Putian City's promotion of medical institutions unreasonably repeated inspections of "point -up rectification" work

After changing a hospital to see a doctor, the relevant examination must be done again. Some inspections have to wait a day or two, which takes time and money. This is the trouble faced by many patients during the medical treatment.

According to the deployment of the Provincial Commission for Discipline Inspection, the "rectification of unreasonable repeated inspections of medical institutions, and promoting mutual recognition of medical examination results and resource sharing" are listed as one of the "point -up rectification" projects this year. Under the supervision and promotion of the Municipal Commission for Discipline Inspection, the Municipal Health and Health Commission responded to the masses, through upgrading and transformation of the city's image data center and the "medical imaging cloud" platform, establishing smart supervision platforms, and upgrading systems to build inspection and inspection mutual recognition and sharing platforms. Promote the results of the inspection and inspection results of public medical institutions in secondary and above.

Repeated examination of cross -hospital medical treatment

On September 21, the organizational staff of the Municipal Health and Health Commission went to the grassroots hospital to check the unreasonable repeated inspection. The reporter found in a random interview with the hospital that some people were not very clear about the mutual recognition measures for inspection and inspection; some people also reported that in the past, they changed a hospital to see a doctor, and some examinations had to be done again.

Ms. Huang in the urban area has encountered similar problems. She said that before, she would go to different hospitals when she was accompanied by the family, but sometimes because of forgetting to bring paper inspection reports, etc., they had to do a re -check for a hospital. Essence

The reporter learned from the Municipal Health Commission that there are several main reasons for repeated inspections: First, the doctors and patients are insufficient communication. Some patients have objections to the necessity of checking the examination and testing of doctors during the medical treatment. The test is randomly opened; the second is that the propaganda of the unreasonable re -examination of the rectification has not yet been comprehensively deepened, and some people do not know the scope and project of the mutual recognition of the inspection. With a paper report, the doctor could not judge the condition, so he asked to check it again; the fourth was that when the patient had medical treatment, some doctors were more inclined to see the results of inspection and test reports from their own hospitals. The test results may be repeatedly inspected.

Focusing on the hotspots that the masses care, the Municipal Health and Health Commission has established the "point -up rectification" work supervision leadership group, printing and issuing the "Repeated inspection issues on the unreasonable medical institutions, promoting mutual recognition of medical examination results and sharing of resource sharing" 8 documents such as work plan, formulate goals and tasks, and do a good job of "answering questions". According to the plan, the city's medical inspection and inspection results are proposed to recognize and the video cloud platform. By the end of October this year, 100%docking the provincial platform with the level of information reaching the access conditions to achieve the inspection and inspection results across institutional sharing and mutual recognition, medical image image Data sharing and adjustment; 100%of various medical institutions at all levels in the city (including social medical treatment) carry out mutual recognition management measures to promote and implement, promote reasonable inspection, improve the efficiency of medical resources, control and reduce the burden of medical expenses of the masses, and effectively protect the people of the people. Health rights and interests.

Build a platform to promote mutual recognition

On the day of the reporter's interview, Ms. Zeng from Hanjiang District had a thyroid surgery for thyroid surgery for thyroid nodules and hyperthyroidism to Putian College Affiliated Hospital. After the consultation chief physician Zhang Guolie comprehensively understood the patient's previous medical history and treatment, the biochemical full set of biochemical examinations, thyroid color Doppler ultrasound and other reports made by Ms. Zeng in early August, and supplemented other necessary examinations, and then determined surgical treatment for surgical treatment Program.

"I thought I had to do a lot of inspections. I didn't expect the original inspection report to be used directly. It only cost more than forty yuan, which was really convenient." Ms. Zeng said.

This is due to mutual recognition of the inspection results between medical institutions. Focusing on the target task of "point -up rectification", the Municipal Health and Health Commission has clearly rectified measures, figured out the bottom numbers, and accurately applied policies.

"We improve the basic data and collect 8113 basic information of all hospitals, clinics, villages, and medical staff in all the citys in the city. The Committee has upgraded the city's imaging data center and the "Medical Imaging Cloud" platform, gathered basic data from all public hospitals in the city, and interconnected with the provincial platforms to promote the realization of medical imaging inspections and medical examinations. The inspection results recognize and share, so that the masses can see a doctor less repeated inspections.

At present, eight hospitals including Putian First Hospital and Putian College Affiliated Hospital have completed the reconstruction of the mutual recognition platform, which clarifies 128 mutual recognition projects. Among them, 55 categories of image inspection were recognized and 73 items were examined.

"Compared with before rectification, the number of medical institutions is more clear. Doctors are more convenient for patients to read patients' historical examination and inspection data, and greatly promote mutual recognition and resource sharing of medical examination results in hospitals."院 院 told reporters that the hospital system will forcibly pop up the patient's previous examination and inspection report during the doctor's order for the doctor to read it. The doctor can easily inquire and choose whether the patient's condition is mutually recognized.

In addition, the Municipal Health and Health Commission also supervised various medical institutions at all levels of Putian City to use hospital display, publicity bar, WeChat public account, website and other platforms to play the promotional video Let the people fully understand the relevant policies such as mutual recognition items, mutual recognition, and mutual recognition methods of inspection results.

Data early warning expert review

While opening up the "high -speed road" of mutual recognition of medical care, the Municipal Health and Health Commission also established a process to improve the process of smart supervision and disposal. Relying on the smart supervision platform of the Municipal Commission for Discipline Inspection, the Municipal Health and Health Commission integrates the image data of the city's second and above public hospitals within 3 months, conducts data collision, forms an unreasonable inspection data, and uploads it to the smart supervision platform. "Real -time collision through data, the top ten doctors who do not recognize each other, form a 'problem list'." Lin Yan introduced.

The Municipal Health and Health Commission establishes a scoring management mechanism to carry out "driver's license" management of doctors in the city's medical institutions to perform inspection and inspection mutual recognition behavior, that is, 15 points for each doctor each year, deducting points according to the degree of unreasonable examination and inspection of doctors. For those who do not recognize each other, experts above the city's deputy director level or above for review. If the review results confirm that it is unreasonable, the deduction will be carried out, with a cumulative deduction of more than 15 points, the suspension of the prescription for 1 year, cancel the eligibility of the evaluation first, and the downgraded use of the plot will be relegated, until the "Physician Practice Certificate" is revoked If a crime constitutes a crime, the judicial organs are transferred to criminal responsibility in accordance with the law.

Check the interoperability of interconnection and mutual recognition of medical data sharing and mutual recognition of "high -speed roads", so that "more data runs and the masses run less". Since carrying out the "point rectification", the city has uploaded 800,000 provincial platform inspection reports, 2.96 million inspection reports, and 11.4 million inspections and inspection mutual recognitions.

Wu Zongquan said that in the next step, the Municipal Health and Health Commission will continue to promote county -level hospitals, some large private hospitals and grass -roots medical institutions in accordance with the requirements of the "point -up rectification" requirements, refer to the system's functional specifications of the municipal three hospitals, transform the system in the hospital, and realize the inspection inspection The inspection results actively reminded the scope of the city. At the same time, the rectification work is included in the performance evaluation of public hospitals, hospital evaluations, and the indicators of the construction evaluation of the county and district "comprehensive governance and safety", and strengthen the application of rectification results.

(Source: Meizhou Daily Reporter: Fu Meixiang Editor: Zhou Chen)

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