Is the result of the small hospital recognized?Where is the mutual recognition of the medical inspection?

A few days ago, the National Health and Health Commission, the State Medical Insurance Administration, the State Administration of Traditional Chinese Medicine, and the Health Bureau of the Logistics of the Central Military Commission jointly issued the "Administrative Measures for the Inspection and Inspection Results of Medical Institutions" to promote mutual recognition of the inspection and inspection results between different medical institutions. It is clearly proposed that medical institutions should follow the principles of "guarantee quality and safety as the bottom line and quality control to reduce the burden of patients, based on the principle of meeting the diagnosis and treatment needs, and conduct the test results Mutual work. This aim is to make the masses see less repeated examinations, reduce patient diagnosis and treatment expenses, and improve cross -hospital medical experience. It is popularly known as "mutual recognition of medical inspection" and is generally welcomed by the public.

However, there are also some readers who express their concerns: "Is the result of the results of the small hospital recognized? If the doctor is misdiagnosed according to the test results of the previous hospital?" What should I do? "

One reason why "mutual recognition of medical examinations" caused some doctors and patients is that the distribution of medical resources is uneven. Not long ago, Mr. Chen, Huai'an City, Jiangsu, came to a local top three hospitals for medical treatment again because of his poor treatment effect in the previous hospital. "Both have done abdominal CT, but the diagnostic results are different, and the treatment plan is different." Mr. Chen said that the patient does not understand the difference between the examination results of different hospitals. reason".

In this regard, a medical staff from a three -level hospital said that the doctor's diagnosis of the condition was very cautious, such as the old and fuzzy film, the interval between the examination time, the different symptoms, and the poor targetedness. The precision level of the inspection equipment and the level of the operator will affect the accuracy of the results of the medical examination. Therefore, the hospital's inspection equipment is updated, the doctor's examination technology is improved, and the difference between the inspection ability between the hospital is more convenient to implement it. " Essence

In addition to improving the hospital examination level, the complete transmission of information between hospitals is also important. Film is a common medium presented by medical image results, but the information provided by the film is not comprehensive. Industry insiders said that general CT and MRI inspections include hundreds of thousands of images, and the printing film is usually only a few more critical. Therefore, even if the medical film in other hospitals is held, the doctor sometimes has to let the patient have to do it again.

"Generally, you will only bring the medical records when you go to see the doctor. If you have a film, you will bring the film." Mr. Zhang, a reader in Nanjing, Jiangsu, said that most people do not know which inspections and reference value before. "When the doctor asked, I knew that the results of the previous test may be useful, but I had to check it again without taking it."

In response to these issues, some areas have carried out electronic reforms of film. According to the relevant person in charge of the Health and Health Committee of the Sichuan City, Neijiang is promoting a 5G smart medical imaging project, which will build a group of "cloud film" model units, and it is expected to cover all local medical institutions at the end of the year. Patients can check and share their own inspection reports and original images anytime, anywhere.

In some places, the results of medical examinations are intelligently processed by digital technology. The Zhejiang Health and Health Commission has developed a set of "Zhejiang Medical Mutual" application system. When the doctor issued a inspection and inspection form, the system will automatically identify the projects that are included in the mutually recognized. If there is a mutual recognition item, it will be precisely reminded that the same report form will be read for doctors for reading within 30 days. Doctors need to choose the results to recognize each other or do not recognize each other. Do not recognize each other to choose a reason to perform the next step.

According to the relevant person in charge of the Zhejiang Provincial Health and Health Commission, as of April this year, the application of "Zhejiang Medical Acknowledges" has basically achieved the province's coverage. The accumulated mutual recognition projects exceeded 3.02 million times and saved over 140 million yuan. It is understood that Fujian, Sichuan and other places are also undergoing information construction of "mutual recognition of medical inspections". Sichuan Mianyang has realized mutual recognition of the results of medical inspection and inspection 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 inspection" requires increased publicity, especially the publicity of the knowledge of "mutual recognition of medical inspections" in underdeveloped areas. During the necessary repetitive examination, medical staff should explain the cause to patients to enhance the mutual understanding of both doctors and patients. People in the industry suggested that in the actual implementation, the corresponding mutual recognition specifications and the mechanism of determining the responsibility must be used to clarify the legal responsibilities in all aspects, so that the "mutual recognition of medical inspection" is based on the implementation of the implementation. (Huang Chao Zhang Jian)

(Source: People's Daily)

【Edit: Fu Sakura】

For more exciting content, please download the "Da Wuhan" client in the major application markets.

- END -