choose whether to recognize each other or not. If they don't recognize each other, they need to choose the reason to proceed to the next step. According to the relevant person in charge of the Zhejiang Provincial Health Commission, as of April this year, the application of "Zhejiang medical mutual recognition" has basically achieved provincial coverage, with a total of more than 3.02 million mutual recognition projects, saving more than 140million yuan. It is understood that Fujian, Sichuan and other places are also carrying out the informatization construction of "mutual recognition of medical examination". Mianyang, Sichuan Province has realized the mutual recognition of medical examination results in the whole region on June 1. Sun Gang, an associate professor at the school of health management of Southern Medical University, believes that the implementation of "mutual recognition of medical examination" requires greater publicity, especially for the knowledge of "mutual recognition of medical examination" in underdeveloped areas. When necessary repeated examinations are involved, medical staff should explain the reasons to patients to enhance mutual understanding between doctors and patients. Industry insiders suggested that in the actual implementation, it is also necessary to support the corresponding mutual recognition norms and responsibility determination mechanism, clarify the legal responsibilities of all aspects, so that the "medical examination mutual recognition" can be based and guaranteed in the implementation. (outlook new era)
Edit：sishi Responsible editor：xingyong
Source：http://paper.people.com.cn/rmrbhwb/html
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