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 kind of experience has been encountered by many patients. The non-mutual recognition of examination results not only increases the cost of medical treatment for patients, but also reduces the efficiency of medical resource utilization in the whole society. This seems to be a really uncost-effective thing, causing patients to wonder, "It's all the result of the machine, why don't they recognize each other"?
It has been a long time since the results of examinations and tests between different hospitals were not recognized by each other. Relevant departments have also introduced several measures to promote mutual recognition of medical examination results. 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".
Mutual recognition of inspection results by medical institutions marked with "Hunan HR". **China News Network.
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. So, what are the difficulties in promoting this move to facilitate and benefit the people?
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.
Improve infrastructure construction and consolidate the cornerstone of "recognition". The distribution of medical resources in China is uneven, and there are large differences between regions and levels. Only by updating the hospital inspection equipment, improving the technical level of operators, making up for the shortcomings of software and hardware, and ensuring the safety and effectiveness of the inspection and test results issued by different hospitals, can doctors use the inspection and test results of other hospitals as the basis for diagnosis and treatment.
Break down data barriers and lower the threshold of "willing to recognize". In recent years, many places have explored the use of digital means to upload and store CT images and other examination and inspection information by building an intelligent platform, so that doctors can easily access it after being authorized, and analyze and diagnose diseases more intuitively, accurately and quickly. Only by strengthening the construction of informatization and sharing of inspection results can there be a realistic path.
Clarify rights and responsibilities, strengthen positive incentives, and eliminate the worries of "not daring to recognize". Previously, the "Notice on Accelerating the Mutual Recognition of Inspection and Inspection Results" encouraged medical personnel to analyze and interpret the inspection results and carry out the mutual recognition of inspection and inspection results as the evaluation indicators for performance distribution. Only by further improving laws and regulations, refining the boundaries of rights and responsibilities of all parties, and balancing doctors' discretion and rigid constraints on rules can the legitimate rights and interests of both doctors and patients be better protected in the process of promoting mutual recognition of medical examinations.
The National Health Commission has made it clear that by the end of 2025, all secondary public hospitals in the country will realize cross-agency access to inspection and test results. It is expected that all parties will anchor the goal, continue to overcome difficulties, explore and innovate, and promote the results of medical examinations and tests between different regions and hospitals to "recognize, be willing to recognize, and dare to recognize", and do this good thing well and practically.