If you take the examination report from one hospital and go to another hospital, even if you see the same disease, you often need to do the same examination again.
This seems to be a really uncost-effective thing, which has caused many patients to wonder, it is the result of the machine, why not recognize each other"?
Relevant departments have also introduced many measures
Promote mutual recognition of medical examination results
As early as February 2006, the former Ministry of Health issued a notice clarifying that mutual recognition of inspections between medical institutions includes not only mutual recognition of test results but also mutual recognition of inspection data.
In July 2010, the "Notice on Strengthening the Construction of Medical Quality Control Centers and Promoting the Mutual Recognition of Inspection Results of Medical Institutions at the Same Level" was issued, requiring mutual recognition of inspection results of medical institutions at the same level. However, in the past decade or so, the progress of "mutual recognition of medical examinations" has been very slow.
On March 1, 2022, the "Administrative Measures for Mutual Recognition of Inspection and Test Results of Medical Institutions" formulated by the National Health Commission and the National Health Insurance Administration was officially implemented, which clearly stated that medical institutions should carry out mutual recognition of inspection and test results in accordance with the principle of "taking quality and safety as the bottom line, qualified quality control as the premise, reducing the burden on patients as the guide, meeting the needs of diagnosis and treatment as the foundation, and taking the judgment of the attending physician as the standard".
For a period of time, all localities have actively explored experience and innovated mechanisms, and at present, 204 prefecture-level cities across the country have carried out the exchange and sharing of inspection results. However, in some places, some medical and health institutions "can't recognize, don't want to recognize, and dare not recognize" the inspection results, and there is a big gap with the expectations of the masses.
This is a move to facilitate and benefit the peopleWhere are the difficulties in promoting?
The premise of mutual recognition of medical examination is the standardization of inspection and inspection.
At present, there is a certain gap in the inspection and inspection level of medical institutions. The precision of the examination equipment, the level of the operator, and the specific state of the patient at the time of examination will affect the accuracy of the medical examination results and thus the doctor's diagnosis. In order to avoid diagnostic errors, accidents and even accident disputes, some hospitals and doctors prefer to "rely on the results of our hospital". While clarifying the list of mutual recognition items for inspection and testing, many places have given doctors a certain amount of discretion for some special circumstances.
On the other hand, in recent years, the state has abolished drug mark-ups and controlled the proportion of drugs, and some hospitals have changed from "medicine to medicine" to "inspection and medicine", relying on various inspections and inspections to increase income, and lack the internal motivation to promote mutual recognition of medical examinations. Especially at present, the patient's examination and test result data are stored in different medical institutions, and if there is no unified and efficient sharing platform and coordination mechanism, it is difficult to promote the mutual recognition of high-quality medical examination.
Breaking through the obstruction of mutual recognition of medical examination is a complex system project, which cannot be accomplished in one battle, and must continue to work hard and for a long time, so that more patients can see tangible improvements and enjoy real convenience as soon as possible.
It is recommended to improve the standards for mutual recognitionEliminate the concerns of doctors and patients
There is still a long way to go for mutual recognition of medical examinations, and in order to make the results of medical examinations and tests between different regions and hospitals "recognized", it is necessary to break through some obstacles and establish green channels.
Deng Yong, a professor at the Law Department of Beijing University of Chinese MedicineIt is proposed that in view of the issue of legal liability, the relevant departments should improve the legislation and implement the corresponding responsibility allocation mechanism. For example, a corresponding explanation should be added to the doctor's obligation to diagnose to ensure that the judiciary does not adopt a "one-size-fits-all" attitude towards medical malpractice liability due to mutual recognition of results. As for the responsibility allocation mechanism, the health department should take the lead and establish a set of responsibility systems for the first examining physician.
Although it is good to have mutual recognition of medical examinations, some patients have expressed their concerns: "Are the results of the small hospital examination recognized by the big hospital?"What if the doctor misdiagnoses based on the results of the previous hospital's examination?One of the reasons why "mutual recognition of medical examinations" has caused concern for some patients is the uneven distribution of medical resources.
In this regard, a medical staff member of a tertiary hospital believes that the mutual recognition of examination results can be better implemented by updating the examination equipment of small hospitals, improving doctors' examination technology, and narrowing the gap between hospitals in terms of inspection capabilities and technologies.
How to grasp the health care institutions
informationThe boundary between interoperability and personal privacy
Mao Qunan, Director of the Planning Department of the National Health CommissionAccording to the introduction, the National Health Commission requires that the "leakage prevention" of medical and health data protection be strengthened, and the health administrative departments at all levels should establish a sound network and information security management system that is in line with the medical and health information exchange and sharing scenarios. Some provinces have implemented electronic health records, providing residents with real-time authorized access services and information sharing between medical and health institutions.
Lin Jie, deputy director of the Zhejiang Provincial Health CommissionIntroduction, Zhejiang Province in the "human" air defense, the establishment of a professional team composed of chief network security officer, network security administrators, liaisons, etc.;In terms of "material" defense, we will build a provincial health cloud, a health data high-speed railway, a health data center and a network security situational awareness platform covering the whole networkIn terms of "technical" defense, technical means and protective measures such as data encryption and face recognition are adopted to ensure the safe flow of data.
Zhou Wence, President of the Second Hospital of Lanzhou UniversityAccording to the introduction, the docking of the hospital information system with the national electronic medical insurance certificate, medical insurance face recognition, and electronic social security system has been completed, and more verification methods will be provided in the future.
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Materials**: Rule of Law**, China Youth Daily, People** Commentary.
Editor: Jiang Yuhan.
Editor in charge: Liu Yeye.
Editor-in-Chief: Cui Jingfang.
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