Recently, a woman from Henan Province suffered a head injury due to a fall, and underwent a CT examination at the city hospital and was diagnosed with a temporal bone fracture. However, when she took the test results to the county hospital in her hometown, she was told that she needed to be re-examined. This incident has once again sparked a discussion on the mutual recognition system of medical examinations, and why patients are repeatedly tested on the same examination item has become the focus of social attention.
In the medical field, mutual recognition of examination results has always existed. Although in 2006, the Ministry of Health issued a document on promoting the mutual recognition system of medical examinations, and in March 2022, the National Health Commission officially implemented the Administrative Measures for Mutual Recognition of Inspection and Test Results of Medical Institutions, which clearly stipulates that medical institutions should recognize the inspection and test results of mutual recognition marks without affecting diagnosis and treatment, but the actual operation of mutual recognition of traditional Chinese medicine inspection is still slow.
There are differences in doctors' judgment of diseases and diagnosis and treatment plans, which is one of the objective reasons why it is difficult to achieve mutual recognition of medical examinations. However, for examination items that are mainly machine-operated, mutual recognition should be realized in accordance with regulations to reduce the burden on patients.
Some hospitals habitually prescribe duplicate checklists for patients, and even different departments within the same hospital cannot achieve mutual recognition, which reflects the phenomenon that some medical institutions pursue economic benefits and obtain benefits by increasing the number of examinations. This practice not only increases the burden on patients, but also leads to the waste of medical resources.
The problem of mutual recognition of medical examination is not only the contradiction between doctors and patients, but also involves the rational use of medical resources. In the case of tight medical insurance, repeated examinations not only increase the waiting time of patients, but also waste medical resources, making medical insurance** act as a "life-saving money" for waste of resources.
With the acceleration of informatization construction, the data of the medical system is gradually opened, and the problem of mutual recognition of medical examination should be solved through technical means. Some regions have uploaded inspection results through information platforms to ensure that the data is authentic and reliable. At the same time, the detailed rules and standards for mutual recognition of medical examinations need to be further clarified to form a clear project catalogue to prevent hospitals from conducting unnecessary duplicate inspections on the grounds of discretion.
The solution to the problem of mutual recognition of medical examination requires the joint efforts of medical institutions, the society and the society to promote the construction of medical informatization, formulate clear policies and standards, truly take the interests of patients as the guide, and improve the efficiency and quality of medical services.